What does the reimbursement within the scope of medical insurance include?

Scope of reimbursement for social security and medical insurance: 1, outpatient and emergency medical expenses; 2, to the designated retail pharmacies to buy drugs; 3, the basic medical insurance fund Qifubiaozhun below the medical expenses; 4, more than the basic medical insurance fund Qifubiaozhun part, according to the proportion that should be borne by the individual medical expenses. The insufficient part of personal account shall be paid by myself. Medical expenses for hospitalization, emergency rescue observation and hospitalization, and medical expenses within 7 days before hospitalization observation; Outpatient medical expenses of taking anti-rejection drugs after radiotherapy and chemotherapy, renal dialysis and renal transplantation for malignant tumors.

legal ground

Article 28 of the Financial System of Social Insurance Fund? Expenditure of employee basic medical insurance fund includes employee basic medical insurance treatment expenditure, transfer expenditure, subsidy to lower level expenditure, higher level expenditure and other expenditures. Employees' basic medical insurance benefits are included in the employees' basic medical insurance fund benefits and employees' basic medical insurance personal account benefits according to regulations. Employee's basic medical insurance fund treatment expenditure refers to the medical expenses compensation expenditure paid by the co-ordination fund, including hospitalization expenses, outpatient serious illness and outpatient co-ordination expenses, within the scope of co-ordination fund payment according to regulations, above Qifubiaozhun and below the maximum payment limit. In the co-ordination areas where maternity insurance and employee basic medical insurance are merged, the employee basic medical insurance co-ordination fund treatment expenditure includes maternity treatment expenditure. Maternity treatment expenses include maternity medical expenses and maternity allowance expenses. Employee basic medical insurance personal account treatment expenditure refers to the expenditure paid by personal account according to regulations, mainly including outpatient expenses, hospitalization expenses and medical expenses incurred in designated retail pharmacies. Personal account funds shall not be used for non-medical expenses in principle. The basic medical insurance fund for employees shall, according to the specific circumstances, subsidize the lower-level expenditures and the higher-level expenditures respectively in the overall fund and the individual account fund. The transfer expenses of the employee's basic medical insurance fund shall be charged in the individual account fund.

skill

The above answer is only for the current information combined with my understanding of the law, please refer carefully!

If you still have questions about this issue, I suggest you sort out relevant information and communicate with professionals in detail.