Is stomach cancer covered by medical insurance for serious illnesses?

Updated on healthy 2024-03-06
9 answers
  1. Anonymous users2024-02-06

    Yes, it falls into the first category below. Go to the hospital to find out.

    The 25 major diseases stipulated by the State Insurance Regulatory Commission are:

    1 malignant tumor 2. Acute myocardial infarction.

    3. Sequelae of stroke 4. Major organ transplantation or hematopoietic stem cell transplantation.

    5. Coronary artery bypass grafting (or coronary artery bypass grafting) 6. End-stage renal disease (or chronic renal failure, uremia.

    Period) 7 Multiple limb loss 8 Acute or subacute severe hepatitis 9 Benign brain tumor 10 Chronic liver failure decompensation.

    11 sequelae of encephalitis or meningitis 12 deep coma 13 deafness in both ears 14 blindness in both eyes 15 paralysis 16 heart valve surgery 17 severe Alzheimer's disease.

    18 Severe brain injury 19 Severe Parkinson's disease 20 Severe burns.

    21 Severe primary pulmonary hypertension 22 Severe motor neuron disease.

    23 loss of language ability 24 severe aplastic anemia.

    25. Aortic surgery.

  2. Anonymous users2024-02-05

    Malignancy, with the exception of carcinoma in situ. Stomach cancer is generally covered by medical insurance.

  3. Anonymous users2024-02-04

    It is within the scope of critical illness, and if you have purchased critical illness medical insurance, it will definitely be within the scope of coverage.

  4. Anonymous users2024-02-03

    Summary. Pancreatic cancer can be reimbursed by medical insurance if it is **. Due to the different types of medical insurance, the reimbursement policies are not necessarily the same.

    Pancreatic cancer is the most common malignant tumor of the digestive system, commonly known as the king of cancer, the disease develops rapidly, and the health of patients is extremely harmful.

    Is pancreatic cancer covered by medical insurance for serious illnesses?

    Pancreatic cancer can be reimbursed by medical insurance if it is **. Due to the different types of medical insurance, the reimbursement policies are not necessarily the same. Pancreatic cancer is the most common malignant tumor of the digestive system, commonly known as the king of cancer, the disease develops rapidly, and the health of patients is extremely harmful.

    If the employee medical insurance is reimbursed, will the remaining serious illness insurance be reimbursed?

    What about people? Urban and rural residents can enjoy reimbursement by paying serious illness medical insurance every year. All serious illnesses within the reimbursement scope can be compensated with a certain percentage.

    Those who participate in the basic medical insurance, each person to the municipal and district social insurance bureau every year to pay 48 yuan of serious illness medical insurance premiums, in the occurrence of medical expenses that exceed the maximum payment limit of basic medical care, by the social insurance department according to: 0-40,000 yuan below reimbursement of 85%; 90% reimbursement for less than 40,000-80,000 yuan; 95% reimbursement for more than 80,000 yuan. The maximum payment limit is RMB 150,000 per medical year.

    The medical expenses of one-time hospitalization of employees who are sick and non-work-related injuries or the part that exceeds 2,000 yuan within 30 days (excluding the self-paid part and the personal burden part) belong to the overall payment scope of the serious illness medical insurance for employees, and the method of cumulative payment is adopted: 90% of the part between 2,000 yuan and 5,000 yuan is paid. 85% of the part between 5,000 yuan and 10,000 yuan and less than 10,000 yuan; 80% of the part between 10,000 yuan and 30,000 yuan will be paid; 85% of the part between 30,000 yuan and 50,000 yuan shall be paid; 90% for the portion above $50,000.

    The term "above" in the preceding paragraph does not include this number, and the following "includes this number". To sum up, we know the answer to the question of what are the new policies for serious illness medical insurance in 2018. Serious illness medical insurance is closely related to our lives, we will all take some insurance, for ourselves and for the family, so as not to bring more living burden to our children, insurance is a very suitable way to relieve stress.

    By understanding the new policy of critical illness medical insurance in 2018, we know a lot about the specific content of critical illness medical insurance. We will not be deceived when we take out this type of insurance in the future.

