2, medical insurance will not pay the cost of diagnosis and treatment projects * * * five categories.
The first category is service items: registration fee, out-of-hospital consultation fee, medical record production fee, etc. Special medical services such as visiting fees, expedited fees for examination and treatment, additional fees for name-calling surgery, additional fees for name-calling surgery, high-quality and good-price fees, and self-invited special care. The second category is non-disease treatment projects: various beauty and bodybuilding projects and non-functional beauty and plastic surgery; All kinds of weight loss, weight gain and height increase projects; All kinds of healthy bodies can be repaid; Various preventive health care diagnosis and treatment projects; All kinds of medical consultation and medical appraisal. The third category is diagnosis and treatment equipment and medical useful materials: inspection and treatment projects carried out by using large-scale medical equipment such as positron emission tomography (PET), electron beam CT and ophthalmic excimer laser therapeutic apparatus. Glasses, dentures, artificial eyes, artificial limbs, hearing AIDS and other rehabilitation appliances. All kinds of self-use health care, massage, examination and treatment equipment. Disposable medical materials that are not charged separately as stipulated by the provincial price department. The fourth category is treatment project category: organ source or tissue source of various organ or tissue transplants; Transplantation of organs or tissues other than kidneys, heart valves, corneas, skin, blood vessels, bones and bone marrow; Orthopedic surgery for myopia; Qigong therapy, music therapy, health nutrition therapy, magnetic therapy and other auxiliary treatment projects. The fifth category is other categories: all kinds of infertility (pregnancy) and sexual dysfunction diagnosis and treatment projects; Various scientific research and clinical verification diagnosis and treatment projects.
Legal basis: Article 30 of the Social Insurance Law of People's Republic of China (PRC), the following medical expenses are not included in the payment scope of the basic medical insurance fund:
(1) shall be paid by the industrial injury insurance fund (2) shall be borne by a third party (3) shall be borne by public medical care (4) overseas medical care.
Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.