1. Expenses for medical materials, such as steel plates, plasters, various heart stents and esophageal stents.
2, class B or class C drugs, can not be fully reimbursed, such as human albumin completely at their own expense;
3. Non-reimbursable tests, such as magnetic resonance imaging, CT and PET. In other words, the use and purchase of medical devices cannot be reimbursed, medical expenses can only be reimbursed for Class A drugs, and some special medical examinations cannot be reimbursed for medical insurance.
The following medical expenses are not included in the payment scope of the basic medical insurance fund:
1, which shall be paid from the industrial injury insurance fund;
2, should be borne by a third person;
3, should be borne by public health;
4. Go abroad for medical treatment.
Basic medical insurance drugs refer to drugs that are suitable for basic medical and health needs, with reasonable dosage form, reasonable price, guaranteed supply and acceptable to the public. There are 3 15 A varieties and 8 18 B varieties in western medicine, and 135 A varieties and 792 B varieties in Chinese patent medicine. Work-related injury insurance drugs are divided into Class A and Class B, and the basic medical insurance drug list, as the key support of medical insurance operation, plays an important role in medical insurance operation.
legal ground
Article 30 of People's Republic of China (PRC) Social Insurance Law
The following medical expenses are not included in the payment scope of the basic medical insurance fund:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(three) shall be borne by public health;
(4) Go abroad for medical treatment.
Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance,