The first category is the category of services: registration fee, out-of-hospital consultation fee, medical record cost, etc.; clinic fees, examination and treatment of expedited fees, named surgery surcharge, named surgery surcharge, quality premium fee, self-requested special nurses and other special medical services. The second category is non-disease treatment programs: all kinds of cosmetic and body-building programs as well as non-functional cosmetic and orthopedic surgeries; all kinds of weight-loss, weight-gain and height-enhancement programs; all kinds of health reimbursement; all kinds of preventive and health-care programs; and all kinds of medical consulting and 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 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. The fourth category is therapeutic items: organ source or tissue source for all kinds of organ or tissue transplants; other organ or tissue transplants except for kidney, heart valve, cornea, skin, blood vessel, bone and bone marrow transplants; orthopedic surgery for myopic eyes; qigong therapy, music therapy, nutritional therapy for health care, magnetic therapy and other auxiliary therapeutic items. The fifth category is other categories: a variety of infertility (pregnancy), sexual dysfunction diagnosis and treatment programs; a variety of scientific research, clinical verification of diagnosis and treatment programs.
Legal basis: "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: (a) should be paid from the workers' compensation insurance fund; (b) should be borne by a third party; (c) should be borne by the public **** health; (d) outside the country for medical treatment. If the medical expenses should be borne by a third person in accordance with the law, and the third person does not pay or the third person cannot be identified, the basic medical insurance fund shall pay in advance. The basic medical insurance fund shall have the right to recover the expenses from the third party after making the payment in advance. Article 31 The social insurance administration organization may, according to the needs of management and service, sign service agreements with medical institutions and drug business units to regulate the behavior of medical service. Medical institutions shall provide reasonable and necessary medical services for the insured.