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Reimbursement scope for rural combined treatment

There are differences in scope across regions, taking Hebei as an example:

(1) Injury incurred by participating farmers in outpatient visits, hospitalizations at designated medical institutions in the region, and hospitalization in medical institutions outside the region upon approval Diagnosis and treatment expenses, except for items that are not compensated and have limited price compensation as determined in the "Compensation Regulations for New Rural Cooperative Medical Care Projects in Hebei Province", are implemented in accordance with the "Hebei Province Medical Service Project Specifications and Service Prices (Trial)" and are in accordance with Reimbursement will be made according to the standards stipulated by the New Rural Cooperative Medical Care System in Taocheng District.

(2) The following items are not included in the reimbursement scope of the new rural cooperative medical care

1. Service items

(1) Registration fee (including special needs clinics, experts Outpatient registration fee), outpatient and inpatient medical record cost;

(2) Consultation fee, self-invited consultation, external expert surgery fee, roll call surgery fee, examination, treatment, surgery expedited fee, special medical services Fees, accompanying fees, bed fees, nursing fees, high-priced hospital bed fees (expenses exceeding the minimum bed fee), family hospital bed fees;

(3) Medical treatment, referral transportation fees, ambulance fees;< /p>

(4) Food (nutrition) expenses, daily necessities expenses, cleaning expenses, decoction expenses, heating expenses, air conditioning expenses, television expenses, telephone expenses, etc.;

(5) Blood transfusion fees (including whole blood, blood components and blood products);

(6) Diagnosis and treatment items outside the scope of "Hebei Province Medical Service Project Standards and Service Prices (Trial)" (including new projects and new technologies) , new equipment, new materials, etc.);

(7) Diagnosis and treatment projects carried out by medical institutions that have not been reviewed and approved by the price and health departments.

2. Non-disease diagnosis and treatment items

(1) Various bodybuilding, beauty, hairdressing, body beauty, weight loss, weight gain, etc.;

(2) Non-functional plastic surgery, orthopedics, etc.;

(3) Dentures (including dental implants), teeth cleaning, correction of dental deformities and their complications

(4) Assembly of artificial eyes and wigs , prostheses, etc.;

(5) Optometry and glasses (including contact lenses), etc.

3. Preventive health care projects

(1) Diagnosis and treatment costs for vaccinations, preventive medications, preventive injections, disease screening and treatment, and their complications;

(2) Diagnosis and treatment expenses for women’s and children’s health care and their complications;

(3) Premarital examination, pregnancy genetic disease diagnosis;

(4) Health massage, foot therapy, hydrotherapy, Physical therapy, diet therapy, Qigong medical treatment, etc.;

(5) Various health examinations (including overseas and outbound health examinations) and medical consultations (including health consultations and psychological consultations) using the New Rural Cooperative Medical Care Major Illness Coordination Fund ), etc.;

(6) Various disease prevention and control projects supported by special funds, such as tuberculosis prevention and control, AIDS prevention and control, schistosomiasis prevention and control, endemic disease prevention and control, etc.;

(7) National Disease projects that are treated free of charge, and treatment projects that are free of charge are free of charge.

4. Health care and rehabilitation equipment and supplies

Various massage, magnetic therapy, examination, laboratory testing, and treatment equipment and supplies for self-use health care and rehabilitation, including hearing aids, orthotics, Tractors, crutches, wheelchairs, massagers, magnetic therapy supplies, back protectors, waist protectors, bowl protectors, knee pads, blood pressure measuring instruments, blood glucose detectors, etc.

5. Treatment items

(1) Organ sources or tissue sources for various types of organ or tissue transplantation;

(2) Vision correction, rehabilitation medicine etc.;

(3) Music therapy (except for patients with mental illness), health nutritional therapy, magnet therapy and other auxiliary treatment projects;

(4) Sexual dysfunction, male and female infertility Diagnosis and treatment of infertility, non-pathological termination of pregnancy, non-pathological caesarean section, etc.;

(5) Diagnosis and treatment costs for family planning and its complications and sequelae.

6. Situations that do not grant compensation

(1) Work (official) injuries, fights, traffic accidents, criminal accidents, alcoholism, drug abuse, ingestion of drugs, smoking cessation, detoxification, suicide Injuries, self-mutilation, suicide and medical accidents, etc.

(2) Unplanned birth (including natural and pathological birth).

(3) Medical expenses incurred when traveling abroad and to Hong Kong, Macao and Taiwan.

(4) Various medical technical appraisals, judicial appraisals, work-related injury and disability appraisals, family planning appraisals of sick and disabled children, etc.

(5) If a participating patient fails to comply with medical advice and refuses to be discharged from the hospital, all expenses incurred from the second day after being notified of discharge.

(6) Expenses incurred for hospitalization and recuperation.