Legal analysis: 1. Self-medical treatment (without designated hospitals or referral orders), self-acquired medicines, medicines that cannot be reimbursed under the public medical care regulations, and medical expenses that do not comply with family planning.
2. Other expenses such as outpatient treatment fees, consultation fees, hospitalization fees, meal fees, companion fees, nutritional fees, blood transfusion fees (except for those who have family blood storage, which are reimbursed according to the relevant regulations), heating and cooling fees, ambulance fees, and special nursing fees.
3. Medical expenses for car accidents, fights, suicides, alcoholism, workplace accidents and medical malpractice.
4. Orthopedics, cosmetic surgery, dentures, prosthetics, organ transplants, named surgery fees, and consultation fees.
5. Within the scope of reimbursement, the portion outside the limit.
Legal basis: "The People's Republic of China *** and the State Social Insurance Law" Article 30 The following medical expenses are not included in the scope of payment of the basic medical insurance fund:
(1) should be paid from the workers' compensation insurance fund;
(2) should be borne by a third party;
(3) 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.