Medicare How leukemia is reimbursed

Leukemia is considered a serious illness, and after applying for serious illness medical insurance, you should bear about 20% of it, excluding self-financed drugs and self-paid items.

The reimbursement scope of urban medical insurance refers to all employers in urban areas:

1. Including enterprises (state-owned enterprises, collective enterprises, foreign-invested enterprises, private enterprises, etc.);

2. Organs, institutions, social organizations, private non-enterprise units and their employees must participate in basic medical insurance;

3.Some cities and towns stipulate that township enterprises and their employees, as well as owners of urban individual economic organizations and their employees, must be gradually included in the scope of basic medical insurance (the last one depends on the different policies of each locality) to enjoy medical reimbursement.

Hello! At present, leukemia has been included in the scope of medical insurance reimbursement, and generally you only need to provide the "Large Medical Pooling Expenses Declaration Form", hospitalization expense receipts, discharge summary, etc.

Legal analysis: Yes, at present, leukemia has been included in the scope of medical insurance reimbursement, and belongs to the category of serious illness insurance, if there is medical insurance, then, leukemia can be reimbursed, the reimbursement ratio is about 70%.

In addition, leukemia is a malignant tumor among the 25 major diseases stipulated by the National Insurance Regulatory Commission, and it can also be reimbursed by commercial critical illness insurance; Whether other types of commercial medical insurance can be reimbursed, you need to check the insurance terms to see whether leukemia is covered by protection and reimbursement.

People with a high incidence of leukemia include children born of close relatives who are married, long-term exposure to chemical drugs, poisons, gasoline, hair dyes, and illegal drugs** psoriasis, rheumatoid, etc., such people can apply for medical insurance serious illness insurance and commercial critical illness insurance.

Legal basis: "Social Insurance Law of the People's Republic of China" Article 74 Relevant units and individuals shall promptly and truthfully provide the data required for social insurance work obtained by social insurance handling agencies through business handling, statistics, and investigations.

The social insurance agency shall establish archives for the employer in a timely manner, record the social insurance data such as the persons participating in the social insurance and the payment of premiums in a complete and accurate manner, and properly keep the original vouchers for registration and declaration and the accounting vouchers for payment and settlement.

The social insurance agency shall timely, completely, and accurately record the personal rights and interests records such as the contributions made by individuals participating in social insurance, the contributions made by employers, and the enjoyment of social insurance benefits, and periodically send the individual rights and interests records to the person free of charge.

Employers and individuals may, free of charge, inquire and check the records of their contributions and social insurance benefits from the social insurance agencies, and request the social insurance agencies to provide social insurance consultation and other related services.

Law of the People's Republic of China on Basic Medical Care and Health Promotion

Article 82 The cost of basic medical services shall be mainly paid by basic medical insurance** and individuals. The state raises basic medical insurance through multiple channels in accordance with the law, and gradually improves the sustainable financing and security level adjustment mechanism of basic medical insurance.

Citizens have the right and obligation to participate in basic medical insurance in accordance with the law. Employers and employees shall pay basic medical insurance premiums for employees in accordance with national regulations. Urban and rural residents shall pay basic medical insurance premiums for urban and rural residents in accordance with regulations.

Article 83: The State shall establish a multi-level medical security system with basic medical insurance as the mainstay, supplemented by commercial health insurance, medical assistance, mutual medical care for employees, and medical charity services.

The State encourages the development of commercial health insurance to meet the diverse health security needs of the people.

The State has improved the medical assistance system to ensure that eligible people in need receive basic medical services.

Leukemia can be reimbursed by Medicare. Leukemia has been included in the scope of medical insurance reimbursement, and belongs to the category of serious illness insurance, if the party has medical insurance, then, leukemia can be reimbursed, the reimbursement ratio is about 70%. If it meets the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and medical expenses for emergency and rescue, it shall be paid from the basic medical insurance ** in accordance with national regulations.

Legal basisArticle 29 of the Social Insurance Law of the People's Republic of China.

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 institution and the drug business unit.

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.

