Medical insurance reimbursement scope

Legal analysis: The scope of medical insurance reimbursement is mainly stipulated in the National Basic Medical Insurance issued by the State Council.

Legal basis: The National Basic Medical Insurance issued by the State Council

Category of services

1. Registration fee, out-of-hospital consultation fee, and cost of medical records.

2. Special medical services such as visit fees, expedited fees for examination and treatment, surcharges for named surgeries, quality premium fees, and self-employed special nurses.

Non-disease treatment program category

1. All kinds of beauty and fitness programs as well as non-functional cosmetic and orthopedic surgeries.

2. All kinds of weight loss, fat gain, height increase program.

3. All kinds of health checkups.

4. Various preventive and health care treatment programs.

5. All kinds of medical consultation, medical appraisal.

Diagnostic and therapeutic equipment and medical materials

1. Application of positron emission tomography (PET), electron beam CT, ophthalmic excimer laser treatment device and other large-scale medical equipment for the examination and treatment program.

2. Eyeglasses, dentures, eye prostheses, prosthetics, hearing aids and other rehabilitative devices.

3. All kinds of self-use health care, massage, examination and treatment equipment.

4. Provincial price department regulations can not be charged separately disposable medical materials.

Treatment program category

1. All kinds of organ or tissue transplantation of organ or tissue source.

2. Transplantation of organs or tissues other than kidney, heart valve, cornea, skin, blood vessel, bone and bone marrow transplantation.

3. Orthopedic surgery for myopia.

4. Complementary therapeutic programs such as qigong therapy, music therapy, nutrient therapy for health care, and magnetic therapy.

Other

1. Various kinds of infertility (pregnancy), sexual dysfunction treatment program.

2. All kinds of scientific research, clinical verification of the treatment program.

Basic medical insurance to pay part of the cost of diagnostic and treatment items range of editors Voice

Diagnostic and treatment equipment and medical materials category

l. Application of χ-ray computed tomography device (CT), stereotactic radiography device (γ-knife, χ-knife), Cardiac and angiography χ-line machine (including digital subtraction equipment), magnetic **** vibration imaging device (MRI), single photon emission electronic computer scanning device SPECT), color Doppler, medical linear gas pedal, and other large-scale medical equipment for examination and treatment projects.

2. Extracorporeal shock wave lithotripsy and hyperbaric oxygen therapy.

3. Cardiac pacemakers, artificial joints, artificial crystals, vascular stents, and other artificial organs and materials for in vivo replacement.

4. Disposable medical materials that can be charged separately as stipulated by the price department of each province.

Treatment program category

1. Hemodialysis, peritoneal dialysis.

2. Kidney, heart valve, cornea, skin, blood vessels, bone, bone marrow transplantation.

3. Cardiac laser perforation, anti-tumor cellular immunotherapy and fast neutron therapy programs.

Others

Expensive medical instruments and equipment for inspection, treatment items and medical materials as stipulated by the provincial labor security departments.