A, rural medical insurance reimbursement scope:
A, medicine: auxiliary examination: EEG, X-ray fluoroscopy, filming, laboratory tests, physiotherapy, acupuncture, CT, nuclear magnetic **** vibration and other inspection fees limit of 200 yuan; surgical fees (with reference to the national standard, more than 1,000 yuan reimbursement according to 1,000 yuan). B, the elderly over 60 years old hospitalized in Xingta Township Health Center, treatment costs and nursing care costs are compensated 10 yuan per day, with a limit of 200 yuan.Two, town health insurance reimbursement
Town medical reimbursement mainly refers to is in the hospital to see a doctor, medicine, hospitalization, surgery, etc., can be through the health insurance card in accordance with the relevant provisions can be reimbursed for the cost of medicines, town health insurance is more specialized, the size of the project and the coverage of the larger, but it is in the major diseases or accidents in the limited payouts. At this time, I suggest that the participants can separately purchase commercial major medical supplemental insurance and social security for a combination of ways to reduce their financial losses.Three, the employee health insurance reimbursement
Basic insurance does not pay the cost of the scope of the diagnosis and treatment program (a) the service category 1, registration fees, out-of-hospital consultation fees, medical records, such as the cost of books; 2, visit fees, examination and treatment of expedited fees (except for emergencies), the surcharge on the operation of a named, high quality and high price fee, the self-invited special Nurse fee and other special medical services. (B) non-disease treatment program category 1, a variety of beauty (cosmetic life, medical cosmetology) fitness program and messy non-functional cosmetic surgery, orthopedic surgery, etc.; 2, a variety of weight loss, gain weight, increase in height project; 3, a variety of health checkups; 4, a variety of preventive, health care treatment program; 5, dental orthodontics, dental porcelain; 6, A variety of medical consultations (excluding psychiatric consultations), medical identification. (C) diagnostic and therapeutic equipment and medical materials 1, the application of positron emission tomography device, electron beam CT, ophthalmic excimer laser therapy instrument and other large-scale medical equipment for the inspection and treatment of the project; 2, eyeglasses, dental prostheses, eye prostheses, prosthetic limbs, hearing aids, and other rehabilitation appliances; 3, a variety of self-use health care, massage, inspection and rehabilitation and treatment equipment. (D) therapeutic projects category 1, all kinds of organ transplantation or tissue transplantation of organ source or tissue source; 2, in addition to kidney, heart valve, cornea, skin, blood vessels, bone, bone marrow transplantation, other organs or tissue transplantation; 3, myopic eye orthopedics; 4, qigong therapy, music therapy, health care, nutritional therapy, magnetic therapy, and other complementary therapeutic projects. (E) other 1, a variety of infertility (pregnancy), sexual dysfunction diagnosis and treatment programs; 2, a variety of scientific research, clinical verification of diagnosis and treatment programs; In the reimbursement standard, the first level of hospitals do not need to pay the starting standard fee, the second level of hospitals start at 300 yuan, and the third level of hospitals start at 500 yuan. For urban and rural residents who are hospitalized more than twice in a billing year, the starting standard fee is no longer charged from the second hospitalization. In case of transfer or hospitalization for more than two times, the difference will be made up in accordance with the stipulated starting standard of the transferred or re-admitted hospital.