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Scope of reimbursement for public medical care in Beijing

Legal analysis: (1) Ordinary bed fee: Ordinary bed fee is included in the payment scope of the basic medical insurance pooling fund. Without the overall transformation of the ward for each bed day 16 yuan; After the overall transformation, the ward is 24 yuan per bed day; If the actual fee is lower than the above standard, it shall be paid according to the actual fee. (two) emergency observation room, rescue ward, blood ward bed fees included in the scope of payment, the implementation of the Municipal Price Bureau approved the charges. (three) bone marrow transplantation, chemotherapy for hematological diseases due to illness need to live in laminar flow ward, can be included in the scope of payment. (four) to strengthen the ward, according to the Municipal Health Bureau "to strengthen the ward (ICU) admitted to the standard" (Jing Wei Gong [1996] No.8) file execution. (five) the community health service center (station) to establish a therapeutic family bed construction fees, bed check fees included in the scope of payment. (six) heating costs during hospitalization; By the insured unit according to the relevant provisions to be paid.

Legal basis: Article 3 of the Social Insurance Law of the People's Republic of China, 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 industrial injury insurance fund;

(2) It shall be borne by a third party;

(3) It shall be borne by public health;

(4) seeking medical treatment abroad.

the medical expenses shall be borne by the third party according to law. if the third party fails to pay or cannot determine the third party, the basic medical insurance fund shall pay in advance. After the basic medical insurance fund has paid in advance, it has the right to recover from the third party.