  5. Anonymous users2024-02-02

    In general, acute gastritis.

    Look at it. Or chronic superficial gastritis.

    Although not optimistic, but these two diseases.

    will not affect major diseases.

    It doesn't matter if there is an underwriting. It is possible to insure normally, then atrophic gastritis.

    It is different, especially for severe atrophic gastritis, the probability of cancer in the future is relatively obvious.

    Therefore, underwriting is quite cautious, generally speaking.

    If the product sold online is atrophic gastritis, he usually has a relatively simple and crude method: refusal of insurance.

    So do you think we have a chance to buy it?

    We can try some offline traditional business, which can be manually underwritten.

    At this time, you need to provide some medical records.

    as well as some of our follow-up gastroscopy reports.

    It needs to be proven that this client's current atrophic gastritis is not serious.

    And it is relatively stable, so at the same time, when the age is relatively young, then there are some products that can still take care of serious illness, but there may be a small amount of additional fees or cancer on the stomach.

    except. This is some of the offline businesses we are talking about, so what about medical insurance, and critical illness insurance.

    There is a place where the views are more compatible, if everyone is atrophic gastritis.

    Generally speaking, medical insurance is. Then if it is superficial gastritis or acute gastritis.

    It can still be insured, but gastritis is a relatively recurring disease, so there will be exclusions in this disease medical insurance.

    Can I buy insurance if I have gastritis? Do I need to inform the insurance company when I apply for insurance?

  6. Anonymous users2024-02-01

    This stomach disease can definitely enjoy medical insurance. If you seek medical treatment at a local medical insurance hospital, you can enjoy medical insurance when you see a doctor. If you seek medical treatment for sudden acute gastric bleeding in other places, you can also return to the local medical insurance department for reimbursement.

    Extended reading: [Insurance] How to buy, which one is better, teach you to avoid these insurance"pits"

  7. Anonymous users2024-01-31

    Summary. Hello, happy to answer your <>

    Gastric stromal tumors are not covered by critical illness insurance. The reimbursement scope of serious illness medical insurance is also limited by the three catalogs of medical insurance, such as some imported drugs, special drugs, and anti-cancer drugs, which cannot be reimbursed. Not to mention, illness will cause the interruption of income, daily life will not be financial, and there will be later expenses and so on, which are not covered by serious illness medical insurance.

    If you want to reimburse this part of the cost, you can consider taking out critical illness insurance. Critical illness insurance is a provision of coverage in the event of a critical illness, and the insurance company will pay the claim after the insured suffers from a critical illness specified in the insurance contract. This benefit is not limited by the purpose of use, so it is recommended to buy a higher sum insured in order to support various expenses.

    Is gastric stromal tumor covered by critical illness insurance?

    Hello, happy to answer your <>

    Gastric stromal tumors are not covered by critical illness insurance. The reimbursement scope of serious illness medical insurance is also limited by the three catalogs of medical insurance, such as some imported drugs, special drugs, and anti-cancer drugs, which cannot be reimbursed. Not to mention, illness will cause the interruption of income, daily life will not be financial, and there will be later expenses such as serious illness medical insurance not covered.

    If you want to reimburse this part of the cost, you can consider taking out critical illness insurance. Critical illness insurance is a provision of coverage in the event of a critical illness, and the insurance company will pay the claim after the insured suffers from a critical illness specified in the insurance contract. This compensation payment is not limited by use, so it is recommended that the insured amount be bought higher, so as to support Zheng Chi's expenses in many aspects.

    Extended information: Gastric stromal tumor is not necessarily cancer, whether the insurance is claimed, it also depends on what type of insurance it is, and the severity of the condition. If it is medical insurance, then it can generally be reimbursed for the reasonable and necessary medical expenses incurred by ** gastric stromal tumor, mainly including medical expenses for hospitalization, outpatient and emergency medical expenses before and after hospitalization, etc., which can be found in the Baolu insurance contract; If it is a critical illness insurance, then it is also necessary to do a pathological analysis of the gastric interstitial stocking tumor, if it is already a malignant tumor, then it is cancer, and the critical illness insurance can be claimed according to the critical illness, if the pathological analysis result is not a bad disease, it is a good disease, then the critical illness insurance will not be claimed.

