1. There is no disease limitation for hospitalization reimbursement.

2. The scope of chronic diseases includes: coronary atherosclerotic heart disease (excluding occult type), chronic pulmonary heart disease, essential hypertension (above phase II), cerebrovascular disease recovery period, decompensated cirrhosis, diabetes complicated with chronic complications, chronic glomerulonephritis and nephrotic syndrome, advanced malignant tumor, psychosis, lupus erythematosus and Parkinson's syndrome1/disease;

3. The scope of accidental injuries in outpatient service includes three diseases: fracture, joint dislocation and foreign body in respiratory tract.

4. The scope of outpatient emergency rescue includes coma, severe shock, massive hemorrhage, poisoning, severe dehydration, febrile convulsion, severe dyspnea caused by severe trauma, spontaneous or traumatic pneumothorax, hemopneumothorax, laryngeal infarction, tracheobronchial obstruction, severe arrhythmia, life-threatening internal and external bleeding caused by various reasons, acute heart failure, respiratory failure, renal failure and other major changes in vital signs.

The specific reimbursement scope of college students' medical insurance is formulated by local medical insurance institutions, and the reimbursement scope may be different in different regions. Therefore, it is suggested that students carefully understand the local medical insurance policy and specific reimbursement scope when using medical insurance, so as to enjoy medical insurance benefits in time.

The proportion of medical insurance reimbursement for college students refers to the proportion of medical expenses reimbursement within a certain range. At present, the reimbursement rate of medical insurance for college students in China is usually 80% to 90%, that is, within the scope of medical insurance, students have to bear 10% to 20% of the expenses themselves, and the rest can be reimbursed through medical insurance.

To sum up, for the scope of medical insurance reimbursement for college students or middle school students, when students are hospitalized, the general students pay the medical insurance fund of hospitalization Qifubiaozhun first, and individuals need to bear a certain amount of medical insurance fees first. Those who exceed the standard are paid by medical insurance and individuals in accordance with the prescribed proportion. No compensation is given to the students for the injuries caused by fighting, drug abuse and other illegal crimes.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 25

The state establishes and improves the basic medical insurance system for urban residents. The basic medical insurance for urban residents combines individual contributions with government subsidies. People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.

Article 26

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.