Can breast cancer chemotherapy be covered by medical insurance?

Legal analysis: Although breast cancer chemotherapy can be reimbursed, it cannot be reported because not all the expenses can be reimbursed in this aspect, and some of them involve the use of instruments for examination. Moreover, breast cancer is within the scope of major diseases, so in terms of expenses, about 60% of the expenses can be reimbursed, and the remaining 40% is borne by yourself.

Medical insurance has clear provisions on medical insurance drugs that are eligible for reimbursement. Imported drugs, if they must be imported, and the country does not have alternative drugs, can also be reimbursed. General imported drugs are not covered by reimbursement.

For specific reimbursement matters, please go to your local regular hospital or pharmacy for details. 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 basis: Social 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 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with the provisions of the State.

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

Hubei Yangxin People's Hospital replied that the reimbursement of chemotherapy for breast cancer can be partially reimbursed in the early stage, and part of the reimbursement can be made in the late stage, that is, there is no reimbursement in the middle and late stages. Is this true?

However, in different regions, the reimbursement ratio will also be different, and the specific reimbursement ratio depends on the local policy regulations. Therefore, the insured person can call the local social security center** for consultation.

Legal basis: Social Insurance Law of the People's Republic of China Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with national regulations.

Legal analysisCancer chemotherapy can be reimbursed by medical insurance. Cancer medical insurance can be reimbursed, when hospitalized**, in the insured township hospital**, there is no need to handle the reimbursement, when the hospital is discharged, the hospital will handle the medical insurance reimbursement procedures.

If it is a hospital outside the township 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 insured place as long as it is within the scope of medical insurance, you can go through the reimbursement procedure, the reimbursement ratio will be different according to the type of medical insurance, and the reimbursement ratio of each local hospital will also have a gap. Cancer is a major disease, and the cost of chemotherapy is covered by reimbursement.

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 medical expenses for emergency and rescue, in accordance with national regulations from the basic medical insurance **.

Summary. Hello dear, happy to answer your <>

The cost of chemotherapy for RU adenocarcinoma is very expensive, and patients with RU adenocarcinoma often need multiple chemotherapy treatments to control the disease, which is a great financial burden for patients, and medical reimbursement can relieve some of the pressure. The proportion of reimbursement costs is generally more than 30%, which can greatly alleviate the financial burden of patients, and the reimbursement of chemotherapy costs can reach 70% or 80% in some cities.

Is breast cancer chemotherapy reimbursed?

Hello dear, I am happy to answer the <> for you

The cost of chemotherapy for RU adenocarcinoma is very expensive, and patients with RU adenocarcinoma often need multiple chemotherapy treatments to control the disease, which is a great financial burden for patients, and medical reimbursement can be praised or leaked to relieve part of the pressure. The proportion of reimbursement is generally more than 30%, which can greatly alleviate the financial burden of patients, and the reimbursement of chemotherapy in some cities can reach 70% or 80%.

As long as the patient has done a medical cooperation project, RU adenocarcinoma can be reimbursed when chemotherapy is performed, which is clearly required by the country, as long as the patient is a real RU adenocarcinoma patient, not only the chemotherapy can be reimbursed, but also a part of the usual ** expenses can be reimbursed.

Can I be reimbursed? Visiting a doctor in another place.

Dear, Hui Hebao can be reimbursed.

Reimbursement process: If hospitalization occurs in the case of medical insurance reimbursement in other places, it is necessary to report to the local medical insurance bureau for the record, and when discharged, with the hospital's diagnosis certificate, discharge summary, medication schedule, medical expense receipt, and medical guarantee, go to the local medical insurance bureau to handle the settlement of inpatient medical expenses.

However, not all expenses are reimbursable. In particular, it is not possible to reimburse certain drugs or certain examinations. Overall, breast cancer patients are generally only able to reimburse 60% of the expenses, and the rest of the expenses need to be paid by themselves.

Medical insurance refers to social medical insurance. Social medical insurance is a social insurance system established by the state and society in accordance with certain laws and regulations to provide basic medical needs for workers within the scope of protection in case of illness.

The basic source of the royal medical insurance** is composed of co-ordination** and individual accounts. The basic medical insurance premiums paid by individual employees are all included in personal accounts; The basic medical insurance premium paid by the employer is divided into two parts, one part is transferred to the personal account, and the other part is used to establish the overall plan**.

The personal account of medical insurance is a special account set up according to the basic medical insurance policy to store the medical insurance premiums paid by the insured and the funds allocated in a certain proportion of the employer's payment, and to record the medical consumption. Funds in the personal account are used to cover the out-of-pocket costs of medical treatment and drug purchases.

The characteristics of rural cooperative medical care are:

1. Cooperative medical care is guaranteed to rural residents.

2. Cooperative medical care is based on the principle of mass voluntariness.

3. Cooperative medical care is based on the collective economy.

4. Cooperative medical care is based on a full range of services.

Legal basis

Social Insurance Law of the People's Republic of China

Article 61: Institutions for the collection of social insurance premiums shall collect social insurance premiums on time and in full in accordance with law, and periodically inform employers and individuals of the payment of premiums.

Article 62 Where an employer fails to declare the amount of social insurance premiums to be paid in accordance with regulations, the amount to be paid shall be determined according to 110 percent of the amount paid by the unit in the previous month; After the payment unit completes the declaration formalities, the social insurance premium collection agency shall settle the settlement in accordance with the regulations.

Article 63 Where an employer fails to pay social insurance premiums in full and on time, the social insurance premium collection agency shall order it to pay or make up the amount within a time limit.

If the employer fails to pay or make up the social insurance premiums within the time limit, the social insurance premium collection agency may inquire about its deposit account with banks and other financial institutions; They may also apply to the relevant administrative departments at or above the county level to make a decision on the allocation of social insurance premiums, and notify their depositary banks or other financial institutions in writing to allocate social insurance premiums. If the balance of the employer's account is less than the social insurance premiums to be paid, the social insurance premium collection agency may require the employer to provide a guarantee and sign a deferred payment agreement.

If the employer fails to pay the social insurance premiums in full and fails to provide a guarantee, the social insurance premium collection agency may apply to the people's court to seize, seal up or auction the property whose value is equivalent to the social insurance premiums to be paid, and use the auction proceeds to offset the social insurance premiums.