What are the three major catalogues of basic medical insurance?
Due to the limited medical insurance fund, it is impossible to cover all medical reimbursement needs. Therefore, the medical security department has stipulated the scope of reimbursement for the use of basic medical insurance drugs, diagnosis and treatment items and medical service facilities, commonly known as three catalogues, namely, the basic medical insurance drugs catalogue, the diagnosis and treatment items catalogue and the medical service facilities catalogue.
I. Drug list
The catalogue of insurance drugs refers to the policy basis and standards for the basic medical insurance, industrial injury insurance and maternity insurance funds to pay the drug expenses of the insured and strengthen the management of medical insurance services.
Second, the diagnosis and treatment project directory
The Catalogue of Diagnosis and Treatment Projects refers to all kinds of medical technical service projects that meet the following conditions and projects that use instruments, equipment and medical materials for diagnosis and treatment:
(1) Clinical diagnosis and treatment projects that are necessary, safe, effective and with appropriate expenses;
(two) the charging standards for diagnosis and treatment projects formulated by the price and health departments;
(three) the designated medical institutions for the insured medical services within the scope of diagnosis and treatment projects.
Three. Catalogue of medical service facilities
The catalogue of medical service facilities refers to the life service facilities provided by designated medical institutions for the insured during the diagnosis, treatment and nursing. Facilities costs mainly include hospital bed fees and outpatient (emergency) hospital bed fees, and the basic medical insurance fund will not pay for living services and service facilities costs mainly include:
(1) outpatient (referral) transportation expenses and first aid expenses;
(2) Compensation for damage to air conditioners, televisions, telephones, baby incubators, insulated food, electric stoves, refrigerators and public property;
(three) escort fees, nursing fees, washing fees, outpatient decocting fees;
(4) meals;
(5) Hospitality and other special life service expenses.
The above is the answer to what the three major catalogues of basic medical insurance include. I hope it will help you.