-
Anonymous users2024-02-12- 85% reimbursement for less than 40,000 yuan;
90% reimbursement for less than 10,000-80,000 yuan;
95% reimbursement for more than 10,000 yuan.
12 types of serious illnesses are included in the medical insurance coverage for serious illnesses
1. Lung cancer; 2. Esophageal cancer.
3. Gastric cancer; 4. Colon cancer;
5. Rectal cancer;
6. Chronic myeloid leukemia;
7. Acute myocardial infarction;
8. Cerebral infarction;
9. Hemophilia;
10. Type 1 diabetes;
11. Hyperthyroidism;
12. Cleft lip and palate.
-
Anonymous users2024-02-11Cancer Medicare can cover it. In addition, some outpatient clinics** for cancer will be included in the management of special diseases, and there is a separate reimbursement policy. However, if you use imported drugs and other self-financed drugs for cancer, you cannot be reimbursed because self-financed drugs are not covered by reimbursement.
-
Anonymous users2024-02-10Legal analysis - 85% reimbursement for less than 40,000 yuan;
90% reimbursement for less than 10,000-80,000 yuan;
95% reimbursement for more than 10,000 yuan.
12 types of serious illnesses are included in the medical insurance coverage for serious illnesses
1. Lung cancer; 2. Esophageal cancer.
3. Gastric cancer; 4. Colon cancer;
5. Rectal cancer;
6. Chronic myeloid leukemia;
7. Acute myocardial infarction;
8. Cerebral infarction;
9. Hemophilia;
10. Type 1 diabetes;
11. Hyperthyroidism;
12. Cleft lip and palate.
Legal basis: Article 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 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.
-
Anonymous users2024-02-09How much can be covered by medical insurance for cancer** depends on the cost of the project. If the expenditure is less than 40,000 yuan, 85 percent can be reimbursed. If it costs between 40,000 and 80,000 yuan, 90 percent can be reimbursed.
If it costs more than 80,000 yuan, it can be reimbursed 95 percent. Medical insurance for urban residents is a medical insurance system that mainly involves urban minors and unemployed residents who have not participated in the medical insurance for urban employees. The reimbursement scope of domestic medical insurance stipulates:
1. Medical expenses for hospitalization**;
2. Medical expenses within 7 days before emergency observation and transfer to hospitalization**;
3. Medical expenses in line with the provisions of special diseases in outpatient clinics for urban residents;
4. Other expenses that meet the regulations;
Legal basis. Article 27 of the Social Insurance Law of the People's Republic of China Individuals who participate in the basic medical insurance for employees who reach the statutory retirement age and whose cumulative contributions reach the number of years prescribed by the State shall no longer pay the basic medical insurance premiums after retirement, and enjoy the basic medical insurance benefits in accordance with the provisions of the State; If the number of years prescribed by the state has not been reached, the fee can be paid until the number of years prescribed by the state.
-
Anonymous users2024-02-08The proportion of medical insurance reimbursement for cancer** expenses, the situation of the trembling finger shed is as follows:
85% will be reimbursed for less than 40,000 yuan, and 90% will be reimbursed for less than 40,000-80,000 yuan; 95% reimbursement for more than 80,000 yuan;
2. Except for those who seek medical treatment in non-designated hospitals without approval (emergency rescue);
3. Suffering from occupational diseases, work-related injuries or work-related injuries; Injuries caused by traffic accidents; Causing harm due to one's own violation of the law; In accordance with the provisions of the state and the city, medical expenses shall be borne by themselves, and will not be reimbursed.
12 types of serious illnesses are included in the medical insurance coverage for serious illnesses
1. Lung cancer; 2. Esophageal cancer.
3. Gastric cancer; 4. Colon cancer;
5. Rectal cancer;
6. Chronic myeloid leukemia;
7. Acute myocardial infarction;
8. Cerebral infarction;
9. Hemophilia;
10. Type 1 diabetes;
11. Hyperthyroidism;
12. Cleft lip and palate.
Cancer is a disease within the scope of reimbursement by medical insurance for serious illnesses, and those who meet certain conditions can apply for secondary reimbursement. The specific reimbursement ratio and reimbursement procedures are determined in accordance with local policies. There may be some differences in the proportion of cancer reimbursement between regions.
