1. Prosthetic breast enhancement surgery belongs to plastic surgery and is not reimbursed by general social security;

2. Medical insurance mainly reimburses the expenses of drugs, diagnosis and treatment projects and medical service facilities;

3, excluding cosmetic plastic surgery, breast augmentation with prosthesis belongs to plastic surgery and is not covered by medical insurance.

Does not belong to the scope of reimbursement of basic medical insurance:

1, which is mainly a tonic drug;

2, some medicinal animals and animal organs, dried (water) fruit;

3. Various wine preparations brewed with Chinese herbal medicines and Chinese herbal pieces;

4. Fruity preparations and oral effervescent agents in various drugs;

5 blood products and protein products (except for special indications and first aid and rescue);

6, the provisions of the administrative department of social insurance basic medical insurance fund does not pay for other drugs.

The basic medical insurance treatment project should meet the conditions:

1, clinical diagnosis and treatment must be safe and effective, and the cost is appropriate;

2. The charging standard shall be formulated by the price department;

3, by the designated medical institutions to provide medical services within the designated scope for the insured.

The basic medical insurance fund does not pay for living services and service facilities, including:

1, outpatient (transfer) transportation fee, first aid fee;

2. Air conditioning fee, TV fee, telephone fee, baby incubator fee and food incubator fee;

3, escort fees, nursing fees, washing fees, outpatient decocting fees;

4. diet;

5. Hospitality and other special life service expenses.

To sum up, the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses shall be paid by the basic medical insurance fund in accordance with state regulations. The basic medical insurance reimbursement drugs included in the basic medical insurance payment scope are divided into Class A and Class B. ..

Legal basis:

Article 29 of People's Republic of China (PRC) Social Insurance Law

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.