Medicare card can be reimbursed for the examination items are as follows:
1, the application of χ-ray computed tomography device stereotactic radiography device;
2, cardiac and angiographic χ-ray machine;
3, nuclear magnetic **** vibration imaging device;
4, single-photon emission tuonoids computer scanning device
5, color Doppler, medical linear gas pedal and other large-scale medical equipment for the examination of medical items.
Medicare card can be reimbursed for the following treatment items:
1, extracorporeal vibration wave lithotripsy, hyperbaric oxygen therapy, medical linear gas pedal treatment, intensive care and rescue CCU, ICU ward treatment;
2, kidney transplantation, heart valve transplantation, corneal transplantation, skin transplantation, vascular transplantation, bone transplantation, bone marrow transplantation, pancreatic islet transplant;
3, pacemaker, artificial joints, artificial crystals, artificial larynx, artificial hip joints and other in vivo artificial organ replacement and installation, cardiac bypass surgery, cardiac catheterization balloon dilatation;
4, hemodialysis, peritoneal dialysis;
5, cardiac laser perforation, anti-tumor cellular immunotherapy, interventional therapy, and fast neutron therapy programs.
Medicare reimbursement process is as follows:
1. Inpatient medical expenses will be advanced by the individual first, and then after discharge from the hospital, the individual will be reimbursed with the medical insurance card, ID card, outpatient medical record, discharge summary, total list of expenses (itemized list of expenses), diagnosis certificate of diseases, valid bills (original invoices), medical advice, copy of the first page of the medical case, certificate issued by the school, and the certificate of transfer for transferring to other hospitals, or the certificate issued by the college for the treatment of traumatic injuries. The relevant certificates issued by the college are also required to go to the window of the Medical Section in the service hall of the Municipal Health Insurance Management Center for review and reimbursement. In different hospitals, to provide materials from different hospitals; in the same hospital by hospitalization at different times (before the expenses are not written off, such as discharge and then into the same hospital for treatment), but also to provide the same different period of hospitalization materials;
2, the opening of the credit card settlement function, the student or the student's guardian, the entrusted person hospitalized for three days with the student's own ID card, the "Provincial Social Security Card", Hospitalization medical records, diagnostic certificates of diseases, the college issued a certificate to the city health insurance center service hall medical department window for processing;
3, due to emergency rescue in non-designated medical institutions to deal with the costs: in the event of an emergency within 3-5 working days, the first contact by phone or entrusted to another person to hold a written report to the city through the student health insurance management center of the medical insurance management center of the hospital. Management Center for the record, the medical expenses by the first advance payment; reimbursement of reimbursement according to the above reimbursement materials to the Municipal Medical Insurance Center for reimbursement (to non-medical insurance designated hospitals or clinics for treatment, will not be able to reimbursement).
Summary, the scope of reimbursement of medical insurance can be, fillings, extractions, and the treatment of periodontitis and other costs arising from dental disease. The following are not eligible for reimbursement: veneers, porcelain and dental implants, and orthodontics.
Legal basis:
Article 28 of the Social Insurance Law of the People's Republic of China
Medical expenses that are in line with the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical services and facilities, as well as those of emergency and rescue, shall be paid from the basic medical insurance fund in accordance with state regulations.
Article 29
The portion of the medical expenses of insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance administration organization and the medical institutions and drug business units.
The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.