According to the relevant laws and regulations, it can be seen that the medical expenses that meet the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue shall be paid from the basic medical insurance ** in accordance with national regulations.
Legal basis.
Article 29 of the Social Insurance Law of the People's Republic of China stipulates that the part of the medical expenses of the insured persons that shall 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.
-
Anonymous users2024-02-07Summary. The amount reimbursed by cancer medical insurance is not fixed and depends on factors such as the specific health insurance policy and medical expenses, as well as the type of insurance and the scope of liability of the individual. In the vast majority of cases, cancer** is covered by medical insurance, such as surgery, radiotherapy, chemotherapy, and some adjuvant**.
However, it should be noted that different medical insurance policies are not the same in terms of the reimbursement ratio of cancer**, and some medical insurance policies also have restrictions such as hospital limits, so when using medical insurance to reimburse cancer** expenses, it is best to understand the policies and regulations in advance and consult a professional medical insurance consultant or insurance institution.
The amount reimbursed by cancer medical insurance is not fixed and depends on factors such as the specific health insurance policy and medical expenses, as well as the type of insurance and the scope of liability of the individual. In the vast majority of cases, cancer** is covered by medical insurance, such as surgery, radiotherapy, chemotherapy, and some adjuvant**. However, it should be noted that different medical insurance policies are not the same in terms of the reimbursement ratio of cancer**, and some medical insurance policies also have restrictions such as limited stool reputation and hospital admission, so when using medical insurance to reimburse cancer** expenses, it is best to understand the policies and regulations in advance, and consult a professional medical insurance consultant or insurance agency.
You've done a great job! Can you elaborate on that?
The amount reimbursed by cancer medical insurance is not fixed and depends on factors such as the specific health insurance policy and medical expenses, as well as the type of insurance and the scope of liability of the individual. In the vast majority of cases, cancer** is covered by medical insurance, such as surgery, radiotherapy, chemotherapy, and some adjuvant**. However, it should be noted that different medical insurance policies are not the same in terms of the reimbursement ratio of cancer**, and some medical insurance policies also have restrictions such as limited stool reputation and hospital admission, so when using medical insurance to reimburse cancer** expenses, it is best to understand the policies and regulations in advance, and consult a professional medical insurance consultant or insurance agency.
Cancer Medicare can cover it. In addition, some outpatient clinics** for cancer will be included in the management of special diseases, and there is a separate reimbursement policy. However, if you use imported drugs and other self-financed drugs for cancer, you cannot be reimbursed because self-financed drugs are not covered by reimbursement.
OK.
Co-ordination** is primarily responsible for reimbursement of special outpatient and inpatient expenses. However, the cost of radiotherapy depends on the type of medical insurance you have, and it is a question of how much to pay. Special outpatient reimbursement refers to the reimbursement of ** expenses incurred in radiotherapy and chemotherapy for cancer and dialysis for uremia, excluding surgical costs. >>>More
Maternity insurance** compensates the employer in the form of maternity allowance. Maternity allowance = 30 (days) of the average salary paid by the unit in the current month. Maternity Medical Expenses: >>>More
Critical illness insurance provides protection for eligible medical expenses that need to be borne by individuals after the compensation of urban residents' medical insurance and NCMS. The actual payment ratio is not less than 50%, and the actual reimbursement ratio can be as high as 95%, but the policies vary from place to place. The settlement is automatically reviewed and handled by the medical insurance department through the data system.
No, the cost of medicine required for gastroscopy is covered by medical insurance, and the anesthetic part required for gastroscopy is a self-paid item, which can be reimbursed within 500 yuan. Gastroscopy is generally not covered by medical insurance, so this is at your own expense, and you can be partially reimbursed for taking a prescription to a township health center to get medicine after the examination. >>>More