What is the scope and standard of medical insurance reimbursement?

Reimbursement scope: drug costs, auxiliary examination:electrocardiogram, x-ray fluoroscopy, film, laboratory, physiotherapy, acupuncture, CT, MRI etc.

Reimbursement criteria: examination costs, limited to 200 yuan; surgical costs (according to the national standard, more than 1,000 yuan, reimbursement of 1,000 yuan). Elderly people over 60 years old are hospitalized in Xingta Town Health Center. Treatment and nursing fees are paid at $10 per day, with a limit of $200. Excluded from reimbursement:Self-medication (no designated hospital or no form of referral), self-purchased medicines, medicines that cannot be reimbursed in accordance with public ****medical regulations, and medical expenses not in accordance with family planning; outpatient charges, hospitalization fees, inpatient hospitalization fees, food fees, incidental expenses, nutritional expenses, blood transfusion fees (other than blood stored in a family, which is reimbursed in accordance with the relevant regulations), refrigeration and heating fees, ambulance fees, and special nursing care fees;. Medical expenses for car accidents, fights, suicides, alcoholism, industrial accidents and medical malpractice; Orthopedics, plastic surgery, denture, prosthesis, organ transplantation, revolving surgical fees, consultation fees, etc.; within the scope of reimbursement, exceeding the limit.

1. Employee medical insurance and basic medical insurance, diagnostic and therapeutic scope of diagnostic and therapeutic equipment and medical materials. Application of x-ray computed tomography (CT) and stereotactic radiation device (-knife-knife), cardiac and angiography x-ray machine (including digital subtraction equipment), nuclear magnetic **** vibration imaging device (Mei), single photon emission computerized scanning device (SPECT), color Doppler instrument, medical linear gas pedal, and other large-scale medical equipment; extracorporeal shockwave lithotripsy and hyperbaric oxygen therapy. Cardiac pacemakers, artificial joints, artificial lenses, artificial organs in the body replaced by vascular stents and materials placed in the body; disposable medical supplies that can be charged separately according to the provincial price department. Treatment items: hemodialysis and peritoneal dialysis; kidney, heart valve, cornea, skin, blood vessels, bone and bone marrow transplants; heart laser drilling, anti-tumor cellular immunotherapy and fast neutron therapy.

2. Hearing aids and other rehabilitation appliances; a variety of self-use health care, massage, examination, rehabilitation and treatment equipment. Therapeutic items, various organ transplants or tissue transplants of organ sources or tissue sources; transplantation of organs or tissues other than kidneys, heart valves, corneas, skin, blood vessels, bone, bone marrow; myopia correction; qigong therapy, music therapy, health and nutrition therapy, magnetic therapy and other auxiliary therapeutic items. Other various diagnostic and treatment programs for infertility (pregnancy) and sexual dysfunction.

3. Basic insurance, diagnostic and treatment coverage for services not included in the basic insurance, services, registration fees, hospital consultation fees, medical records costs, etc.; special medical services, such as visitation fees, emergency room fees (except for emergencies), registration fees, high-quality, high-quality price fees, self-requested specialized care fees. Non-disease treatment programs. Various cosmetic (life beauty, medical beauty) fitness programs, random non-functional cosmetic surgery, orthopedic surgery, etc.