Legal analysis: 1. Scope of reimbursement for examination expenses: treatment, injection, infusion, debridement and suturing, acupuncture and cupping, B-ultrasound, electrocardiogram, X-ray, laboratory tests, disposable infusion sets, syringes and other related expenses.

2. Scope of drug expense reimbursement: The scope of reimbursement for drugs and rural cooperative medical hospitalization stipulated in local policy documents.

3. Scope of reimbursement for hospitalization expenses: Reimbursable expenses such as medication, examination fees, treatment fees, surgery fees, laboratory fees, hospitalization fees and other related expenses during hospitalization. Medical expenses for special outpatient services can be reimbursed.

4. Scope of reimbursement for special diseases: chemotherapy for malignant tumors, dialysis treatment for severe uremia, rejection treatment after tissue and organ transplantation, decompensated cirrhosis, aplastic anemia, psychiatric tuberculosis, systemic lupus erythematosus, and childhood autism.

, mental illness, hemophilia, phenylketonuria (limited to children under 10 years old).

5. The scope of reimbursement for serious illnesses of rural cooperative medical care: medical expenses within the scope of medical insurance expenses specified in the medical insurance catalog that complies with relevant local policies.

Legal basis: "Social Insurance Law of the People's Republic of China" Article 30 The following medical expenses are not included in the payment scope of the basic medical insurance fund: (1) those that should be paid from the work-related injury insurance fund; (2) those that should be paid by a third party

(3) Should be borne by the public health department; (4) Seek medical treatment abroad.

Medical expenses should be borne by a third party in accordance with the law. If the third party fails to pay or the third party cannot be identified, the basic medical insurance fund shall pay first.

After the basic medical insurance fund has paid in advance, it has the right to recover compensation from the third party.