2, health insurance does not pay for the cost of diagnosis and treatment program *** five categories.
The first category is the category of service items: registration fee, out-of-hospital consultation fee, medical record cost, etc.; visit fee, examination and treatment expedited fee, named surgery surcharge, named surgery surcharge, quality and premium fee, self-employed special nurse and other special medical services.
The second category is the category of non-disease treatment programs: all kinds of cosmetic, body-building programs and non-functional plastic surgery, orthopedic surgery, etc.; all kinds of weight loss, weight gain, height increase programs; all kinds of health body can be reimbursed; all kinds of preventive, health care diagnosis and treatment programs; all kinds of medical consulting, medical appraisal.
The third category is diagnostic and therapeutic equipment and medical useful materials: the application of positron emission tomography (PET), electron beam CT, ophthalmic excimer laser treatment instrument and other large-scale medical equipment for the examination and treatment program. Eyeglasses, denture, eye prosthesis, prosthetic limbs, hearing aids and other rehabilitation 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 other categories: various infertility (pregnancy), sexual dysfunction diagnosis and treatment programs; a variety of scientific research, clinical verification of the diagnosis and treatment programs.
In addition, the basic medical insurance does not pay the cost of: on (transfer) transportation costs, emergency vehicle costs; air conditioning costs, telephone costs, telephone costs, baby warming box costs, food warming box costs, electric stoves, refrigerators, and compensation for damage to public property insurance single number of nurses, nursing costs, cleaning costs, outpatient decoctions; meals; recreational activities and other special needs of the cost of living services. Patients are required to pay for all of the above items at their own expense.
3, college student health insurance reimbursement standards:
In the hospitalization of eligible medical expenses incurred in the following proportion to be reimbursed, the rest of the individual out-of-pocket, the annual multiple hospitalization of the medical costs of the cumulative calculation:
A. Medical costs less than 10,000 yuan of the portion of medical treatment in the third level, second level and first level of medical institutions, the reimbursement rate of 55%, 65% and 75%;
B. Medical costs less than 10,000 yuan of the portion of medical treatment in third level, second level and first level of medical institutions, respectively, 65% and 75% respectively;
B. The reimbursement rate for the portion of medical expenses above 10,000 yuan (including 10,000 yuan) and less than 20,000 yuan is 60%, 70% and 80% respectively for those who seek medical treatment in third-level, second-level and first-level medical institutions;
C. The reimbursement rate for the portion of medical expenses above 20,000 yuan (including 20,000 yuan) is 60%, 70% and 80% respectively for those who seek medical treatment in third-level, secondary and primary medical institutions, the reimbursement rate is 65%, 75% and 85% respectively.