If you are an active employee, you can only be reimbursed for medical expenses of more than 2,000 yuan after visiting the outpatient or emergency clinic of a hospital, and the reimbursement rate is 50 percent. In the case of retirees under the age of 70, expenses over $1,300 can be reimbursed, and the reimbursement rate is 70 percent. If the retiree is over 70 years old, the expenses above 1300 yuan can be reimbursed the reimbursement rate is 80%.
Expanded information:
The diagnostic and treatment items for which the employees' basic medical insurance does not pay are mainly Some of the non-clinical necessity, the effect of the diagnosis and treatment of uncertainty as well as the diagnosis and treatment of special medical services, including service items such as registration fees, non-disease treatment items such as cosmetology, therapeutic equipment and medical materials such as hearing aids, therapeutic items such as magnetism and other categories such as infertility treatment. In accordance with the "National Basic Medical Insurance Treatment Program Scope", the details are as follows:
(a) Service program category. (1) registration fee, out-of-hospital consultation fee, medical record cost, etc.; (2) visit fee, examination and treatment expediting fee, surcharge for named surgery, quality and premium fee, self-invited special nurses and other special medical services.
(2) Non-disease treatment program category. (1) a variety of beauty, fitness items and non-functional cosmetic, orthopedic surgery; (2) a variety of weight loss, weight gain, height projects; (3) a variety of health checkups; (4) a variety of preventive, health care clinic programs; (5) a variety of medical consultation, medical appraisal.
(C) diagnostic and treatment equipment and medical materials. (1) the application of positron emission tomography (PET), electron beam cT, ophthalmic excimer laser therapy and other large-scale medical equipment for examination and treatment programs; (2) glasses, dentures, eye prostheses, prosthetics, hearing aids and other rehabilitative devices; (3) a variety of health care for their own use, massage, checking and treatment equipment; (4) the provincial pricing departments can not be charged separately for the disposable medical.
(4) treatment program category. (1) all kinds of organ or tissue transplantation of organ source or tissue source; (2) in addition to kidney, heart valve, cornea skin, blood vessels, bone, bone marrow transplantation; (3) myopic eye orthopedics; (4) qigong therapy, music therapy, health care of nutritional therapy, magnetic therapy and other auxiliary therapeutic projects.
(5) Others. (1) a variety of infertility (pregnancy), sexual dysfunction diagnosis and treatment program; (2) a variety of scientific research, clinical verification of the diagnosis and treatment program.
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