In the medical insurance reimbursement when reimbursement, in accordance with the basic medical insurance three directories for reimbursement, so understand the three directories is still very necessary, then the basic medical insurance three directories include what? The first thing you need to do is to get your hands on a new one, and you'll be able to do that!
What are the three major catalogs of the basic medical insurance?
Because of the limited medical insurance fund, it is impossible to cover all the medical reimbursement needs, so the medical insurance department stipulates the basic medical insurance on the drugs, diagnosis and treatment items and the use of medical service facilities reimbursement scope, commonly known as the three catalogs, that is, refers to the basic medical insurance drugs catalog, diagnosis and treatment items catalog, medical service facilities catalog.
A drug catalog
The insurance drug catalog refers to the policy basis and standards for the basic medical insurance, workers' compensation insurance and maternity insurance funds to pay for the drug costs of the insured and to strengthen the management of medical insurance medical services.
Second, diagnostic and treatment items catalog
Diagnostic and treatment items catalog refers to a variety of medical technology and labor projects and the use of instruments, equipment and medical materials for diagnosis and treatment projects in accordance with the following conditions:
(a) clinical diagnosis and treatment of necessary, safe and effective, appropriate cost of diagnostic and treatment items;
(b) By the price, the health department has set the fee standard diagnostic and therapeutic items;
(3) by the designated medical institutions for the insured to provide the diagnostic and therapeutic items within the scope of the designated medical services.
Third, medical services and facilities catalog
Medical services and facilities catalog refers to the life service facilities provided by the designated medical institutions for the participants in the process of receiving diagnosis, treatment and care. Facility costs mainly include inpatient bed fees and outpatient (emergency) stay bed fees, the basic medical insurance fund does not pay for the cost of living services and services and facilities mainly include:
(a) consultation (referral) transportation fees, emergency ambulance fees;
(b) air-conditioning fees, television fees, telephone fees, baby warming box fees, food warming fees, electric stoves, refrigerator fees, and damage to public property Compensation for damages to public property;
(3) escort fee, caregiver fee, cleaning fee, outpatient medication fee;
(4) meal fee;
(5) recreational activity fee and other special living service fees.
The above is the answer to what is included in the three major catalogs of basic medical insurance, I hope it will help you.