The current domestic health insurance can reimburse patients for those items

Legal analysis: Resident medical insurance can reimburse these items: medical insurance reimbursement is divided into four types, namely general outpatient, inpatient, chronic disease and outpatient specific items.

The insured person should properly keep the outpatient medical documents (including receipts and prescriptions for the following parts) as proof of reimbursement of medical expenses in designated hospitals.

Legal basis: Article 27 of the Social Insurance Law of the People's Republic of China Individuals who participate in the basic medical insurance for employees who have reached the statutory retirement age and whose cumulative contributions reach the number of years specified by the state shall no longer pay basic medical insurance premiums after retirement, and enjoy basic medical insurance benefits in accordance with national regulations; If the number of years prescribed by the state has not been reached, the fee can be paid until the number of years prescribed by the state.

Law of the People's Republic of China on the Promotion of Rural Revitalization》 Article 54: The State shall improve the social security system for the overall planning of urban and rural areas, establish and improve safeguard mechanisms, and support rural areas in improving the level of social security management services; Establish and improve the mechanism for determining the basic old-age insurance benefits for urban and rural residents and the normal adjustment of basic pension standards, so as to ensure that the basic old-age insurance benefits for urban and rural residents are gradually improved with economic and social development. The State supports peasants in participating in basic old-age insurance and basic medical insurance for urban and rural residents in accordance with regulations, and encourages qualified flexibly employed persons and agricultural industrialization workers to participate in basic old-age insurance for employees, basic medical insurance for employees and other social insurance. The State promotes the coordinated development of the urban and rural minimum livelihood security system, increases the level of social assistance such as providing support for persons living in extreme poverty in rural areas, strengthens care services for left-behind children, women and the elderly in rural areas, as well as persons with disabilities and children in difficulty, and supports the development of inclusive elderly care services and mutual assistance for the elderly in rural areas.

1. Medical expenses during the rescue period;

2. Medical expenses during hospitalization;

3. Surgical materials and auxiliary equipment;

4. Bed fee: according to local medical insurance standards. Except for those who need to be admitted to the ICU (intensive care unit) in a coma due to acute brain trauma or compound visceral injury, they should be transferred to a general ward immediately after they are out of danger;

5. **Physiotherapy fee: according to local medical insurance standards. In principle, there shall be no more than 3 types, and no compensation will be paid for ** physiotherapy outside the scope of medical insurance;

6. Dressing change and first-class functional guidance training: approved according to local medical insurance standards and the needs of the condition;

7. Ambulance fee: calculated according to the standard approved by the local health department and the price department;

8. Other expenses: non-compensable expenses in accordance with the provisions will not be compensated;

9. Renewal of pure medical expenses: In order to close the case in advance, the insured can pay in advance for the future definite and necessary renewal medical expenses of the injured person. The renewal fee can only be reviewed if the doctor in charge has a clear record on the discharge certificate or diagnosis certificate that the internal fixation needs to be continued** or half a silver missing year, or the internal fixation is taken after one year, or the follow-up expenses are regularly reviewed or the follow-up cavity ** expenses are recorded, and the follow-up expenses have been paid on the compensation payment voucher provided by the insurance.

The renewal fee will be reviewed according to the needs of the condition, and no compensation will be made for those that obviously exceed the needs of the condition.

Medical Insurance Reimbursement Process:

1. Diagnosis and treatment in a designated hospital under medical insurance.

Every city will have a designated hospital for medical insurance, and only in the designated hospital can you use medical insurance to reimburse. Therefore, if you want to use medical insurance, you must go to the designated hospital of medical insurance for treatment, and you must go through the relevant registration procedures;

2. Prepare discharge materials.

At the time of discharge, prepare the discharge materials in advance, such as disease diagnosis, discharge records and medical records. Generally, when you are **, tell the doctor that you need these materials, and the doctor will help us prepare, and it is best to make a copy of these materials after getting them. One is submitted to the Medicare Reimbursement Office and the other is kept for later use;

3. Discharge settlement.

Take the hospitalization list and the invoice and go through the settlement procedures in the hospital. After that, you can bring the relevant information to the medical insurance reimbursement department for reimbursement and review;

4. Wait for the reimbursement to arrive.

When the information is handed over, you will receive a receipt, and the reimbursement amount will arrive within 15 days, you just need to wait patiently.

In summary, the reimbursement of the medical insurance card is limited to the medical expenses above hospitalization caused by illness and some accidents at designated hospitals.

Legal basis]:

Article 27 of the Social Insurance Law of the People's Republic of China.

Individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, the cumulative contributions reach the number of years prescribed by the state, and the basic medical insurance premiums will not be paid after retirement, and they will enjoy the basic medical insurance treatment in accordance with the provisions of the state; If the number of years prescribed by the state has not been reached, the fee can be paid until the number of years prescribed by the state.

Article 28.

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be paid from the basic medical insurance in accordance with national regulations.

Legal analysis: 1. Hospitalization medical insurance benefits;

2. Subsidy for large medical expenses for outpatient and emergency treatment;

3. Special diseases in outpatient pre-jujube disease.

Legal basis: Article 30 of the Social Insurance Law of the People's Republic of China The following medical expenses are not included in the scope of payment of basic medical insurance

1) It should be paid out of work-related injury insurance**;

2) It shall be borne by a third party;

3) It should be borne by public health;

4) Seeking medical treatment outside the country.

Medical expenses shall be borne by the third party in accordance with the law, and if the third party does not pay or the third party cannot be determined, the basic medical insurance shall pay in advance. After the basic medical department cavern therapy insurance** is paid in advance, it has the right to recover from a third party.

According to the provisions of the Social Insurance Law: the medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards, and emergency and crack imitation rescue shall be paid from the basic university or medical insurance in accordance with national regulations. 1. Generally speaking, ordinary medical expenses can be reimbursed, but some imported drugs and complex diseases cannot be reimbursed.

When paying in the hospital, the amount marked "self-pay one" under the bill can be reimbursed, but "tariff", "self-payment two" and other expenses cannot be reimbursed. 2. The reimbursement of basic medical service facilities covers the life service facilities provided by designated medical institutions and the insured persons in the process of receiving diagnosis, ** and nursing: inpatient bed fees, outpatient (emergency) observation bed fees, etc., but the cost of life service items and service facilities such as transportation expenses and ambulance fees is not reimbursable.