1. No matter what kind of disease, whether it can be reimbursed or not should be differentiated according to the National Basic Medical Insurance Drug Catalog and Basic Medical Insurance Diagnostic and Treatment Items issued by the state, and what is in the catalog is reimbursable by the insurance, and what isn't is at one's own expense.
2.6 out-of-pocket expenses can be reimbursed twice
The out-of-pocket medical expenses that are included in the reimbursement scope of the medical insurance include:
1. medical expenses below the starting standard of the basic medical insurance fund for urban residents;
2. medical expenses above the starting standard and below the maximum payment limit of the basic medical insurance fund for urban residents, which should be proportionally borne by the individual;
3. medical expenses below the starting standard and below the maximum payment limit of the basic medical insurance fund for urban residents, which should be proportionately borne by the individual. Medical expenses;
3. Medical expenses that should be borne by individuals in advance for the use of large-scale medical equipment in inspection and treatment programs and for the cost of a single item of 200 yuan (inclusive) or more;
4. Medical expenses that should be borne by individuals in advance for the Category B items in the catalog of diagnosis and treatment programs of basic medical insurance and in the scope of medical service facilities;
5. The "Beijing Municipal Basic Medical Insurance, Medical expenses that should be borne by individuals in advance for the Category B drugs in the "Beijing Basic Medical Insurance, Workers' Compensation Insurance and Maternity Insurance Drug Catalog";
6. Medical expenses above the maximum payment limit of the urban residents' basic medical insurance fund that can be included in the scope of reimbursement with reference to the provisions on payment by the urban residents' basic medical insurance fund as well as the medical expenses in conformity with the medical expenses of (c), (d), and (e).
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