The scope of medical insurance is very wide, medical expenses are generally differentiated in accordance with the characteristics of its medical services, including doctors' outpatient costs, medicine, hospitalization costs, nursing costs, hospital miscellaneous expenses, surgical costs, various examination costs, and so on. Medical expenses are all kinds of expenses incurred by the patient for the treatment of the disease, which includes not only the doctor's medical and surgical fees, but also the costs of hospitalization, nursing care, hospital equipment.
Legal Objective:The Law of the People's Republic of China on Social Insurance
Article 28
Medical expenses that are in line with the basic medical insurance drug catalog, diagnostic and therapeutic items, and standards of medical service facilities, as well as those for emergency and rescue, shall be paid out of the basic medical insurance fund in accordance with state regulations.
The Social Insurance Law of the People's Republic of China
Article 29
The portion of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be settled directly by the social insurance administration agencies with 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.