Thermophylaxis injection does not belong to the scope of reimbursement of medical insurance, so the hospitalization of thermophylaxis injection is not reimbursed by the medical insurance in Xinxiang.
The items that cannot be reimbursed by the medical insurance are as follows:
1. Services: registration fee, out-of-hospital consultation fee, medical record cost, etc.; consultation fee, expedited fee for examination and treatment, surcharge for named surgery, surcharge for named surgery, quality and premium fee, self-invited special nurse and other special medical services.
2, non-disease treatment programs: a variety of beauty, fitness programs and non-functional plastic 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.
3, diagnostic and therapeutic equipment and medically useful materials: the application of positron emission tomography (PET), electron beam CT, ophthalmic excimer laser therapy instrument and other large-scale medical equipment for the examination and treatment program. 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.
4, therapeutic projects category: all kinds of organ or tissue transplantation of organ or tissue source; in addition to kidney, heart valve, cornea, skin, blood vessels, bone, bone marrow transplantation of other organs or tissues; myopic eye orthopedics; qigong therapy, music therapy, health care of nutritional therapy, magnetic therapy and other complementary therapeutic projects.
5. Other categories: all kinds of infertility (pregnancy), sexual dysfunction diagnosis and treatment programs;
In summary, the scope of medical insurance is very wide, and the medical expenses are generally differentiated according to the characteristics of its medical services, mainly including doctors' outpatient costs, medicine, hospitalization costs, nursing costs, hospital miscellaneous expenses, surgical fees, and all kinds of examination costs. Medical expenses are the costs incurred by the patient for treatment, which includes not only the doctor's medical and surgical fees, but also hospitalization, nursing care, hospital equipment and other costs.
Legal basis:
Article 28 of the Social Insurance Law of the People's Republic of China
Medical expenses that are in line with the basic medical insurance drug catalog, diagnostic and therapeutic items, medical service facility standards, as well as those for emergency and rescue, shall be paid out of the basic medical insurance fund in accordance with state regulations.
Article 29
The portion of the medical expenses of insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance administration organization and the medical institutions and drug business units.
The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.