Basic Medical Insurance Diagnostic and Treatment Program Catalog

I. Diagnostic and therapeutic items that are not paid by the basic medical insurance fund

(I) Service items

1, registration fee, out-of-hospital consultation fee, travel cost of consulting medical personnel, and cost of medical records.

2, consultation fees, examination and treatment of expedited fees, name surgery surcharge, quality and price, self-requested special nurse fees, special door-to-door service fees, please expert consultation and treatment fees and other special medical service fees.

(2) Non-disease treatment program category

1, various types of beauty, fitness programs, as well as non-functional cosmetic surgery, orthopedic surgery and physiological defects in the examination and treatment of medical costs and personal use of orthopedic, fitness equipment costs.

(1) treatment of acne, freckles, acne scars, hyperpigmentation, dark spots;

(2) stuttering, snoring;

(3) hare lip, saddle nose;

(4) eye, strabismus correction, single eyelid to double eyelid;

(5) mole removal, ear piercing, warts, armpit odour;

(6) skincare, face masks, masks;

(7) cold ironing eyelashes, tattooing, tattooing eye line (8) Dental cleaning, correction of irregularities in teeth, denture repair (including crowns, sets of crowns, full dentures, partial dentures), dental implants, treatment of stained teeth, inlays;

(9) Optometry, fitting of glasses, prosthetic eyes, wigs, prosthetics, hearing aids;

(10) Walking aids, all kinds of therapeutic footwear;

(11) All kinds of home therapeutic equipment. The cost of home treatment equipment.

2. All the costs of various weight loss, fat gain and height gain programs.

3, prevention, health care programs

(1) a variety of health check-ups, pre-marital check-ups, exit medical examination costs;

(2) the cost of various types of prevention. Including preventive medicine, preventive injections, disease screening and treatment, social surveys, disease tracking, follow-up of various costs.

4, a variety of non-therapeutic counseling, appraisal costs

(1) psychological counseling (except psychiatric medical consultation) fees, nutritional counseling fees, marriage and childbearing counseling fees, sexual counseling fees, health counseling fees;

(2) qigong fees, therapeutic feeding fees, body therapy fees, a variety of health-care massage fees;

(3) stroke prediction, health prediction, disease prediction and other prediction fees;

(4) human body Information diagnostic equipment to pick up the check fee, medicinal bath fee;

(5) judicial medical appraisal, medical malpractice appraisal, labor medical appraisal fees.

1, the application of positron emission tomography device (PET), ultra-high-speed CT, ophthalmic excimer laser therapy device, stereotactic radiography device (α-knife, γ-knife) (the treatment of diseases other than the central nervous system).

2, a variety of self-use health care, massage, examination and treatment equipment.

(1) magnetic therapy bra, magnetic therapy pants, magnetic therapy mattress, magnetic therapy undershirt, magnetic therapy shoes, magnetic therapy necklaces, etc.;

(2) antihypertensive watch, pillows, cushions, etc.;

(3) a variety of traction belts, crutches, etc.;

(4) Leather and steel undershirts, waistbands, testicular lifting belts, etc.;

(5) gastric support, knee belts, steel head and neck, etc.

(6) Kidney, uterus support, scrotum support, artificial anal bag.

3, the province's price department regulations can not be charged separately disposable medical materials.

(D) therapeutic projects

1, all types of organ or tissue transplantation of organ or tissue source.

2, in addition to kidney, heart valve, cornea, skin, blood vessels, bone, bone marrow transplantation of other organs or tissues.

3. Orthopedic surgery for myopia.

4, music therapy, health care nutrition therapy.

5, smoking cessation, drug treatment, all kinds of teaching, research and clinical verification of all costs.

(E) Other

1, a variety of infertility (pregnancy), sexual dysfunction examination, treatment costs, contraceptive devices and appliances.

2. Medical expenses for the provision of medical services for various meetings.

3. The cost of medicines used for environmental hygiene, summer cooling and preventive health care.

4. Diagnostic and therapeutic items that do not belong to the scope of "Medical Institutions in Shandong Province Charges and Charging Standards".

Second, the basic medical insurance fund to pay part of the cost of the scope of treatment items

(a) diagnostic equipment and medical materials

1, the application of X-ray computed tomography device (CT), three-dimensional towards the radiographic device (у-knife, х-knife) (limited to central nervous system disease treatment), cardiology, medicine, and medical equipment

4, does not belong to the "Shandong Province medical institutions fees and charges" within the scope of the diagnostic and treatment items. System disease treatment), cardiac and angiographic X-ray machine (including digital subtraction equipment), magnetic **** vibration imaging device (MRI), single photon emission computerized scanning device (SPECT), color Doppler, medical linear gas pedal for examination, treatment projects.

2, extracorporeal shock wave lithotripsy and hyperbaric oxygen therapy.

3, pacemakers, artificial joints, artificial crystals, artificial larynx, vascular stents (installation of the above imported artificial organs in accordance with the highest price of similar types of domestic artificial organs settlement).

4, the provincial price department can be charged separately for more than 100 yuan of disposable medical materials.

(B) treatment program category

1, hemodialysis, peritoneal dialysis.

2, kidney, heart valve, cornea, skin, blood vessels, bone, bone marrow transplantation.

3, cardiac laser perforation, anti-tumor cellular immunotherapy, microwave knife therapy, fast neutron therapy program.

(d) Localities can be based on the local situation of a certain price above the other use of special medical instruments and equipment, examination, testing, treatment projects, can be used as a basic medical insurance fund to pay part of the cost of diagnosis and treatment projects, should be reported to the provincial Department of Labor and Social Security for the record.

Third, the basic medical insurance fund to pay the cost of medical services and facilities range of items

1, general ward bed fees

2, outpatient (emergency) simple bed fees

Fourth, the basic medical insurance fund to pay a portion of the cost of medical services and facilities items

1, custodial ward fees (CCU, ICU)

2, laminar flow ward bed fees

V. Basic medical insurance fund does not pay the cost of medical services and facilities items

V. Basic medical insurance fund to pay part of the cost of medical services and facilities

V. Basic medical insurance fund to pay the cost of medical services and facilities items

1, transportation fee for consultation (referral), emergency vehicle fee;

2, air-conditioning fee, TV fee, heating fee, telephone fee, food warming box fee, maternal hygiene fee, electric stove fee, microwave oven fee, refrigerator fee, and compensation for damages to public property;

3, companion fee, escort fee, nursing fee, cleaning fee, outpatient decoction fee, medicine citation fee, Chinese herbal medicine processing fee, corpse storage fee;

4, meal fee, nutrition fee;

5, books, newspapers, recreational activities and other special needs living service costs.