Basic medical insurance pays part of the cost in the following cases:
1, more than 200 yuan of a variety of single examination and treatment (10% of the individual's first burden)
2, diagnostic and therapeutic equipment and medical materials (10% of the individual's first burden)
(1) application of r-knife, x-knife, x-ray computed tomography device (CT) < /p>
(1) the application of r-knife, x-knife, x-ray computed tomography (CT), cardiac and angiography x-ray machine (including digital subtraction equipment), magnetic **** vibration imaging device (MRI), single-photon emission computerized scanning device (SPECT), color Doppler, medical linear gas pedal, ablation, and other large-scale medical equipment for examination and treatment. Dynamic electrocardiography, visual N papillography, auditory evoked potentials, exercise cardiopulmonary function monitoring, magnetoencephalography;
(2) extracorporeal shockwave lithotripsy and hyperbaric oxygen therapy program;
(3) disposable medical materials that can be charged separately as stipulated by the pricing department;
(4) medical material costs. If there are domestic medical materials, imported medical materials cannot be used; if imported medical materials are used, the difference in price between them and domestic medical materials will not be borne by the medical insurance fund. Reimbursement must be accompanied by a copy of the invoice for the materials purchased by the hospital.
3. Category of therapeutic items (10% or 20% to be borne by individuals first)
(1) Hemodialysis, peritoneal dialysis, and tumor radiation therapy items (10% to be borne by individuals first);
(2) Items of kidney, heart valve, cornea, skin, blood vessel, bone, and bone marrow transplantation surgeries to be carried out (10% to be borne by individuals first);
(3) Pacemaker, artificial valves, artificial joints, artificial crystals, various stents, various anastomoses, various catheters, implanted drug delivery devices and other internal replacement of artificial organs, internal placement of materials and installation or placement of surgical procedures (20% of the individual's first burden);
(4) cardiac bypass, cardiac catheterization balloon dilatation, cardiac radiofrequency ablation and other surgical procedures (10% of the individual's first burden);
(5) Laparoscopic and thoracoscopic surgery, cardiac laser perforation, T-lymphocyte reflux method in tumor biotherapy, prostate electrocision, tumor thermotherapy and other projects (individuals first pay 10%);
(6) various microwave, spectrum, far-infrared rays, photo-quantum (liquid therapy) and other auxiliary treatment projects (individuals first pay 10%);
(7) blood products Blood products, protein-based products. Such as whole blood, suspended red blood cells, washed red blood cells, white blood cells, platelets, frozen plasma and cold precipitation with special indications and salvage, approved by the provincial health insurance management center audit (10% of the individual first).
4, medical services and facilities category
(1) ordinary ward bed fee per day does not exceed 45 yuan;
(2) administrative deputy director level or above leading cadres ward bed fee per day does not exceed 100 yuan.