The money in the personal account of the medical insurance card can still be used. It can only be used to buy medicine and outpatient treatment. If you are hospitalized for illness, you will not be reimbursed by medical insurance and you will have to pay for it yourself. If medical insurance is suspended, medical insurance benefits will be suspended from the month following the date of suspension. To put it simply, it is not to stop immediately, but to no longer enjoy medical insurance benefits from next month. Medical insurance has a buffer period of 3 months from the date of suspension. If this period is exceeded, the payment period will be recalculated, and it will also be regarded as If you interrupt your participation in insurance and go through the insurance registration procedures again after the interruption, you will need to make continuous payments for 6 months before you can enjoy medical insurance benefits again. In addition, medical insurance can generally be interrupted three times, otherwise the payment period will have to be accumulated again.
Extended information: Employee medical insurance reimbursement and medical insurance reimbursement cartoon
1. Scope of diagnosis and treatment items that are not covered by basic insurance
(1) Service items
p>1. Registration fee, out-of-hospital consultation fee, medical record cost, etc.;
2. Consultation fee, expedited examination and treatment fee (except emergency), roll call surgery surcharge, high quality and low price fee , self-pay special nurse fees and other special medical services.
(2) Non-disease treatment items
1. Various beauty (life beauty, medical beauty) and bodybuilding projects as well as non-functional plastic surgery, orthopedic surgery, etc.;
2. Various weight loss, fattening and heightening programs;
3. Various health examinations;
4. Various preventive and health-care diagnosis and treatment programs; registration Fees, out-of-hospital consultation fees, medical record costs, etc.;
2. Consultation fees, expedited examination and treatment fees (except emergency), roll-call surgery surcharges, high-quality and low-price fees, self-recruitment special nurse fees and other special needs Medical services.
(2) Non-disease treatment items
1. Various beauty (life beauty, medical beauty) and bodybuilding projects as well as non-functional plastic surgery, orthopedic surgery, etc.;
2. Various weight loss, fattening, and height-increasing programs;
3. Various health examinations;
4. Various preventive and health-care diagnosis and treatment programs; < /p>
5. Orthodontics, dental porcelain;
6. Various medical consultations (excluding psychiatric consultations) and medical appraisals.
(3) Diagnostic and treatment equipment and medical materials
1. Use large-scale medical equipment such as positron emission tomography scanning equipment, electron beam CT, ophthalmic excimer laser therapy equipment for examination and treatment Projects;
2. Rehabilitation equipment such as glasses, dentures, eyes, prostheses, and hearing aids;
3. Various self-use health care, massage, examination, rehabilitation and treatment equipment.
(4) Treatment Items
1. Organ sources or tissue sources for various organ transplants or tissue transplants;
2. Except for kidneys and heart valves , cornea, skin, blood vessels, bones, bone marrow transplants and other organ or tissue transplants;
3. Orthopedics for myopia;
4. Qigong therapy, music therapy, health care Nutritional therapy, magnetic therapy and other auxiliary treatment projects.
(5) Others
1. Various diagnosis and treatment items for infertility (pregnancy) and sexual dysfunction;
2. Various scientific research, Clinically verified diagnosis and treatment items;
2. Scope of diagnosis and treatment items for which basic medical insurance pays part of the cost
(1) Diagnostic and treatment equipment and medical materials
1 , applied X-ray computed tomography device (CT), stereotactic radiation device (γ knife, χ knife), cardiac and angiography X-ray machine (including digital subtraction equipment), magnetic resonance imaging device (MEI) , examinations and treatment projects with large-scale medical equipment such as single photon emission electron scanning device (SPECT), color Doppler, medical linear accelerator;
2. Extracorporeal shock wave lithotripsy and hyperbaric oxygen therapy;
3. Pacemakers, artificial joints, intraocular lenses, artificial organs for internal replacement of blood vessel stents, and materials placed in the body;
4. Separate charges may be stipulated by the provincial price department of disposable medical materials.
(2) Treatment items
1. Hemodialysis, peritoneal dialysis;
2. Kidneys, heart valves, cornea, skin, blood vessels, bones, Bone marrow transplantation;
3. Heart laser drilling, anti-tumor cell immunotherapy and fast neutron therapy projects.
Hearing aids and other rehabilitation equipment;
3. Various self-use health care, massage, examination, rehabilitation and treatment equipment.
(3) Treatment items
1. Organ sources or tissue sources for various organ transplants or tissue transplants;
2. Except for kidneys and heart valves , cornea, skin, blood vessels, bones, bone marrow transplants and other organ or tissue transplants;
3. Orthopedics for myopia;
4. Qigong therapy, music therapy, health care Nutritional therapy, magnetic therapy and other auxiliary treatment projects.
(4) Others
1. Diagnosis and treatment items for various infertility (pregnancy) diseases and sexual dysfunction;
2. Various scientific research, Clinically proven diagnosis and treatment projects.