Article 30. The following medical expenses are not covered by basic medical insurance**:

1) It should be paid out of work-related injury insurance**;

2) It shall be borne by a third party;

3) It should be borne by public health;

4) Seeking medical treatment outside the country.

Medical expenses shall be borne by the third party in accordance with the law, and if the third party does not pay or the third party cannot be determined, the basic medical insurance shall pay in advance. After the basic medical insurance** is paid in advance, it has the right to recover from a third party.

What are the conditions that must be met for medical insurance diagnosis and treatment?

1. Designated medical institutions provide designated medical services for the insured;

2. The charging standard shall be specified by the price part;

3. Clinical diagnosis and treatment projects must be safe, effective and reasonable.

If the basic limit is exceeded, then the social insurance department will reimburse 85% for the following 0-40,000 yuan, 90% for the 40,000-80,000 yuan and 95% for the more than 80,000 yuan. Legal basis

Article 27 of the Opinions on the Integration of the Basic Medical Insurance System for Urban and Rural Residents Insured residents in the overall planning of the basic medical insurance designated medical institutions within the scope of the policy within the scope of the hospitalization medical expenses, the minimum payment standard.

At present, leukemia has been included in the scope of medical insurance reimbursement, and belongs to the category of serious illness insurance, if there is insurance insurance, then, leukemia can be reimbursed, in addition, leukemia belongs to the State Insurance Regulatory Commission stipulates that the malignant tumor in the 25 major diseases, you can also apply for special insurance for serious illness, because leukemia costs more in the later stage, so this situation can also appear secondary reimbursement phenomenon.

Leukemia is a malignant tumour that is covered by health insurance

Leukemia is often referred to as blood cancer, which is a malignant disease that is extremely harmful to people's lives and health, but after scientific research, the condition of leukemia patients can also be controlled. Then if you get itCan leukemia be reimbursed

Can leukemia be reimbursed The social security includes 16 kinds of commonly used adjuvant drugs for tumor radiotherapy and chemotherapy, including the commonly used adjuvant drugs for radiotherapy and chemotherapy for malignant tumors based on analgesics, and the reimbursement amount and proportion have been significantly increased.

The source of leukemia is the abnormal functioning of the hematopoietic tissues in the bone marrow due to the mutation of intracellular deoxyribonucleic acid. Stem cells in the bone marrow can make thousands of red and white blood cells every day. People with leukemia overproduce immature white blood cells, which interferes with other work of the bone marrow, which reduces the ability of the bone marrow to produce other blood cells.

Leukemia can spread to lymph nodes, spleen, liver, central nervous system, and other organs.

It is understood that leukemia has been included in the scope of medical insurance reimbursement. With the development of medical technology, leukemia is not included in the scope of social security medical reimbursement in every province and city, and there are special reports in Beijing and some other provinces and cities.

Early symptoms of leukemia 1. Sternal tenderness.

Sternal tenderness is a symptom specific to leukemia that often persists with osteoarthralgia and is more common in children.

2. Fever. The body temperature can reach 38 39 , and the whole body aches. This fever is caused by a decrease in mature granulocytes in the blood and a decrease in immune function, such as pharyngitis, tonsillitis, pneumonia, pyelonephritis, etc., and can be accompanied by inflammation and ulcers of the eyes, ears, mouth, nose, oropharyngeal cavity, and the patient often feels tired.

3. Infection. The pathogen is more common in bacteria, and in the later stages of the disease, the likelihood of fungal infection gradually increases due to the prolonged lower-than-normal granulocytes and the use of broad-spectrum antibiotics. Viral infections are rare but dangerous and should be taken care of.

4. Bleeding. The bleeding site can be all over the body, with **petechiae, ecchymosis, gingival bleeding, nasal bleeding being the most common, and there can also be retina, intra-ear bleeding and intracranial, gastrointestinal, respiratory tract and other visceral hemorrhage, and often cause progressive anemia.

5. Anemia. It can occur early, and in a few cases, myelodysplastic syndrome (MDS) develops months or years before diagnosis and then develops into leukemia. Patients are often accompanied by symptoms such as fatigue, pallor, palpitations, shortness of breath, and edema of the lower limbs.