(1) Reimbursement scope:

1. Medication expenses: auxiliary examinations: ECG, X-ray, film, laboratory test, physical therapy, acupuncture, CT The limit for examination fees such as MRI and MRI is 200 yuan; operation fee (refer to national standards, if it exceeds 1,000 yuan, it will be reimbursed at 1,000 yuan).

2. Elderly people over 60 years old who are hospitalized in Xingta Town Health Center will be compensated 10 yuan for treatment and nursing fees per day, with a limit of 200 yuan.

(2) Not included in the scope of reimbursement:

1. Self-seeking medical treatment (seeking medical treatment without a designated hospital or not applying for a referral), self-purchased drugs, and drugs that cannot be reimbursed under public medical regulations and medical expenses that are not in compliance with family planning;

2. Outpatient treatment fees, consultation fees, hospitalization fees, meals, companionship fees, nutrition fees, and blood transfusion fees (except for those with family blood storage, according to relevant regulations reimbursement), heating and cooling fees, ambulance fees, special care fees and other expenses;

3. Medical expenses for car accidents, fights, suicide, alcoholism, work-related accidents and medical accidents;

4. Orthopedics, plastic surgery, dentures, prostheses, organ transplants, surgical fees, consultation fees, etc.;

5. Within the scope of reimbursement, the portion beyond the limit.

Employee medical insurance

The scope of medical treatment items for which basic medical insurance pays part of the cost

(1) Diagnostic and treatment equipment and medical materials

1. Apply X-ray computed tomography equipment (CT), stereotactic radiation equipment (γ-knife, χ-knife), cardiac and angiography X-ray machines (including digital subtraction equipment), and magnetic resonance imaging Inspection and treatment projects for large-scale medical equipment such as MEI, single-photon emission electronic scanning equipment (SPECT), color Doppler, and medical linear accelerator;

2. Extracorporeal shock wave lithotripsy and Hyperbaric oxygen therapy;

3. Pacemakers, artificial joints, intraocular lenses, artificial organs for internal replacement of vascular stents, and materials placed in the body;

4. Provincial price department regulations of disposable medical materials that can be charged separately.

(2) Treatment items

1. Hemodialysis, peritoneal dialysis;

2. Kidneys, heart valves, cornea, skin, blood vessels, bones, Bone marrow transplantation;

3. Heart laser drilling, anti-tumor cell immunotherapy and fast neutron therapy projects.

4. Hearing aids and other rehabilitation equipment;

5. Various self-use health care, massage, examination, rehabilitation and treatment equipment.

(3) Treatment items

1. Organ sources or tissue sources for various organ transplants or tissue transplants;

2. Except for kidneys and heart valves , cornea, skin, blood vessels, bones, bone marrow transplants and other organ or tissue transplants;

3. Orthopedics for myopia;

4. Qigong therapy, music therapy, health care Nutritional therapy, magnetic therapy and other auxiliary treatment projects.

(4) Others

1. Diagnosis and treatment items for various infertility (pregnancy) diseases and sexual dysfunction;

2. Various scientific research, Clinically verified diagnosis and treatment items;

1. Scope of diagnosis and treatment items that are not covered by basic insurance

(1) Service items

1. Registration fee , out-of-hospital consultation fees, medical record costs, etc.;

2. Consultation fees, expedited examination and treatment fees (except emergency), roll-call surgery surcharges, high-quality and low-price fees, self-recruitment special nurse fees and other special medical needs Serve.

(2) Non-disease treatment items

1. Various beauty (life beauty, medical beauty) and bodybuilding projects as well as non-functional plastic surgery, orthopedic surgery, etc.;

2. Various weight loss, fattening and heightening programs;

3. Various health examinations;

4. Various preventive and health-care diagnosis and treatment programs; registration Fees, out-of-hospital consultation fees, medical record costs, etc.;

5. Consultation fees, expedited examination and treatment fees (except emergency), roll-call surgery surcharges, high-quality and low-price fees, self-recruitment special nurse fees and other special needs medical service.

(2) Non-disease treatment items

1. Various beauty (life beauty, medical beauty) and bodybuilding projects as well as non-functional plastic surgery, orthopedic surgery, etc.;

2. Various weight loss, fattening, and height-increasing programs;

3. Various health examinations;

4. Various preventive and health-care diagnosis and treatment programs; < /p>

5. Orthodontics, dental porcelain;

6. Various medical consultations (excluding psychiatric consultations) and medical appraisals.

(3) Diagnostic and treatment equipment and medical materials

1. Use large-scale medical equipment such as positron emission tomography scanning equipment, electron beam CT, ophthalmic excimer laser therapy equipment for examination and treatment Projects;

2. Rehabilitation equipment such as glasses, dentures, eyes, prostheses, and hearing aids;

3. Various self-use health care, massage, examination, rehabilitation and treatment equipment.