Non-medical insurance reimbursement items, medical and non-essential medical items caused by the responsible person or abnormal events will not be reimbursed. For example, medical expenses such as car accident treatment are paid by the responsible party, and medical insurance is not reimbursed; Medical insurance will not reimburse plastic surgery and other treatment costs; Medical insurance will not reimburse the treatment expenses caused by drunk driving, drug abuse and other illegal and criminal acts.

Non-reimbursement form: medical treatment with medical insurance card must be reimbursed in designated hospitals, and medical expenses in non-designated hospitals or clinics will not be reimbursed. There was a time limit for reimbursement in the past. After the reform of medical insurance integration, real-time reimbursement is realized, that is, the payment is already the discounted price. However, the reimbursement amount is still limited, and it will not be reimbursed after exceeding the annual reimbursement limit. Some treatment projects have special project funds, and non-universal treatment is not reimbursed. Ordinary children are vaccinated. Some vaccines are vaccinated for children free of charge by relevant institutions, and those outside the regulations are vaccinated by family members at their own expense, which is not within the scope of reimbursement.

The basic medical insurance for urban and rural residents is to integrate the basic medical insurance for urban residents and the new rural cooperative medical system and establish a unified basic medical insurance system for urban and rural residents.