Reimbursement does not distinguish between diseases, but there are reimbursement restrictions in terms of medication, inspection items and equipment. There is a very detailed catalogue. What can be reimbursed and the reimbursement ratio are also written on your expense list. Doctors usually ask whether to use self-funded drugs or drugs that can be reimbursed by medical insurance, unless you can only use self-funded drugs. Surgery and hospitalization can be reimbursed.
2. How much can I reimburse? Self-funded will definitely not be reimbursed. Other expenses are in proportion, generally about 80% above the deductible line, depending on local regulations. There are regional differences. Conceit yourself below the deductible line, like Beijing, where the deductible line for hospitalization is 1300.
Extended data:
The scope of diagnosis and treatment items for which the basic insurance does not pay.
(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 name calling 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;
Medical insurance reimbursement
(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.
References:
Baidu encyclopedia-medical insurance reimbursement scope