  8. Anonymous users2024-01-30

    As a common malignant tumor of the digestive system, gastric cancer is a comprehensive one, including surgery, postoperative radiotherapy and chemotherapy, etc., which can be reimbursed through medical insurance, and the proportion is relatively high, of course, the proportion of reimbursement will vary in different regions.

    Gastric cancer is more expensive than surgery, but targeted drugs used for chemotherapy after surgery. Because targeted drugs need to be taken for a long time, they need to be replaced after drug resistance develops, and they are more expensive for other targeted drugs. Targeted drugs are drugs that need to be paid for by patients, so the targeted drugs used in postoperative chemotherapy for gastric cancer patients are the reason for the high cost of gastric cancer**.

    Medical Insurance Coverage:

    1. Basic medical insurance drug reimbursement: Our country now divides drugs into three categories: A, B and C, of which Class A drugs are within the scope of medical insurance, so only Class A drugs can be reimbursed by medical insurance, while Class B and C cannot be reimbursed;

    2. Reimbursement of basic medical service facilities: This reimbursement scope mainly refers to the bed fee, emergency bed fee, consultation fee, etc. incurred by the insured person for diagnosis and treatment and nursing in the designated institution of medical insurance;

    3. Reimbursement of basic medical insurance diagnosis and treatment items: it must be a safe and effective diagnosis and reimbursement, and the charging standards are determined by the price department. Requires to be performed at a designated medical facility**.

    Medical Insurance Reimbursement Process:

    1. Diagnosis and treatment in medical insurance designated hospitals: There will be medical insurance designated hospitals in every city, and only in the medical insurance designated hospitals can medical insurance be used for reimbursement. Therefore, if you want to use medical insurance, you must go to the designated hospital of medical insurance for treatment, and you must go through the relevant registration procedures;

    2. Prepare discharge information: Prepare discharge materials in advance when you are discharged, such as disease diagnosis, discharge records and medical records. Generally, when you are **, tell the doctor that you need these materials, and the doctor will help us prepare, and it is best to make a copy of these materials after getting them.

    One is submitted to the Medicare Reimbursement Office and the other is kept for later use;

    To sum up, if a gastric cancer patient pays medical insurance or NCMS, the operation can be reimbursed, and some reimbursement can reduce part of the burden on the family, but it is still necessary to combine the actual situation of their own family, and the imported drugs of general external experts cannot be reimbursed.

    Legal basis]:

    Article 28 of the Social Insurance Law of the People's Republic of China.

    In line with the basic medical insurance drug list, diagnosis and treatment items, medical services set up standards for blind balancers, as well as emergency and rescue medical expenses, in accordance with national regulations from the basic medical insurance ** payment.

    Article 29.

    The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institutions and drug business units.

    The administrative department of social insurance and the administrative department of health shall establish a system for the settlement of medical expenses for medical treatment in other places to facilitate the insured persons to enjoy basic medical insurance benefits.

  9. Anonymous users2024-01-29

    Cancer can apply for critical illness medical insurance. Cancer is one of the major medical treatments. According to the law, medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards, as well as emergency and rescue medical expenses can be reimbursed by medical insurance.

    Serious illness insurance is to reimburse urban and rural residents for the high medical expenses incurred due to serious illness, with the purpose of solving the problem of "poverty due to illness and return to poverty due to illness", so that the vast majority of people will no longer fall into economic difficulties due to illness. On August 30, 2012, the National Development and Reform Commission, the Ministry of Health, the Ministry of Finance, the Ministry of Human Resources and Social Security, the Ministry of Civil Affairs, the Insurance Regulatory Commission and other six ministries and commissions issued the "Guiding Opinions on Carrying out Serious Illness Insurance for Urban and Rural Residents", which clearly stated that in view of the heavy burden of urban residents' medical insurance and the New Rural Cooperative Medical System (Cooperative), the market mechanism was introduced, and a serious illness insurance system was established to reduce the burden of serious illness on urban and rural residents, and the reimbursement ratio of serious illness medical insurance was not less than 50%. On August 24, 2012, the National Development and Reform Commission, the Ministry of Health, the Ministry of Finance, the Ministry of Human Resources and Social Security, the Ministry of Civil Affairs, and the China Insurance Regulatory Commission jointly issued the Guiding Opinions on Carrying out Serious Illness Insurance for Urban and Rural Residents.

