A corresponding proportion of treatment fees can be reimbursed, but according to national policies and requirements, all major illness insurance will be launched this year, covering all urban and rural residents covered by the basic medical insurance. If the personal out-of-pocket expenses incurred by these people exceed a certain amount, more than 50% will be reimbursed by the critical illness insurance. Regarding how to determine when a certain amount exceeds a certain amount, the document stipulates: In principle, the local government shall use the annual per capita disposable income of urban and rural residents published by the statistics department in the previous year as the main basis for calculation. After exceeding a certain amount, the funds will be reimbursed. This reimbursement is also segmented, that is, the higher the medical expenses, the higher the reimbursement ratio. Judging from the pilot projects in previous years, it is generally between 50% and 80%. Of course, after this kind of reimbursement, at least 50% of most personal out-of-pocket expenses can be reimbursed, which can effectively reduce the burden of personal expenses and prevent poverty due to illness or return to poverty due to illness. At the same time, there are also some groups with special difficulties. The document clearly requires that local governments be encouraged to explore specific methods to appropriately tilt the group to disadvantaged groups and strive to improve the accuracy of the basic protection of the critical illness insurance system. Since medical insurance policies and treatment levels vary across the country, it is recommended that you consult directly with the local medical insurance handling department, or you can call the local social security consulting service hotline 12333 for consultation. The scope of diagnostic and treatment items that are not covered by basic insurance is as follows:
(1) Service items 1. Registration fees, out-of-hospital consultation fees, medical record costs, etc.; 2. Consultation fees, expedited examination and treatment fees ( Except for emergency services), surcharges for roll-call surgeries, high-quality and low-price fees, self-recruited special nurse fees and other special medical services.
(2) Non-disease treatment items 1. Various beauty (life beauty, medical beauty) and bodybuilding items as well as random non-functional plastic surgery, orthopedic surgery, etc.; 2. Various weight loss, weight gain, and height gain Projects; 3. Various health examinations; 4. Various preventive and health-care diagnosis and treatment projects;
(3) Non-disease treatment projects 1. Various beauty (life beauty, medical beauty) and bodybuilding projects As well as random non-functional plastic surgery, orthopedic surgery, etc.; 2. Various weight loss, weight gain, and height gain projects; 3. Various health examinations; 4. Various preventive and health-care diagnosis and treatment projects; 5. Dental orthopedics, dental roasting Porcelain; 6. Various medical consultations (excluding psychiatric consultations) and medical appraisals.
(4) Diagnostic and treatment equipment and medical materials 1. Application of large-scale medical equipment such as positron emission tomography equipment, electron beam CT, ophthalmic excimer laser therapy equipment for examination and treatment projects; 2. Glasses, dentures , prosthetic eyes, prosthetic limbs, hearing aids and other rehabilitation equipment; 3. Various self-use health care, massage, examination, rehabilitation and treatment equipment.
(5) Treatment Item Category 1. Organ sources or tissue sources for various organ transplants or tissue transplants; 2. Other than kidney, heart valve, cornea, skin, blood vessel, bone, and bone marrow transplants Organ or tissue transplantation; 3. Orthopedics for myopia; 4. Qigong therapy, music therapy, health-care nutritional therapy, magnetic therapy and other auxiliary treatment projects.
(6) Others 1. Diagnosis and treatment items for various infertility (pregnancy) diseases and sexual dysfunction; 2. Various scientific research and clinical verification diagnosis and treatment items;