1, outpatient serious illness (category I) comprehensive medical insurance outpatient, designated retail pharmacies general basic medical expenses and local supplementary medical expenses are settled according to service items;
2, hospitalization medical insurance, medical insurance for migrant workers outpatient basic medical expenses according to the number of bound insured quota contract;
3, outpatient medical equipment inspection and treatment costs according to the approved outpatient expense reimbursement standard settlement;
4, outpatient hemodialysis basic medical expenses and local supplementary medical expenses according to the relevant agreement of the total reimbursement standard settlement;
5. The basic medical expenses for prenatal examination of the insured of maternity medical insurance shall be settled according to the service items;
6, general hospitalization basic medical expenses and local supplementary medical expenses according to the service unit and combined with the proportion of inpatient outpatient standard settlement;
7. The hospitalization basic medical expenses and local supplementary medical expenses of some diseases or treatment projects shall be settled according to the reimbursement standard of disease expenses;
8, long-term hospitalization of schizophrenic patients hospitalization basic medical expenses and local supplementary medical expenses according to the annual lump sum settlement.
Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid from the basic medical insurance fund in accordance with state regulations.