are the service item categories:
1, registration fee, out-of-hospital consultation fee, medical record cost, etc.; visit fee, examination and treatment expedited fee, naming surgery surcharge, naming surgery surcharge, high quality premium fee, self-invited special nurses and other special medical services;
2, is the category of non-disease treatment items: all kinds of cosmetic, fitness program as well as non Functional plastic surgery, orthopedic surgery, etc.; a variety of weight loss, fat, height projects; a variety of health body can be reimbursed; a variety of preventive, health care diagnostic and treatment programs; a variety of medical consultation, medical appraisal;
3, is the diagnostic and therapeutic equipment and medical useful materials: the application of positron emission tomography (PET), electron-beam CT, ophthalmology, excimer laser therapy instrument and other large-scale medical equipment for the examination, Treatment program. Eyeglasses, denture, eye prosthesis, prosthetic limbs, hearing aids and other rehabilitation devices. All kinds of self-use health care, massage, examination and treatment equipment. Provincial price departments do not charge a separate disposable medical materials;
4, is the category of therapeutic projects: all types of organ or tissue transplantation of organ or tissue source; in addition to kidney, heart valves, cornea, skin, blood vessels, bone, bone marrow transplantation of other organs or tissues outside the transplantation; myopic orthopaedics; qigong therapy, music therapy, health care nutritional therapy, magnetic therapy and other complementary therapeutic projects;
5, is the category of therapeutic projects: the use of the medical equipment for the examination and treatment of all kinds of self-use, massage, examination and treatment equipment. /p>
5, is other categories: a variety of infertility (pregnancy), sexual dysfunction of the treatment program; a variety of scientific research, clinical verification of the treatment program.
Note: In addition, the basic medical insurance does not pay the cost of: on the (transfer) transportation fees, emergency vehicle fees; air conditioning fees, telephone fees, telephone fees, baby warming box fees, food warming box fees, electric stoves, refrigerators, and compensation for damage to public property insurance single number of nursing fees, nursing fees, cleaning fees, outpatient decoction fees; meals; recreational activities and other special needs living services. Patients are required to pay for all of the above items at their own expense.
1, the scope of use of the medical insurance card: the insured workers in the designated hospitals, pharmacies, medicine purchase, with the password in the POS machine swipe card use, but can not withdraw cash or transfer the use of.
2, medical insurance card balance inquiry: insured workers can call the telephone balance inquiry, but also in the Bank of China savings offices or urban designated hospitals, pharmacies inquiry. You can also go online and log in the social security inquiry system.
3, medical insurance card transaction inquiry: insured workers can go to the savings office of the Bank of China with their ID cards and medical certificates to request a printout of the medical insurance card transaction records, including individual account fund disbursement records and consumption records. If you have any questions about the transaction records, you can go to the Retail Business Department of BOC to make inquiries.
4, medical insurance card password: If the insured employee changes his password, he can call the phone number to change it, or he can go to the savings office of Bank of China with his ID card to change it. If the insured employee forgets the password, he can go to the savings office of Bank of China with his ID card to lose the original password and change the password.
5, medical insurance card storage: insured workers should keep their medical insurance cards properly, if lost, please immediately go to the unit to issue a letter of proof and go to the medical insurance office to confirm the seal, and then go to the savings office of the Bank of China with an ID card to register the loss, and go through the procedure of replacing the card, and then you can get a new card after 7 days.
6,Note: When the number of transactions on the medical insurance card reaches 60, the insured employee must go to the savings office of the Bank of China to print out the transaction records, otherwise, the use of the card will be stopped. After the transaction records are printed, the card can continue to be used.
At the pharmacy, 100% of the cost is borne by oneself, and hospitalization is the only way to enjoy the reimbursement rate (it must also be within the scope of medical insurance).
Hospitalization within the scope of health insurance, depending on the actual amount spent, such as: spend 10,000 yuan reimbursement range between 55%-65%.
It is not reimbursable is not covered by maternity insurance.
Legal basis:
The People's Republic of China Social Insurance Law, Article 2, the State establishes a social insurance system of basic old-age pension insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance and other social insurance systems, to protect the right of citizens to obtain material assistance from the State and society in old age, sickness, industrial injury, unemployment and maternity in accordance with the law. The right to receive material assistance from the State and society in cases of old age, sickness, industrial injury, unemployment and maternity.
Article 26: The standards of treatment for basic medical insurance for workers, new rural cooperative medical care and basic medical insurance for urban residents shall be carried out in accordance with the provisions of the State.
Article 28 of the basic medical insurance drug list, diagnostic and treatment items, medical service facility standards, as well as emergency and rescue medical expenses, in accordance with state regulations from the basic medical insurance fund.