legal ground
Article 30 of China's Social Insurance Law stipulates that the following medical expenses are not included in the scope of medical insurance reimbursement.
1, if it should be borne by a third party, the medical expenses should be borne by the third party according to law, and the medical insurance will not be reimbursed; 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, it has the right to recover from the third party.
2, belong to the scope of work-related injury insurance payment, medical insurance will not be reimbursed.
3. It belongs to public health, and medical insurance will not be reimbursed. The prevention and immunization of major diseases and infectious diseases (such as tuberculosis and AIDS) belong to the scope of public health.
4. Medical insurance will not be reimbursed for medical treatment abroad or overseas.
There are four kinds of infectious diseases, mainly including syphilis, hepatitis C, AIDS and hepatitis B.
Syphilis is a sexually transmitted disease, which is mainly transmitted through sexual contact and close blood contact.
Hepatitis C and hepatitis B are common infectious viral hepatitis in China, mainly through sexual contact, blood and vertical transmission.
AIDS is an acquired immunodeficiency disease and an infectious disease caused by human immunodeficiency virus (HIV) infection. It is mainly transmitted through sexual contact and blood contact, and there is no effective treatment at present.
Four infectious diseases, also known as the four major infectious diseases, are mainly suitable for invasive treatment and special examination and treatment. At present, they have been used as mandatory legal documents in China. For example, before invasive operation and surgical treatment, or before hemodialysis or blood transfusion, four infectious diseases must be screened, which is helpful to judge the patient's condition and evaluate the risk of operation and operation.