1, which shall be paid from the industrial injury insurance fund;

2, should be borne by a third person;

3, should be borne by public health;

4. Go abroad for medical treatment.

5, the basic medical insurance drug list, diagnosis and treatment projects, medical service facilities outside the standard of medical expenses;

6, the provisions of the state and the autonomous region shall not pay other fees.

7, physical fitness, health care consumption, health check is not reported. Medical insurance refers to the need for medical treatment due to the risk of illness/accident, so neither fitness, physical examination nor health care belongs to the treatment category, so it will not be reimbursed.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.

As can be seen from the above, overseas medical treatment; Responsibility belonging to a third party; Physical quality, health care consumption, health examination, etc. ; Industrial accidents; Public health services; Drugs, facilities and projects not included in the medical insurance catalogue are not included in the fund medical project.

Legal basis:

Social insurance law

Article 30

The following medical expenses are not included in the payment scope of the basic medical insurance fund:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(three) shall be borne by public health;

(4) Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.