What hospitalization expenses can medical insurance reimburse?

Reimbursement scope of rural cooperative medical insurance (1): 1. Drug expenses: auxiliary examination: ECG, X-ray fluoroscopy, photography, laboratory tests, physical therapy, acupuncture, CT, nuclear magnetic resonance and other examination expenses 200 yuan; Surgical expenses (refer to the national standard, reimbursement exceeding 1000 yuan 1000 yuan). 2. The elderly over 60 years old are hospitalized in Xingta Town Health Center, and the daily treatment and nursing expenses are compensated 10 yuan, with the limit of 200 yuan. (2) It does not belong to the scope of reimbursement: 1, self-seeking medical treatment (no designated hospital for medical treatment or no referral form), self-purchased drugs, drugs that cannot be reimbursed according to the provisions of public medical care, and medical expenses that do not conform to family planning; 2, outpatient treatment fees, visits, hospitalization fees, meals, escort fees, nutrition fees, blood transfusion fees (except for family blood storage, according to the relevant provisions of reimbursement), heating and cooling fees, ambulance fees, allowances and other expenses; 3. Medical expenses for car accidents, fights, suicides, alcoholism, industrial accidents and medical accidents; 4. Orthopedics, cosmetic surgery, dental implants, artificial limbs, organ transplantation, roll call surgery fees, consulting fees, etc. ; 5, within the scope of reimbursement, beyond the limit. The scope of diagnosis and treatment items (1), diagnostic equipment and medical materials 1, computerized tomography device (CT) with X-ray, stereotactic radiation device (γ knife, χ knife), cardiac and angiographic X-ray machine (including digital subtraction equipment), nuclear magnetic resonance imaging device (MEI) and single photon emission computer scanning device (X 2. Extracorporeal shock wave lithotripsy and hyperbaric oxygen therapy; 3. Pacemakers, artificial joints, intraocular lenses, vascular stents, etc. replace artificial organs in vivo and place materials in vivo; 4, the provisions of the provincial price department can be charged separately for disposable medical materials. (2) Treatment items 1, hemodialysis and peritoneal dialysis; 2. Transplantation of kidney, heart valve, cornea, skin, blood vessels, bone and bone marrow; 3. Cardiac laser drilling, anti-tumor cellular immunotherapy and fast neutron therapy projects. 4, hearing AIDS and other rehabilitation equipment; 5, all kinds of personal health care, massage, rehabilitation and treatment equipment. (3) the category of treatment items 1, and the organ or tissue sources 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. (4) 1, and other diagnosis and treatment projects for infertility (pregnancy) and sexual dysfunction; 2, all kinds of scientific research, clinical verification of diagnosis and treatment projects; First, the basic insurance does not pay for the scope of diagnosis and treatment projects (1) service projects 1, registration fees, out-of-hospital consultation fees, medical records fees, 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 items 1, various beauty (life beauty, medical beauty) bodybuilding items, and disorderly non-functional plastic surgery and orthopedic surgery; 2. Various weight loss, weight gain and height increase projects; 3. Various health checks; 4, all kinds of prevention and health care projects; Registration fee, out-of-hospital consultation fee, medical record fee, etc. ; 5. 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 items 1, various beauty (life beauty, medical beauty) bodybuilding items, and disorderly non-functional plastic surgery and orthopedic surgery; 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) diagnosis and treatment equipment and medical materials 1, and projects 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. (four) the treatment project category 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. (5) 1, and other diagnosis and treatment projects for infertility (pregnancy) and sexual dysfunction; 2, all kinds of scientific research, clinical verification of diagnosis and treatment projects; The following expenses incurred by urban medical insurance participants in designated medical institutions and retail pharmacies are included in the reimbursement scope of the basic medical insurance fund for urban residents: (1) Hospitalization medical expenses; (two) medical expenses within 7 days before emergency observation and hospitalization; (three) the medical expenses for special diseases in urban residents' outpatient clinics; (4) Other expenses that meet the requirements. The rest are not included in the scope of reimbursement.