What items are not reimbursed by medical insurance?

Outpatient medical insurance reimbursement method: If the insured's medical expenses meet the basic medical insurance drug list, diagnosis and treatment items and other standards, he can directly bring his social security card, ID card and payment documents to pharmacies and designated medical institutions for settlement. You can enjoy the reduction of medical expenses with the medical insurance card, and you can try to use the medical insurance card to see a doctor and buy medicine. Medical insurance is divided into two accounts, personal account, and the money reflected by medical insurance card can be used to buy medicine at designated pharmacies, pay for outpatient expenses and pay for hospitalization expenses.

Legal basis: Article 23 of the Social Insurance Law of People's Republic of China (PRC).

Employees should participate in the basic medical insurance for employees, and employers and employees should jointly pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.

Which items are not reimbursed by medical insurance?

1, self-seeking, self-purchasing 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, within the scope of reimbursement, but beyond the limit;

3, outpatient treatment, meals, home visits, hospitalization, escort, nutrition, ambulance, blood transfusion, heating and cooling, special care and other expenses;

4. Orthopedics, artificial limbs, cosmetic surgery, dental implants, roll call surgery, organ transplantation, consulting fees, etc. ;

5. Medical expenses for car accidents, alcoholism, suicide, fighting, work-related injuries and medical accidents.