    According to the "Notice on Printing and Distributing the Planning and Implementation Plan for Deepening the Reform of the Medical and Health System during the Twelfth Five-Year Plan Period" (Guo Fa 2012 No. 11), in order to further improve the medical security system for urban and rural residents, strengthen the multi-level medical security system of serious illness insurance for urban and rural residents, and effectively improve the level of protection for major and extraordinarily serious diseases, it is agreed by the People's Republic of China. The following guiding opinions are hereby put forward on the work of serious illness insurance for urban and rural residents. With the initial establishment of the universal medical insurance system, the people have a basic guarantee for medical treatment, but because China's basic medical security system, especially the basic medical insurance for urban residents (hereinafter referred to as urban residents' medical insurance) and the new rural cooperative medical care (hereinafter referred to as the new rural cooperative medical system), the people's reaction to the heavy burden of medical expenses for serious illnesses is still relatively strong.

    Serious illness insurance for urban and rural residents is an institutional arrangement that further protects the high medical expenses incurred by patients with serious illnesses on the basis of basic medical security, which can further amplify the effectiveness of protection, is an expansion and extension of the basic medical security system, and is a useful supplement to basic medical security. Carrying out this work is an urgent need to reduce the burden of medical expenses for serious illnesses of the people and solve the problem of poverty caused by illness and return to poverty due to illness; It is an intrinsic requirement to establish and improve a multi-level medical security system and promote the construction of a universal medical insurance system; It is an effective way to promote the interconnection and interaction of medical insurance, medical care and medicine, and promote the combination of the leading Suiqiao and the role of the market mechanism, and improve the level and quality of basic medical security; It is an important measure to further embody mutual assistance and promote social fairness and justice. We will further improve the medical security system for urban and rural residents, improve the multi-level medical security system, and effectively improve the level of protection for serious and extraordinarily serious diseases.

Related questions
20 answers2024-03-06

Among the 100 major diseases, it is a major acute disease.

9 answers2024-03-06

Health Care Administration.

In order to improve the unified basic medical insurance system and serious illness insurance system for urban and rural residents, continuously improve the level of medical security, ensure the rational use of medical insurance funds, safe and controllable, and promote the reform of medical care, medical insurance and medicine "three medical linkages" as a whole, so as to better ensure that patients have medical treatment, the institutional reform plan proposes that the basic medical insurance and maternity insurance responsibilities of urban employees and urban residents of the Ministry of Human Resources and Social Security, and the new rural cooperative medical responsibilities of the National Health and Family Planning Commission, The National Development and Reform Commission's drug and medical service management responsibilities, the Ministry of Civil Affairs' medical assistance responsibilities are integrated, and the National Medical Security Administration is established as a directly subordinate agency. >>>More

14 answers2024-03-06

No, didn't your insurance ** tell you clearly? If you get a mild critical illness first, you can pay 20% of the sum insured for the critical illness first, without affecting the payment of the critical illness sum insured. However, if you have a critical illness at the beginning, you can only pay for the cost of the critical illness once, and if the main insurance and the critical illness are not one-to-one, the balance after the main insurance minus the critical illness will be compensated.

11 answers2024-03-06

In this case, you should consult a specialist TCM doctor.

11 answers2024-03-06

Absolutely, with thorough surgery and postoperative assistance**, many patients can achieve complete**. The premise is that it must be in a regular hospital, the doctor is a professionally trained senior technical personnel, believe in the doctor, and check the information by yourself (if you really want to figure out medical problems, you have to start from the first layer of biochemistry, anatomy, cell biology, etc., and then learn the second layer of pathology, physiology, pathophysiology, etc., and then learn the third layer of internal and external women and children, etc., and then the fourth layer accumulates a lot of clinical experience, and the talent is generally not 5 to 10 years to learn). Competing with the knowledge of science popularization in middle schools and doctors often suffers a big loss. >>>More