Eight, the new rural cooperative medical insurance fund will not be reimbursed for the scope of diagnostic and treatment items and other
A) service items
1, registration fees
, consultation fees, consultation fees, insurance fees, remote diagnosis and treatment fees, home hospital beds
2, consultation or referral of transportation fees, emergency vehicle fees;
3, self-requested special care fees, home service fees, quality priority fees and other special medical services, as well as examination and treatment of emergency fees named surgery surcharge.
3, special medical service fees such as self-referred special care fee, home visit service fee, quality priority fee, etc., as well as expedited examination and treatment fee, surcharge for named surgery;
4, labor service fees such as companion fee, escort fee, water and electricity fee, accompanied by bed and chair, air conditioning fee, cleaning fee, etc., during the period of hospitalization;
5, consultation and medical examination fees during the period of hospitalization;
6, meal fee and other living service fees;
7. Labor costs for medical records, birth certificates, certificates of illness, microcomputer inquiry and management fees, labor costs for various bills, magnetic card fees, etc.
8. Fees for consulting specialists on behalf of the hospital.
(2) Non-disease treatment items
1, various beauty, plastic surgery, hair coloring, such as freckles, acne, warts, acne, blemishes, pigmentation and hair loss (including baldness), white hair, mole removal, ear piercing, saddle nose, breast augmentation, single eyelid to double eyelid, massage and beauty programs;
2, various cosmetic surgery, orthopedics (except for the after-effects of poliomyelitis) and physical defects Treatment, such as fox odor treatment, installation of prosthetic limbs, stuttering, squinting, "0" shaped legs, "X" shaped legs, prosthetic eyes, wigs, refractive errors, vision correction and other surgical procedures;
3, diabetic decision-making support system, sleep and respiratory monitoring system, Micronutrient testing, bone densitometry, body information diagnosis, computerized selection of the optimal gestation period, fetal gender and fetal development checkups and other diagnostic and treatment programs;
4, a variety of weight loss, fat, height, bodybuilding, smoking cessation diagnostic and treatment programs;
5, a variety of preventive, health care diagnostic and treatment (in addition to perinatal health care), health care, massage, physical therapy, magnetic therapy, and other projects;
6, a variety of medical consultation (including psychological counseling, health counseling, dietary counseling, disease counseling), a variety of predictions (including stroke prediction, health prediction, disease prediction), a variety of appraisal (forensic appraisal, work-related injury appraisal, medical appraisal, paternity appraisal), health guidance and other projects.
(3) Diagnostic and treatment equipment and medical materials
13, unauthorized private hospitalization in higher-level medical units of medical costs;
14, not included in the price policy management of the diagnosis and treatment costs or material costs.
5, all kinds of infertility (pregnancy), sexual dysfunction of the diagnosis and treatment program;
6, around the scientific research, teaching, clinical verification of the diagnosis and treatment program;
7, all kinds of injuries (involving other people) caused by the sequelae of the restoration of the treatment;
8, all kinds of injuries (involving other people) caused by the second surgery and treatment.
(E) Others
1, hospitalization expenses in the "for-profit medical institutions" which have not been approved by the county as the designated medical institutions;
2, non-productive pesticide poisoning due to fights, brawls, alcoholism, self-injury, self-injury, suicide, drug abuse, drug rehabilitation, sexually transmitted diseases, traffic accidents, automobile accidents, accidents involving the responsibility of other people and the related commercial insurance claims, Medical malpractice, all kinds of accidental injuries with liable parties, and medical expenses arising from lawlessness and discipline.
3. Medical expenses arising from accidents caused by self-driving vehicles (including all kinds of motor vehicles, motorcycles, battery cars, electric cars, etc.).
4. Medical expenses arising from injuries caused by animals and livestock with guardians;
5. Medical expenses arising from public (industrial) injuries, occupational diseases, and family planning;
6. Various judicial signatures and labor appraisal costs;
7. Medical expenses arising from fraudulent acts such as hospitalization under a registered name or hospitalization under false pretenses;
8. Medical expenses arising from injuries caused by a third party;
9. Medical expenses arising from accidents caused by a third party;
10. A third party caused injury to the insured person's hospitalization medical expenses paid by the third party should be borne by law;
9, abroad and all medical expenses incurred during the period of departure;
10, re-education-through-labor, probation, re-education-through-labor and the probation period;
11, non-compliance with the doctor's advice refused to be discharged from the hospital as well as hospitalized in the hospital with a hospitalized bed for the diagnosis and treatment of the medical expenses incurred;
1 The application of positron emission tomography PET, electron beam CT, ophthalmic excimer laser therapy and other large-scale medical equipment for examination, treatment programs;
2, eyeglasses, prosthetic eyes, prosthetic teeth, prosthetics, hearing aids, walking aids, brain fitness, leather (steel) undershirt, steel waist, steel head and neck, stomach support, kidney support, scrotum support, uterus, crutches, wheelchairs, deformed insoles, pillows, pill pads, Hot packs, pressure pulse belt, infusion net, testicular belt, hernia belt, knee belt, artificial anal bag and other appliances;
3, a variety of home inspection and testing instrument (device), therapeutic instrument (device), physical therapy instrument (device), massagers and magnetic therapy supplies and other therapeutic appliances;
4, a variety of surgical instruments, apparatus, disposable equipment, steel plate nails and other surgical equipment.
5, the provincial price department regulations can not be charged separately disposable medical materials.
6, more than 200 yuan of imported equipment.
7, all all extracorporeal assisted treatment device.
(D) treatment project category
1, all kinds of organ or tissue transplantation of human organ source or tissue source and obtaining organ source, tissue source of the relevant surgery, etc.;
2, prostate hyperplasia microwave (radiofrequency) treatment, photo-quantum irradiation therapy, helium-neon laser intravascular irradiation (blood therapy), new technology of post-anesthetic surgery analgesia (pain bed), various analgesic pump therapy, Endoscopic retrograde appendicography and other diagnostic and therapeutic programs;
3, dentures, veneers, dental implants, dental cleaning, dental irregularities orthodontic, yellow and black teeth, dental defects, stained teeth, grilled magnetic teeth and other diagnostic and therapeutic programs;
4, qigong therapy, music therapy, hypnotherapy, magnetism therapy, water bar therapy, oxygen bar therapy, postural therapy, psychotherapeutic methods and suggestive therapy, dietary therapy, nutritional therapy, etc. The auxiliary treatment program;
Extended reading: insurance how to buy, which is good, hand to teach you to avoid the insurance of these "pits"