A few animals and precious Chinese medicines can't be reimbursed, such as Korea, ginseng, hippocampus and so on.
Some traditional Chinese medicines are not included in the medical insurance reimbursement catalogue, mainly because some traditional Chinese medicines are not used to treat diseases to a certain extent, but are functional or health supplements, and their purpose is to strengthen the body, while medical insurance generally does not reimburse health care drugs.
2. Whether the expenses of traditional Chinese medicine can be reimbursed can be mainly divided into three categories: Class A drugs can all be included in the scope of reimbursement, and they can enjoy a certain proportion or full reimbursement; Class B drugs need to be borne by individuals, and the rest are included in the scope of reimbursement and enjoy a certain proportion of reimbursement. Class C drugs need to be borne by individuals in full.
3. What are the non-disease treatment items for medical insurance reimbursement?
1, various cosmetic plastic surgery projects: such as acne, scar cosmetic, laser cosmetic, cosmetic tooth washing, hair transplant, etc.
2. Orthopedic treatment items: stuttering, dentition disorder, denture restoration (including post crown, crown fitting, denture installation), dental implantation, nasal snoring surgery (except respiratory distress), flat feet and other items (except congenital torticollis, cleft lip and palate, sequelae of polio).
3. Various bodybuilding treatment items: such as losing weight, gaining weight and increasing height.
4. Various physical examination items: such as employee physical examination and disease investigation.
5. Various preventive and health care projects: such as vaccination and fitness.
6. Various medical consultation and health prediction diagnosis and treatment items: such as various disease consultation fees (except psychological consultation conducted by secondary and tertiary mental health prevention and control institutions), including pulse meter, microcirculation tester, meridian diagnostic instrument (including computer diagnostic instrument of traditional Chinese medicine) and vital information diagnostic instrument.
7. Various medical appraisal items: such as labor ability appraisal (diagnosis and appraisal of workers' labor, work-related injuries and occupational diseases), judicial appraisal of mental patients, medical accident appraisal, and various inspection expenses.
legal ground
Regulations of People's Republic of China (PRC) Municipality on Basic Medical Insurance for Urban Workers
Twenty-eighth personal accounts are used to pay medical expenses beyond the scope of the overall fund; If the personal account is insufficient to pay, it shall be borne by me.
Thirty-first basic medical insurance fund to pay part of the cost of diagnosis and treatment projects and class B drugs list, the proportion of individual pays, determined by the provincial people's government.