Legal analysis: the cost of blood tests is not reimbursable, but if the patient belongs to the hospitalization period, it can be reimbursed.
Medicare does not pay for the cost of diagnosis and treatment items *** five categories.
The first category is the service item category: registration fee, out-of-hospital consultation fee, medical record cost, etc.; visit fee, expedited fee for examination and treatment, surcharge for named surgery, surcharge for named surgery, quality and premium fee, self-invited special nurses and other special medical services.
The second category is the non-disease treatment program category: a variety of beauty, fitness programs and non-functional cosmetic surgery, orthopedic surgery, etc.; a variety of weight loss, weight gain, height projects; a variety of health body reimbursement; a variety of preventive, health care clinic programs; a variety of medical consultation, medical appraisal.
The third category is diagnostic and therapeutic equipment and medically useful materials: the application of positron emission tomography (PET), electron beam CT, ophthalmic excimer laser treatment device and other large-scale medical equipment for examination and treatment programs. Eyeglasses, denture, eye prosthesis, prosthetic limbs, hearing aids and other rehabilitative devices. All kinds of self-use health care, massage, examination and treatment equipment. Provincial price departments do not charge separately for disposable medical materials.
The fourth category is the category of therapeutic projects: all kinds of organ or tissue transplantation of organ or tissue source; in addition to kidney, heart valves, cornea, skin, blood vessels, bone, bone marrow transplantation of other organs or tissue transplantation; myopic orthopedics; qigong therapy, music therapy, health care of nutritional therapy, magnetic therapy and other complementary therapeutic projects.
The fifth category is the other categories: all kinds of infertility (pregnancy), sexual dysfunction diagnosis and treatment programs; all kinds of scientific research, clinical verification of diagnosis and treatment programs.
Legal Basis: The Social Insurance Law of the People's Republic of China Article 30 The following medical expenses shall not be included in the scope of payment by the basic medical insurance fund:
(1) Those that should be paid from the Industrial Injury Insurance Fund;
(2) Those that should be borne by a third party;
(3) Those that should be borne by the public **** health;
(4 ) for medical treatment outside the country.
Medical expenses shall be borne by a third party in accordance with the law, and if the third party fails to pay or if the third party cannot be identified, the basic medical insurance fund shall pay in advance. The basic medical insurance fund shall have the right to recover the costs from the third party after the payment is made.