Current location - Trademark Inquiry Complete Network - Tian Tian Fund - What are the medical insurance coverage of dermatology?
What are the medical insurance coverage of dermatology?
Scope of diagnosis and treatment items (1) service items 1, registration fees, out-of-hospital consultation fees, medical records fees, etc. that are not paid by the basic insurance. ; 2. Special medical services such as visiting fees, urgent fees for examination and treatment (except for emergency), surcharge for name calling operation, high quality and good price, and special care by oneself. (2) Non-disease treatment items 1, various beauty (life beauty, medical beauty) bodybuilding items, and disorderly non-functional plastic surgery and orthopedic surgery; 2. Various weight loss, weight gain and height increase projects; 3. Various health checks; 4, all kinds of prevention and health care projects. As long as it is within the scope of medical insurance, it can be used. Generally speaking, as long as the medicine prescribed by the doctor or the relevant examination done is within the scope of payment of the basic medical insurance fund, it is also possible to see a dermatologist with medical insurance. The payment scope of the medical insurance fund shall be formulated by the competent department of medical security in the State Council, and the opinions of the competent department of health and health, the competent department of traditional Chinese medicine, the drug supervision and administration department and the financial department in the State Council shall be listened to. The payment scope of the basic medical insurance fund shall be formulated by the competent department of medical security in the State Council, and the opinions of the competent department of health and health, the competent department of traditional Chinese medicine, the drug supervision and administration department and the financial department in the State Council shall be listened to. The people's governments of provinces, autonomous regions and municipalities directly under the Central Government may, in accordance with the relevant provisions of the state, supplement and determine the specific items and standards paid by the basic medical insurance fund within their respective administrative areas, and report them to the competent medical security department of the State Council for the record. The competent department of medical security in the State Council should carry out evidence-based medicine and economic evaluation on the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards, etc. included in the scope of payment, and should listen to the opinions of the competent department of health and health in the State Council, the competent department of traditional Chinese medicine, the drug supervision and administration department, the financial department and other relevant parties. The evaluation results should be used as the basis for adjusting the payment scope of the basic medical insurance fund.

Legal basis: Article 30 of the Social Insurance Law of People's Republic of China (PRC), the following medical expenses are not included in the scope of payment of the basic medical insurance fund: (1) those that should be paid by the industrial injury insurance fund; (2) It shall be borne by a third party; (three) shall be borne by public health; (4) Go abroad for medical treatment. Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.