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The scope of claims for the new rural cooperative medical system
8. The scope of diagnosis and treatment items and other 1) service items 1, registration fee, consultation fee, home visit fee, insurance fee, medical treatment fee in different places, family bed fee 2, transportation fee for medical treatment or referral, and emergency fee shall not be reimbursed by the new rural cooperative medical fund; 3. Special medical service fees such as special nursing fees, on-site service fees, high-quality priority fees, urgent examination and treatment fees, and surcharges for roll-call surgery; 4. Escort fees, nursing fees, utilities, bed and chair fees, air conditioning fees and other labor costs. During hospitalization; 5 consultation fees and medical examination fees during hospitalization; 6 meals and other living expenses during hospitalization; 7. Medical record fee, birth certificate fee, disease certificate fee, computer query management fee, various bills fee, magnetic card fee, etc. 8. Consulting fees for experts. (2) Non-disease treatment project 1, various cosmetic, plastic and hair dyeing projects, such as freckles, acne, warts, acne, freckles, pigmentation, alopecia (including alopecia areata), white hair, mole removal, ear piercing, saddle nose, breast augmentation, single eyelid to double eyelid, massage and beauty, etc. 2, all kinds of plastic surgery, orthopedics (except polio sequelae) and treatment of physical defects such as radical cure of body odor, installation of artificial limbs, correction of strabismus, "0" leg, "X" leg, artificial eye, wig, ametropia, vision correction and other surgical projects; 3, diabetes decision support system, sleep breathing monitoring system, trace element detection, bone mineral density determination, human information diagnosis, computer selection of the best pregnancy, fetal sex and fetal development examination and other diagnosis and treatment projects; 4, all kinds of weight loss, weight gain, height increase, bodybuilding, smoking cessation diagnosis and treatment projects; 5, all kinds of preventive health care (except perinatal care), health care, massage, physical therapy, magnetic therapy and other projects; 6, all kinds of medical consultation (including psychological consultation, health consultation, diet consultation, disease consultation), all kinds of prediction (including stroke prediction, health prediction, disease prediction), all kinds of identification (judicial identification, work injury identification, medical identification, paternity test), health guidance and other projects. (3) Medical equipment and medical materials 13, medical expenses incurred in the hospital without the approval of the superior medical unit; 14, medical expenses or material expenses not included in the price policy management. 5, all kinds of infertility (pregnancy), sexual dysfunction diagnosis and treatment projects; 6, around scientific research, teaching, clinical verification of diagnosis and treatment projects; 7. Recovery and treatment of sequelae of various injuries (involving others); 8. Secondary operation and treatment caused by various injuries (involving others). (five) other 1, the expenses incurred in hospitalization in the county's unapproved designated medical institutions "for-profit medical institutions"; 2. Medical expenses caused by fighting, alcoholism, self-injury, self-mutilation, suicide, drug abuse, detoxification, sexually transmitted diseases, traffic accidents, car accidents, accidents involving other people's responsibilities and related commercial insurance claims, unproductive pesticide poisoning, medical accidents, accidental injuries of all responsible parties, violations of laws and regulations, etc. 3. Self-driving (including all kinds of motor vehicles, motorcycles, battery cars, electric vehicles, etc.) medical expenses caused by accidents. ) .4. Medical expenses for injuries caused by animals and livestock with guardians; 5. Medical expenses for work-related injuries, occupational diseases and family planning; 6, all kinds of judicial signature, labor appraisal fees; 7. Medical expenses incurred by fraudulent acts such as hospitalization or impostor hospitalization; 8. Hospitalization medical expenses paid for injuries caused by a third party shall be borne by the third party according to law; 9. All medical expenses incurred during going abroad or leaving the country; 10, reeducation through labor, probation, reeducation through labor and probation period; 1 1, medical expenses caused by refusing to leave the hospital according to the doctor's advice and hanging up the bed in hospital; 1, with examination and treatment items of large medical equipment such as positron emission tomography (PET), electron beam CT and ophthalmic excimer laser therapeutic instrument; 2. Glasses, artificial eyes, dentures, prosthetic limbs, hearing AIDS, walkers, brain-strengthening devices, leather (steel) vests, steel vests, steel heads and necks, stomach supports, kidney supports, scrotum supports, uterine supports, crutches, wheelchairs, deformed insoles, medicinal pillows, medicinal pads, hot compress bags, pulse compression belts, infusion nets and testicular traction belts. 3, all kinds of home inspection detector (device), therapeutic instrument (device), physiotherapy instrument (device), massager and magnetic therapy supplies and other therapeutic instruments; 4, all kinds of surgical instruments, instruments, disposable instruments, steel plate tired nails and other surgical instruments. 5, the provisions of the provincial price department can not be charged separately for disposable medical materials. 6 imported equipment from 200 yuan or above. 7. All external auxiliary treatment equipment. (4) Treatment item category 1, various organ or tissue transplants from human organs or tissues and related operations for obtaining organ and tissue sources; 2, prostate hyperplasia microwave (radio frequency) therapy, light quantum irradiation therapy, He-Ne laser intravascular irradiation (blood therapy), postoperative analgesia new technology (analgesic bed), various analgesic pump therapy, endoscopic retrograde appendectomy and other diagnosis and treatment projects; 3, false teeth, dental implants, cleaning, orthodontics, yellow and black teeth, tooth defects, colored teeth, porcelain teeth and other diagnosis and treatment projects; 4, Qigong therapy, music therapy, hypnosis, magnetic therapy, water bar therapy, oxygen bar therapy, posture therapy, psychotherapy and suggestion therapy, food therapy, nutrition therapy and other auxiliary treatment projects;