1. Seeking medical treatment on your own (not seeking medical treatment in a designated hospital or not applying for a referral form), self-purchased drugs, drugs that cannot be reimbursed under public medical regulations and medical expenses that do not comply with family planning; 2. Outpatient treatment fees, house calls, hospitalization fees, and meals

expenses, accompanying guests, nutrition expenses, blood transfusion expenses (except those with family blood storage, which will be reimbursed according to relevant regulations), air conditioning and heating expenses, ambulance expenses, special care expenses and other expenses; 3. Car accidents, fights, suicides, alcoholism, work-related injuries

and medical malpractice medical expenses; 4. Orthopedics, plastic surgery, dentures, prostheses, organ transplants, surgical fees, consultation fees, etc.; 5. Within the scope of reimbursement, the portion beyond the limit.

Extended information Other expenses that are not covered by the social medical insurance fund.

1. Medical expenses incurred by insured employees on business trips or visits to relatives in other places will only be reimbursed for out-of-town emergency expenses that comply with medical insurance regulations. All expenses will not be reimbursed for hospitalization due to non-emergency reasons.

2. If insured employees live out of town for more than 6 months, their medical expenses will be reimbursed according to the nature of long-term out-of-town residents.

3. Persons who live out of town for a long time should provide proof from their unit, identify two designated hospitals (which should be designated medical institutions for local medical insurance), and promptly apply for the "Medical Expense Reimbursement Card for Zhenjiang Long-term Employees Living Outside of Place".

4. Employees who live out of town for a long time must adhere to the principle of economy and prescribe medicines in limited quantities according to regulations (for each visit, the dose for acute diseases should be within 3 days, the dose for chronic diseases should be within 10 days, and the dose for tuberculosis, hypertension, and diabetes can be extended to 30 days)

, exceeding the above standards, drug expenses will not be reimbursed.

5. Referrals for employees who live out of town for a long time must be signed by the local designated hospital and referred step by step according to the territorial principle. The referral hospital is a special hospital determined by the city’s employee medical insurance.

Individuals pay 10% of the total expenses out of pocket first, and then reimburse the medical expenses according to medical insurance regulations. For other hospitals, individuals pay 20% of the total expenses out of pocket first, and then reimburse medical expenses according to medical insurance regulations.