The basic insurance does not pay the cost of diagnosis and treatment project scope:

(1) service items

1, registration fee, out-of-hospital consultation fee, medical record fee, etc.

2. Special medical services such as visiting fees, urgent fees for examination and treatment (except for emergency), surcharge for roll call operation, high quality and good price, and special care by oneself.

(2) Non-disease treatment projects

1, various beauty (life beauty, medical beauty) bodybuilding projects and disorderly non-functional plastic surgery, orthopedic surgery, etc. ;

2. Various weight loss, weight gain and height increase projects;

3. Various health checks;

4, all kinds of prevention and health care projects;

(2) Non-disease treatment projects

1, various beauty (life beauty, medical beauty) bodybuilding projects and disorderly non-functional plastic surgery, orthopedic surgery, etc. ;

2. Various weight loss, weight gain and height increase projects;

3. Various health checks;

4, all kinds of prevention and health care projects; 5, tooth deformity, dental porcelain;

6, all kinds of medical consultation (excluding psychiatric consultation), medical appraisal.

(3) Diagnostic equipment and medical materials.

1, a project for examination and treatment with large medical equipment such as positron emission tomography, electron beam CT and ophthalmic excimer laser therapeutic apparatus;

2, glasses, dentures, artificial eyes, artificial limbs, hearing AIDS and other rehabilitation equipment;

3, all kinds of self-use health care, massage, rehabilitation and treatment equipment.

(4) Treatment items

1, the organ source or tissue source of various organ transplants or tissue transplants;

2. Transplantation of organs or tissues other than kidneys, heart valves, corneas, skin, blood vessels, bones and bone marrow;

3. Orthopedic surgery for myopia;

4, Qigong therapy, music therapy, health nutrition therapy, magnetic therapy and other auxiliary treatment projects.

Extended data

According to the regulations of medical insurance, there are many cases that are not within the scope of reimbursement. This includes:

1, see a doctor in a non-designated medical institution, except emergency (emergency can be seen in any designated medical institution);

2. Buy medicines at non-designated retail pharmacies;

3. Injuries caused by traffic accidents, medical accidents or other accidents;

If the insured is injured due to traffic accidents or other accidents, and goes to the designated medical institutions for medical treatment, and can provide the relevant written proof issued by the security department that the parties involved in the accident escaped or could not find the responsible person, the medical expenses can be included in the payment scope of the medical insurance fund according to the regulations; Unable to provide such written proof, the medical insurance fund will not pay medical expenses.

4, I take drugs, fighting or other illegal acts causing harm;

5, due to suicide, self-mutilation, alcoholism and other reasons to receive treatment;

6. Receiving treatment abroad or in Hongkong, Macao Special Administrative Region and Taiwan Province Province;

7, according to the provisions of the state and the city should be paid by individuals.

Baidu encyclopedia-medical insurance reimbursement scope

People's Daily Online-You can apply for medical insurance for manual reimbursement in 8 cases.