What is the scope of the super medical insurance payment policy?

What expenses does the basic medical insurance medical service facilities include?

The cost of medical service facilities of basic medical insurance mainly includes inpatient bed fee and outpatient (emergency) observation bed fee. According to the provisions of the price departments of various provinces (cities, districts), hospital bed fees and outpatient (emergency) observation bed fees mainly include three types of fees: one is the cost of daily necessities such as beds, mattresses, bedside tables, chairs, mosquito nets, quilt covers, sheets, thermos bottles, washbasins (barrels), the other is the cost of transportation supplies such as stretchers and carts in the hospital, and the third is water. For these expenses, the basic medical insurance fund will not pay separately, and designated medical institutions will not charge the insured separately.

What life service items and service facilities are not paid by the basic medical insurance?

The expenses of life service items and service facilities that are not paid by the basic medical insurance fund mainly include five categories: first, the transportation fee for (referral) and the first-aid fare; Two, air conditioning, television, baby incubator, food incubator, electric stove, refrigerator and public property damage compensation; The third is the escort fee, nursing fee, washing fee and outpatient decocting fee; The fourth is the meal fee; The fifth is the special life service expenses such as hospitality. The reason why we don't pay for the above-mentioned life service items and service facilities is mainly because some of these items are not necessary in the process of diagnosis and treatment, such as TV, telephone and refrigerator. Some of them are necessary, but they are the responsibility of individuals or units, such as medical transportation expenses, first aid transportation expenses, meals and so on.

Due to the great differences in living environment in different places, some medical service facilities may not be needed in some places, but they are needed in some places, such as heating costs in cold areas in the north. Whether such medical service facilities are included in the scope of payment of basic medical insurance, the administrative departments of labor and social security of all provinces (autonomous regions and municipalities) may make their own provisions according to the local economic development level and the affordability of the basic medical insurance fund.