Basic medical insurance is one of the most important types of insurance in the social insurance system. It forms the modern social insurance system together with basic pension insurance, work-related injury insurance, unemployment insurance, maternity insurance, etc.

According to Article 30 of the "Social Insurance Law", the following medical expenses are not included in the payment scope of the basic medical insurance fund:

(1) Should be paid from the work-related injury insurance fund. According to Article 64 of the "Social Insurance Law", which stipulates that "each social insurance fund shall establish separate accounts according to the types of social insurance insurance and conduct separate accounting", medical expenses that should be paid from the work-related injury insurance fund cannot be included in the payment scope of the basic medical insurance fund. .

(2) Should be borne by a third party. The medical expenses incurred by the insured due to personal injury caused by a third party shall be borne by the third party.

(3) It should be borne by the public health department. Basic public health services are provided free of charge to urban and rural residents on a project-by-project basis. Funding standards are determined based on the comprehensive cost of unit services, and the required funds are arranged by the government budget.

(4) Seeking medical treatment abroad. Medical expenses for overseas medical treatment are not included in the payment scope of the basic medical insurance fund.