(1) Registration fee, out-of-hospital consultation fee, medical record fee, etc.

(2) Special medical services such as visiting fees, expedited fees for examination and treatment, extra fees for roll-call surgery, high quality and good price, and self-invited intensive care.

2. Non-disease treatment projects.

(1) all kinds of beauty and bodybuilding, as well as 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 national basic medical insurance diagnosis and treatment projects for prevention and health care;

(5) all kinds of medical consultation and medical appraisal.

3. Diagnostic equipment and medical materials.

(1) Examination and treatment items of large medical equipment such as positron emission tomography (PET), electron beam cT and ophthalmic excimer laser therapeutic instrument;

(2) glasses, dentures, artificial eyes, artificial limbs, hearing AIDS, cochlear implants and other rehabilitation devices;

(3) all kinds of self-use health care, massage, examination and treatment equipment;

(4) The provincial price department stipulates that one-time medical treatment cannot be charged separately.

4. Treatment project.

(1) The organ source or tissue source of various organ or tissue transplants;

(2) Transplantation of organs or tissues other than kidneys, heart valves, corneal 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. Specific drugs

For the insured who uses the specific drugs agreed in this product, the insurer is not liable to pay the insurance benefits under the following circumstances:

(1) The payment scope of the drug prescription is inconsistent with the Catalogue of Specific Drugs for National Health Insurance in Shaanxi Province (see Annex 1 for details).

(2) Drugs that have not been prescribed by specialists in designated hospitals or other designated hospitals with basic medical insurance for this product, or have not been purchased in designated hospitals or pharmacies.

(three) the prescription time of each drug is more than two months, and some drugs are more than two months.

(4) The prescription of the drug is inconsistent with the indications, usage and dosage listed in the drug instructions approved by China Food and Drug Administration, or the relevant medical data cannot prove that the disease of the insured meets the indications for using a specific drug.

(5) Medical expenses incurred by the insured who meets the application for charitable relief drugs but fails to submit the relevant application or the submitted application materials are incomplete, resulting in the failure of the application for relief projects; The insured passes the aid audit, but fails to receive the aid drugs due to the insured's reasons, which is regarded as the insured voluntarily giving up the insurance rights related to this product.

(6) experimental or research treatment without scientific or medical approval.

6. others.

(1) various infertility (pregnancy) and sexual dysfunction diagnosis and treatment projects;

(2) all kinds of scientific research and clinical verification of diagnosis and treatment projects.

The following medical expenses are not included in the payment scope of Shaanxi national medical insurance:

1. should 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. Physical fitness, health care consumption and physical examination;

6 other expenses not paid by the basic medical insurance fund stipulated by the state.