Items that cannot be reimbursed by hospital medical insurance are as follows: 1. Service items (1) costs incurred by doctors filling in medical records, or expenses incurred for consultations outside the hospital; (2) expedited fees for examinations and treatments other than emergencies, including surgeries

Additional fees, consultation fees, special nurse fees, high-quality and low-price fees and other special medical services.

2. Non-disease treatment projects (1) Beauty and fitness projects, including daily beauty and medical beauty, as well as some non-functional cosmetic surgery and orthopedic surgeries; (2) A series of projects to increase height, lose weight or gain weight;

(3) Health examination expenses in the hospital cannot be reimbursed; (4) A series of preventive and health-care diagnosis and treatment items.

3. Treatment items (1) If an organ transplant occurs, or the organ or tissue source of tissue transplantation cannot be reimbursed; (2) Organ or tissue transplantation, except kidneys, bone marrow, blood vessels, heart valves, and cornea

, except skin transplantation; (3) Myopia patients cannot be reimbursed for the expenses incurred by myopia orthopedics; (4) Through some special therapy projects, such as health-care nutritional therapy, music therapy, magnetic therapy, etc.

The medical insurance reimbursement ratio is as follows: The medical insurance reimbursement ratio is determined based on local policies and regulations, and the reimbursement ratio may differ in different regions.

Generally speaking, the reimbursement ratio of medical insurance includes two aspects: 1. Basic medical insurance payment ratio: The basic medical insurance payment ratio refers to the proportion paid by the medical insurance fund, generally ranging from 70% to 80%; 2. Personal out-of-pocket ratio

: The personal out-of-pocket ratio refers to the proportion of medical expenses that an individual needs to bear, generally ranging from 20% to 30%.

To sum up, the unexpected services covered by medical insurance include registration fees, out-of-hospital consultation fees, medical record fees, outpatient fees, emergency examination and treatment fees, roll-call surgery surcharges, roll-call surgery surcharges, high-quality and low-price fees, special nurses, etc.

Special medical services; non-disease treatment projects include various beauty and bodybuilding projects, non-functional plastic surgery, orthopedic surgery, etc., various weight loss, weight gain, and weight gain projects, various prevention and health care diagnosis and treatment projects, various medical consultations and medical appraisals

fee.

Legal basis: Article 28 of the "Social Insurance Law of the People's Republic of China" meets the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses, and shall be deducted from the basic medical insurance fund in accordance with national regulations.

Pay.

Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit.

The social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in other places to facilitate insured persons to enjoy basic medical insurance benefits.