Is human immunoglobulin covered by medical insurance millions?

Human immunoglobulin is not covered by medical insurance, it is self-paying.

All those within the reimbursement scope stipulated by the state can be reimbursed, and human blood albumin is covered by medical insurance. The use of blood and protein products by insured persons can be included in the scope of payment of basic medical insurance**. The indications are as follows:

1. Blood: first aid and rescue can use blood hole liquid;

2. Human blood albumin: plasma protein decline caused by liver cirrhosis, nephrotic syndrome and severe burns, scalds, etc., artificial ventilator for respiratory failure, severe pulmonary edema and most of the liver resection, etc., plasma albumin less than 3g per d1 can be used for human blood albumin. For the use of human blood albumin, a plasma protein test report must be provided within 5 days before use;

3. Immunoglobulin: patients with congenital or acquired immunoglobulin hypoplabulin with severe infection (6-month wind immunoglobulin examination report is required for trembling excavation) and immune thrombocytopenic purpura with other **ineffective platelets less than 20,000 divided by 1, and severe bleeding that is life-threatening or requires emergency surgery**. The immune system is composed of immune tissues, organs, immune cells, and immune-active molecules.

Immunoglobulins are a class of immunoactive molecules, and immunoactive molecules include immune cell membrane molecules, such as antigen recognition nuclear receptors, differentiated antigens, major histocompatibility molecules, and some other receptor molecules. It also includes molecules synthesized and secreted by immune and non-immune cells, such as immunoglobulin molecules, complement molecules, and cytokines. Immunoglobulin is a chemically structured concept. The chemical basis of all antibodies is immunoglobulins, but immunoglobulins do not all have antibody activity.

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.

Legal analysis: can be reimbursed, full reimbursement of medical insurance class A and class B drugs are reported at 70-80.

Legal basis: Social Insurance Law of the People's Republic of China

Article 1: This Law is formulated on the basis of the Constitution so as to regulate social insurance relations, to preserve the lawful rights and interests of citizens to participate in social insurance and enjoy social insurance benefits, to enable citizens to share the fruits of development, and to promote social harmony and stability.

Article 2: The State shall establish social insurance systems such as basic endowment insurance, basic medical insurance, work-related injury insurance, unemployment insurance, and maternity insurance, to protect citizens' right to receive material assistance from the State and society in accordance with the law in the event of old age, illness, work-related injury, unemployment, childbirth, etc.

Article 3 The social insurance system adheres to the principle of covering the whole country, ensuring the basics, multi-level and sustainable, and the level of social insurance shall be commensurate with the level of economic and social development.

Legal analysis: Immunoglobulin medical insurance cannot be reimbursed, and can only be reimbursed if you have accident medical insurance.

Legal basis: Article 28 of the Social Insurance Law of the People's Republic of China Article 28 Medical expenses that meet the standards of basic medical insurance drug lists, diagnosis and treatment items, medical service facilities, and emergency and rescue shall be paid from the basic medical insurance in accordance with national regulations.

Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by the risk of disease.

Through the employer and individual payment, the establishment of medical insurance**, after the insured person is sick and incurs medical expenses, the medical insurance institution will give him a certain amount of economic compensation.

The establishment and implementation of the basic medical insurance system gathers the economic strength of the unit and the members of the society, coupled with the best funding, which can enable the sick members of the society to obtain the necessary material help from the society, reduce the burden of medical expenses, and prevent the sick members of the society from becoming poor due to illness.

Social Insurance Law of the People's Republic of China

Article 7. The social insurance administrative department is responsible for the social insurance administration of the whole country, and other relevant departments are responsible for the relevant social insurance work within the scope of their respective duties. The local people's social insurance administrative departments at or above the county level are responsible for the social insurance management work in their respective administrative regions, and other relevant departments of the local people's social insurance at or above the county level are responsible for the relevant social insurance work within the scope of their respective duties.

Because immunoglobulin is an immune-enhancing drug and is not a product covered by medical insurance, if you have purchased accident medical insurance, immunoglobulin can be reimbursed, because accidental medical insurance is a commercial insurance with a wider coverage. It is recommended that you go to the local medical insurance department to consult a professional in detail to see if you can add it to the necessary drugs for your child's condition.

Scope of medical insurance reimbursement.

1. The reimbursement of the medical insurance card is limited to the medical expenses above hospitalization caused by illness and some accidents in designated hospitals. The reimbursement formula is: (total cost - threshold fee - out-of-pocket - overrun expenses) * (75 + age *, under normal circumstances, the actual reimbursement ratio varies from 20 to 60%.

Self-financed drugs are not reimbursed, 80% of Class B drugs are reimbursed, there is a limit on bed fees, and some examination fees and diagnosis and treatment fees according to regulations cannot be reimbursed.

2. The reimbursement amount of the medical insurance card is 4 times the average salary of local social workers (the cumulative value within 1 year).

3. The money in the medical insurance card can be used to buy drugs and pay for outpatient and emergency expenses at designated pharmacies, but it does not belong to the reimbursement category, because the money in the medical insurance card is the money in the personal account of the medical insurance.

4. After the serious illness insurance reimburses the insured person for serious illness, the personal self-responsibility part that occurs in the designated medical institutions of the city's medical insurance and meets the provisions of the city's medical insurance shall be included in the payment scope of the residents' serious illness insurance, and 50% will be reimbursed by the serious illness insurance funds. i.e., reimbursement amount = 50% of the deductible

Legal basis

Social Association Insurance Law of the People's Republic of China

Article 2: The State shall establish social insurance systems such as basic endowment insurance, basic medical insurance, work-related injury insurance, unemployment insurance, and maternity insurance, to protect citizens' right to receive material assistance from the State and society in accordance with law in the event of old age, illness, work-related injury, unemployment, childbirth, and so forth.

Article 25 The State shall establish and improve the basic medical insurance system for urban residents. The basic medical insurance for urban residents implements a combination of individual payment and subsidy. Those who enjoy the minimum living guarantee, the disabled who have lost the ability to work, the elderly over the age of 60 and minors from low-income families, etc., will be subsidized by **.

Article 28 In line with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and emergency and rescue medical expenses, in accordance with the provisions of the state from the basic medical insurance ** payment.

Article 20 of the nine articles of the insured person's letter and filial piety medical expenses should be paid by the basic medical insurance**, by the social insurance agency and medical institutions, drug business units directly settled.

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.

Legal analysis: Immunoglobulin can not be reimbursed by normal medical insurance, because immunoglobulin is a drug that enhances the ability to guess the epidemic, and does not belong to the product within the scope of medical insurance. If you need to make a reimbursement, it is best to prepare the relevant documents in advance.

Legal basis: Social Insurance Law of the People's Republic of China

Article 28 In line with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and emergency and rescue medical expenses, according to the provisions of the State from the basic medical insurance **.

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 departments of social insurance and health shall establish a system for the settlement of medical expenses for medical treatment in other places to facilitate the enjoyment of basic medical insurance benefits by insured persons.