Is petct reimbursed?

Petct is not reimbursed by health insurance. Most of the medical insurance can not reimburse the costs associated with petct. petct is currently one of the accurate non-invasive examination of malignant tumors, although it can achieve the purpose of diagnosis, but due to the high cost of the examination, it has not been widely used. It is mainly used for checking the symptoms of suspected early tumors, differential diagnosis of benign and malignant tumors, and observation of the effect after tumor treatment. According to most of the health insurance related policies in China, petct has not been included in the health insurance reimbursement scope, so if the petct examination, the health insurance is not able to reimbursement, you need to pay the full out-of-pocket expenses.

No reimbursement. petct is the English abbreviation for positron emission tomography, an examination program that can be used to screen for cancer, and the cost is relatively high, with a full-body petct examination costing tens of thousands of dollars.

It is understood that at present petct has not been included in the scope of medical insurance reimbursement, the cost of this examination needs to be borne by the individual, the medical insurance will not be reimbursed. Because of the petct examination before the injection of a kind of imaging agent, some hospitals can reimburse this part of the cost.

How to get reimbursed for medical insurance

After visiting a designated outpatient hospital, you will first pay in cash. After paying in cash, bring your ID card, medical card and household register to the local health insurance management unit for reimbursement. Generally speaking, the reimbursement rate will be different in different areas, depending on the local policy.

From the above, it can be seen that petct has not been included in the scope of medical insurance reimbursement in our country, so, most of them can not be reimbursed.

Legal basis:

Social Insurance Law

Article 30 of the following medical expenses are not included in the scope of payment of the basic medical insurance fund:

(1) should be paid from the workers' compensation insurance fund;

(2) should be borne by a third party;

(3) should be borne by the public ****health;

(iv) if the medical treatment is sought outside the country.

Medical expenses shall be borne by a third person in accordance with the law, and if the third person fails to pay or if the third person cannot be identified, the basic medical insurance fund shall pay in advance. The basic medical insurance fund shall have the right to recover the costs from the third party after the first payment.