Reimbursement standard: inspection fee, limited to 200 yuan; Surgery expenses (according to national standards, if it exceeds 1000 yuan, it will be reimbursed 1000 yuan). The elderly over 60 years old are hospitalized in Xingta Town Health Center. Treatment fee and nursing fee per day 10 yuan, with the limit of 200 yuan. It does not belong to the scope of reimbursement: self-seeking medical treatment (no designated hospital or referral form), self-purchasing drugs, drugs that cannot be reimbursed according to the provisions of public medical care, and medical expenses that do not meet family planning; Outpatient expenses, hospitalization expenses, hospitalization expenses, meals, miscellaneous expenses, nutrition expenses, blood transfusion expenses (except for family blood storage, which shall be reimbursed according to relevant regulations), refrigeration and heating expenses, ambulance expenses, special nursing expenses, etc. Medical expenses for car accidents, fights, suicides, alcoholism, industrial accidents and medical accidents; Orthopedics, plastic surgery, dentures, prostheses, organ transplantation, rotational surgery fees, consulting fees, etc. ; Within the scope of reimbursement, beyond the limit.
1. The scope of diagnosis and treatment, diagnosis and treatment equipment and medical materials of employee medical insurance and basic medical insurance. X-ray computed tomography (CT) and stereotactic radiation devices (knife-knife), cardiac and angiographic X-ray machines (including digital subtraction devices), magnetic resonance imaging devices (Mei), single photon emission computer scanning devices (SPECT), color Doppler instruments, medical linear accelerators and other large medical equipment. Extracorporeal shock wave lithotripsy and hyperbaric oxygen therapy; Pacemakers, artificial joints, intraocular lenses and artificial organs are replaced by vascular stents and materials implanted in the body; Disposable medical consumables that can be collected separately according to the provisions of the provincial price department. Treatment items: hemodialysis and peritoneal dialysis; Kidney, heart valve, cornea, skin, blood vessels, bone and bone marrow transplantation; Cardiac laser drilling, anti-tumor cellular immunotherapy and fast neutron therapy.
2. Rehabilitation appliances such as hearing AIDS; All kinds of self-use health care, massage, examination, rehabilitation and treatment equipment. Treatment items, organ sources or tissue sources of various organ transplants or tissue transplants; Transplantation of organs or tissues other than kidneys, heart valves, corneas, skin, blood vessels, bones and bone marrow; Myopia correction; Qigong therapy, music therapy, health nutrition therapy, magnetic therapy and other auxiliary treatment projects. Other diagnosis and treatment items of infertility (pregnancy) and sexual dysfunction.
3. Basic insurance, the scope of medical services does not include basic insurance, service items, registration fees, hospitalization fees, medical records fees, etc. ; Special medical services, such as visiting fees, emergency fees (except emergency), registration fees, high quality and good price fees, self-invited special care fees, etc. Non-disease treatment plan. Various beauty (life beauty, medical beauty) fitness programs, random non-functional plastic surgery, orthopedic surgery, etc.