Is the cost of radiotherapy equipment reimbursed for serious illness

Radiotherapy can be reimbursed by medical insurance, and in the general outpatient department, it doesn't matter if the overall planning is **. It mainly regulates the reimbursement of expenses for special outpatient and inpatient visits.

However, the cost of radiotherapy depends on the type of medical insurance you have, which is a question of how much you pay. , special outpatient reimbursement refers to the reimbursement of ** expenses incurred in radiotherapy and chemotherapy for cancer and dialysis for uremia, excluding surgical costs. Reimbursement of hospitalization expenses refers to the reimbursement of general hospitalization expenses and the reimbursement of hospitalization expenses in the first 7 days after the occurrence of the emergency department.

Co-ordination**, it does not reimburse for general outpatient services, and the provisions for special outpatient and inpatient reimbursement are: reimbursement of 85%-97%, and the starting line is 1,300 yuan. The annual cumulative cost cap is 70,000 yuan.

Its reimbursement ratio is inversely proportional to the level of the hospital and directly proportional to the number of drugs prescribed. The higher the cost spent, the higher the reimbursement rate.

Reimbursement of radiotherapy equipment expenses for serious illness. Some reimburse more, some less.

1. What is the reimbursement ratio for radiotherapy?

1. The specific amount of radiotherapy reimbursement is related to many factors. At present, the medical policy of many cities is relatively relaxed, and radiotherapy patients can be reimbursed even if they are not hospitalized, and the proportion of medical insurance reimbursement is about 70%, and about 30% can be reimbursed if they are reimbursed in other places. Of course, the policies of each place are slightly different, so the specific reimbursement expenses are also obviously different.

Legal basisArticle 30 of the Social Insurance Law of the People's Republic of China The following medical expenses are not included in the scope of payment of basic medical insurance**

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

2) It should be borne by a third party;

3) should be borne by public health;

4) Seeking medical treatment abroad.

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.

2. What is the reimbursement ratio of outpatient insurance?

1. Outpatient insurance is the cost of outpatient treatment, which can be reimbursed, because social medical insurance is a type of insurance but not covered, especially in outpatient medical insurance, often does not play a big role, so if individuals want to pass on the economic risks brought by outpatient medical treatment, it is best to take the initiative to buy outpatient insurance for themselves. It is recommended that before applying for insurance, you must make a comprehensive estimate of the ** of this only celebration insurance, and try not to exceed the family's economic budget, so as not to affect the normal life of the family.

2. The general reimbursement of outpatient insurance is 80%, and medical treatment must be paid only if there is hospitalization. Accidental medical treatment is only covered by outpatient treatment. This type of insurance is actually similar to each company.

Accident medical insurance in outpatient insurance, which is responsible for the medical expenses incurred by the insured due to the accident injury, as an additional liability for the accident insurance. The sum insured can be the same as the basic insurance or can be agreed separately. Generally, medical insurance premiums are paid by compensation, not only to stipulate the insurance amount, that is, the payment limit, but also to stipulate the first period.

At present, only customized group insurance can be reimbursed for general outpatient services, and the number of insured people is also required.

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The Ministry of Health and Medical Services has adjusted the focus of rural medical security with 50,000 reimbursement of 40,000 yuan for radiotherapy. Most patients benefit the most because the state covers more than 20 major diseases, such as lung cancer and stomach cancer. The actual reimbursement rate of hospitalization expenses for patients with critical illnesses shall not be less than 70%, and can reach up to 90%.

According to the medical reimbursement ratio, that is to say, cancer patients within the reimbursement scope can be reimbursed 65% for treatment expenses of 8,000 yuan to 50,000 yuan, 80% for 5 to 80,000 yuan, and 90% for more than 80,000 yuan.

How much is the reimbursement of 50,000 for radiotherapy.

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The Ministry of Health and Medical Services has adjusted the focus of rural medical security with 50,000 reimbursement of 40,000 yuan for radiotherapy. Most patients benefit the most because the state covers more than 20 major diseases, such as lung cancer and stomach cancer. The actual reimbursement rate of hospitalization expenses for patients with critical illnesses shall not be less than 70%, and can reach up to 90%.

According to the medical reimbursement ratio, that is to say, for cancer patients within the scope of reimbursement, 65% of the cost of pre-treatment can be reimbursed for 8,000 yuan to 50,000 yuan, 80% for 5 to 80,000 yuan, and 90% for more than 80,000 yuan.

In the special outpatient clinics of China's medical insurance, the costs of radiotherapy and chemotherapy for various malignant tumors have long been included in the scope of medical insurance reimbursement. This time, in the "New Rural Cooperative Medical Compensation Technical Plan (Revised in 2018)" issued by the state, targeted drugs for ** malignant tumors were included in the reimbursement scope for the first time. For patients with chronic neutrophilic leukocytic disease and gastrointestinal stromal tumors, imatinib capsules (tablets) (trade name:

Ganico, Gleevec, Synvix), nilotinib capsules (Shang Chao Soyan product name: Dashina), dasatinib tablets (trade names: enisu, staxel), sunitinib capsules (trade name:

Sutan) these four chemotherapy drugs were included in the scope of NCMS compensation. In addition, RG3, a traditional Chinese medicine used in combination with chemotherapy, is now also included in the medical insurance.

Radiotherapy medical insurance can be reimbursed, when hospitalized**, if it is in the township hospital** in the insured place**, there is no need to apply for reimbursement, and when discharged, the hospital will handle the medical insurance reimbursement procedures. If it is an accident in a township hospital outside the insured place**, then after discharge, bring the medical record book, medical expense list, hospitalization invoice, discharge record, ID card, household registration book and other documents to the township hospital in the insured place for reimbursement.

The reimbursement process for hospitalization with a medical insurance card is as follows:

1. If the insured person wants to be reimbursed, then he can bring his medical insurance card to the designated hospital for treatment, and after the doctor's diagnosis, he can issue a certificate of admission.

2. The insured person can go through the hospitalization registration procedures at the hospital window and pay the medical expenses required by himself first.

3. The reimbursement materials include the original ID card of the person or the agent, the medical insurance card, the sick companion calendar, the admission certificate, the inspection report and other original materials to the local social security department for reimbursement.

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

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

2) It should be borne by a third party;

3) should be borne by public health;

4. Seeking medical treatment outside Lubianlu.

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

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be paid from the basic medical insurance in accordance with national regulations.

Chemotherapy and radiotherapy are covered by medical insurance. Most of the cost of chemotherapy is reimbursable. However, it is not fully reimbursed, and it is reimbursed according to the type of medical insurance and a certain proportion of the cover button. The specific reimbursement rate can be checked with the local social insurance agency.

Article 28 of the Social Insurance Law.

Medical expenses that meet the basic medical insurance drug catalog, diagnosis and treatment items, medical uniforms, and service facility standards, as well as emergency and rescue medical expenses, shall be paid from the basic medical insurance ** in accordance with national regulations.

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 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.