(1) service items
1, registration fee, out-of-hospital consultation fee, travel expenses of consultation medical staff and medical record fee.
2. Special medical service fees, such as home visit fees, urgent fees for examination and treatment, additional fees for name calling surgery, high quality and good price, special care fees for self-invitation, special on-site service fees, expert consultation fees, etc.
(2) Non-disease treatment projects
1. Medical expenses of various beauty and bodybuilding projects, non-functional beauty surgery, orthopedic surgery, examination and treatment of physical defects, and expenses for personal use of orthopedic and bodybuilding equipment.
(1) Treat acne, freckles, acne scars, pigmentation and dark spots;
(2) stuttering and snoring;
(3) Rabbit lips and saddle nose;
(4) correcting strabismus and changing a single eyelid into a double eyelid;
(5) removing moles, ear holes, verruca plana and bromhidrosis;
(6) Skin care, facial mask and reflective film;
(7) cold perm eyelashes, eyebrow tattoo, eyebrow tattoo eyeliner, eyebrow washing, eyebrow trimming, blackhead removal, hair removal, hair transplantation and hair dyeing;
(8) tooth cleaning, dentition correction, denture restoration (including post crown, crown cover, complete denture and partial denture), dental implantation, dental plaque treatment and inlay;
(9) optometry of glasses, artificial eyes, wigs, artificial limbs and hearing AIDS;
(10) walker, all kinds of food therapy shoes;
(1 1) Expenses of various household therapeutic devices.
2, all kinds of weight loss, weight gain, increase the cost of the project.
3. Prevention and health care projects
(1) All kinds of health check-ups, premarital check-ups, exit check-ups and other expenses;
(2) the cost of all kinds of prevention. Including preventive medication, preventive injection, disease screening and general treatment, social investigation, disease tracking and follow-up expenses.
4, all kinds of non-therapeutic consultation and appraisal fees
(1) Fees for psychological consultation (except psychiatric consultation), nutrition consultation, marriage and childbearing consultation, sex consultation and health consultation;
(2) Qigong fee, dietotherapy fee, physical therapy fee and various health massage fees;
(3) various forecasting expenses such as stroke prediction, health prediction and disease prediction;
(4) Examination fee and medicated bath fee for human information diagnostic instrument;
(5) Costs of forensic identification, medical accident identification and labor medical identification.
(3) Diagnostic equipment and medical materials.
1. Positron emission tomography (PET), ultra-high speed CT, ophthalmic excimer laser therapeutic apparatus and stereotactic radiotherapy devices (α-knife and γ-knife) were used to treat diseases outside the central nervous system.
2, all kinds of self-use health care, massage, examination and treatment equipment.
(1) magnetic therapy bra, magnetic therapy pants, magnetic therapy mattress, magnetic therapy vest, magnetic therapy shoes, magnetic therapy necklace, etc.
(2) antihypertensive watches, medicated pillows, medicated mats, etc. ;
(3) Various traction belts, crutches, etc. ;
(4) Leather steel vest, waistline, testicle belt, etc.
(5) stomach pads, knee pads, steel head and neck, etc. ;
(6) Renal support, uterine support, scrotal support and artificial anal bag.
3 disposable medical materials that cannot be charged separately as stipulated by the price department of this province.
(4) Treatment items
1, organ source or tissue source of various organ or tissue transplants.
2. Transplantation of organs or tissues other than kidneys, heart valves, corneas, skin, blood vessels, bones and bone marrow.
3. Orthopedic surgery for myopia.
4. Music therapy and healthy nutrition therapy.
5, smoking cessation, drug therapy, various teaching research and clinical verification.
(5) Others
1, all kinds of infertility (pregnancy), sexual dysfunction examination, treatment costs, contraceptive devices and appliance costs.
2. Medical expenses for providing medical services for various meetings.
3, for environmental sanitation, heatstroke prevention and cooling, preventive health care drug costs.
4, does not belong to the "Shandong province medical institutions charging items and charging standards" within the scope of the diagnosis and treatment projects.
Two, the basic medical insurance fund to pay part of the cost of diagnosis and treatment project scope.
(a) diagnosis and treatment equipment and medical materials
1, X-ray computed tomography (CT), stereotactic radiation devices (у knife, х knife) (limited to the treatment of central nervous system diseases), cardiac and angiographic X-ray machines (including digital subtraction equipment), magnetic resonance imaging devices (MRI) and single photon emission computer scanning devices.
2. Extracorporeal shock wave lithotripsy and hyperbaric oxygen therapy.
Pacemakers, artificial joints, intraocular lenses, artificial larynx and vascular stents (the installation of the above imported artificial organs shall be settled at the highest price of similar domestic artificial organs).
4, the provisions of the provincial price department can charge 100 yuan of disposable medical materials.
(2) Treatment items
1, hemodialysis, peritoneal dialysis.
2, kidney, heart valve, cornea, skin, blood vessels, bones, bone marrow transplantation.
3. Cardiac laser drilling, anti-tumor cellular immunotherapy, microwave knife therapy and fast neutron therapy.
(three) in line with the referral conditions, the use of network remote consultation fees.
(IV) All localities may, according to local actual conditions, stipulate other inspection, inspection and treatment items using special medical instruments and equipment at a certain price or above, which can be used as the diagnosis and treatment items for the basic medical insurance fund to pay part of the expenses, and shall also be reported to the provincial labor and social security department for the record.
Three, the basic medical insurance fund to pay the cost of medical service facilities.
1, bed fee for general ward
2, the door (emergency) simple bed fee
Four, the basic medical insurance fund to pay part of the cost of medical service facilities.
1, ICU fee (CCU, ICU)
2, laminar flow ward bed fee
Five, the basic medical insurance fund will not pay for medical service facilities.
1, outpatient (transfer) transportation fee, first aid fee;
2, air conditioning, television, heating, telephone, food incubator, maternal health care, electric stove, microwave oven, refrigerator and public property damage. ;
3, escort fees, nursing fees, washing fees, outpatient decocting fees, drug introduction fees, Chinese herbal medicine processing fees, corpse storage fees;
4. Meal and nutrition expenses;
5, books, newspapers, entertainment and other special life service costs.