Is a service project class:
1, registration fee, out-of-hospital consultation fee, medical record fee, etc. Special medical services such as visiting fees, expedited fees for examination and treatment, surcharge for roll call surgery, surcharge for roll call surgery, high quality and good price, and self-invited special care;
2. Non-disease treatment projects: various beauty and bodybuilding projects, as well as non-functional cosmetic and orthopedic surgery; All kinds of weight loss, weight gain and height increase projects; All kinds of healthy bodies can be repaid; Various preventive health care diagnosis and treatment projects; All kinds of medical consultation and medical appraisal;
3. It belongs to diagnosis and treatment equipment and medical useful materials: inspection and treatment projects with large medical equipment such as positron emission tomography (PET), electron beam CT and ophthalmic excimer laser therapeutic apparatus. Glasses, dentures, artificial eyes, artificial limbs, hearing AIDS and other rehabilitation appliances. All kinds of self-use health care, massage, examination and treatment equipment. Disposable medical materials that are not charged separately as stipulated by the provincial price department;
4. It is a treatment project: the organ source or tissue source of various organ or tissue transplants; Transplantation of organs or tissues other than kidneys, heart valves, corneas, skin, blood vessels, bones and bone marrow; Orthopedic surgery for myopia; Qigong therapy, music therapy, health care and nutrition therapy, magnetic therapy and other auxiliary treatment projects;
5. Other categories: various infertility (pregnancy) and sexual dysfunction diagnosis and treatment projects; Various scientific research and clinical verification diagnosis and treatment projects.
Note: In addition, the expenses not paid by the basic medical insurance include: transportation expenses and first aid expenses; Air conditioning fee, telephone fee, telephone fee, baby incubator fee, food incubator fee, electric stove fee, refrigerator fee, public property damage compensation fee, number protection fee, nursing fee, washing fee and outpatient decoction fee; Meal expenses; Hospitality and other special life service expenses. Patients should pay for the above items when seeking medical treatment.
1, scope of use of medical insurance card: When insured employees go to designated hospitals and pharmacies for medical treatment, they can swipe their cards on POS machines with their passwords, but they cannot withdraw cash or transfer money.
2. Inquire about the balance of medical insurance card: Insured employees can inquire about the balance by telephone, or at the Bank Savings Office of China or the designated hospitals and pharmacies in the urban area. You can also log in to the social security inquiry system online.
3. Inquiries about medical insurance card transactions: Insured employees can print medical insurance card transaction records, including personal account payment records and consumption records, at China Bank Savings Office. If you have any questions about the transaction records, you can go to the retail business department of Bank of China.
4. Medical insurance card password: The insured employees can change their passwords by phone or bring their ID cards to the Bank of China Savings Office. If the insured employee forgets his password, he can report the loss of the original password with his ID card to China Bank Savings Office and change it.
5. Custody of medical insurance card: Insured employees should keep the medical insurance card properly. If you accidentally lose it, please immediately issue a letter of proof to the unit and stamp it at the medical insurance office for confirmation, and then report the loss to China Bank Savings Office with your ID card and go through the formalities of replacement. After 7 days, they can get a new card.
6. Precautions: When the number of medical insurance card transactions reaches 60, the insured employees must go to China Bank Savings Office to print the transaction records, otherwise they will stop using the card. After the transaction record is printed, the card can continue to be used.
In the pharmacy 100% will bear it by itself, and hospitalization can only enjoy the reimbursement ratio (which must be within the scope of medical insurance).
If the hospitalization is within the scope of medical insurance, the scope of reimbursement is between 55% and 65% according to the actual amount of expenses incurred, such as 10000 yuan.
It is not reimbursed and is not included in maternity insurance. Need to pay at your own expense
Legal basis:
People's Republic of China (PRC) Social Insurance Law Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance to protect citizens' right to get material help from the state and society in the event of old age, illness, industrial injury, unemployment and maternity.
Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.
Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.