The following items are not reimbursed by medical insurance:
(1) Service items category.
(1) registration fee, out-of-hospital consultation fee, and cost of medical records;
(2) special medical services such as consultation fee, expedited fee for examination and treatment, surcharge for named surgery, quality and premium fee, and self-invited special nurse, etc.
The following items are not covered by the medical insurance:
(2) medical services for which the medical insurance does not provide reimbursement:
(3) medical services for which the medical insurance does not provide reimbursement.
(2) The category of non-disease treatment programs.
(1) a variety of beauty, fitness and non-functional cosmetic, orthopedic surgery;
(2) a variety of weight loss, weight gain, height projects;
(3) a variety of physical examination;
(4) a variety of preventive, health-care treatment programs;
(5) a variety of medical consultation, medical appraisal.
(3) diagnostic and treatment equipment and medical materials.
(1) the application of positron emission tomography device (PET), electron beam cT, ophthalmic excimer laser therapeutic instrument and other large-scale medical equipment for the examination and treatment program;
(2) glasses, denture, eye prosthesis, prosthetic, prosthetics, hearing aids and other rehabilitative appliances;
(3) all kinds of self-use of health care, massage, checking and treatment equipment;
(4) the provincial price department stipulates that the disposable medical use cannot be charged separately.
(4) treatment program category.
(1) all kinds of organ or tissue transplantation of organ source or tissue source;
(2) in addition to kidney, heart valves, cornea skin, blood vessels, bone, bone marrow transplantation of other organs or tissue transplantation;
(3) myopic orthopedic surgery;
(4) qigong therapy, music therapy, health care of nutritional therapy, magnetic therapy and other complementary 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.
Medical insurance refers to the national legislation, in accordance with the principle of compulsory social insurance basic medical insurance premiums should be paid in full and on time by employers and individual employees. Do not pay in full and on time, does not count the individual account, the basic medical insurance fund will not pay their medical expenses.
Medical insurance is a kind of insurance to compensate for the medical expenses caused by diseases. When an employee is sick, injured, or gives birth, the society or enterprise provides necessary medical services or material help. For example, China's public medical care and labor insurance medical care.
Chinese workers' medical expenses are borne by the state, the unit and the individual **** the same burden, in order to reduce the burden on enterprises and avoid waste. The occurrence of insurance liability accidents require treatment is to pay a proportion of the insurance premium.