1, employee medical insurance can reimburse 80-95% of the expenses.
2. The reimbursement rate for residents' medical insurance or the new rural cooperative medical system is 65%.
3. Imported high-quality consumables used in coronary angiography, the proportion of medical insurance reimbursement is 30%, and domestic high-quality consumables are 50%.
Medical insurance reimbursement process of coronary CTA;
1. Choose a designated hospital for medical insurance: The reimbursement of coronary CTA hospitalization must be carried out in a designated hospital for medical insurance. You can check the nearby designated hospitals through the official website of the Medical Insurance Bureau or call the medical insurance hotline.
2. Go through the hospitalization procedures: go to the designated medical insurance hospital for coronary CTA hospitalization, go through the hospitalization procedures according to the doctor's advice, and inform the hospital that the hospitalization expenses of coronary CTA need to be reimbursed.
3. Pay expenses and ask for invoices: during hospitalization, pay relevant expenses according to hospital charges and ask for formal invoices for safekeeping.
4. Prepare reimbursement materials: prepare relevant materials for reimbursement of hospitalization expenses of coronary artery CTA before discharge, such as hospitalization invoices, hospitalization medical records, and relevant supporting documents issued by doctors.
5. Submit the reimbursement application: submit the prepared reimbursement materials to the medical insurance window or relevant departments of the designated medical insurance hospital, and the staff will inform the subsequent reimbursement process after reviewing the materials.
6. Waiting for reimbursement results: After submitting the reimbursement application, wait patiently for the medical insurance department to review and transfer the reimbursement to the personal medical insurance account within a certain period of time.
To sum up, the proportion and conditions of medical insurance reimbursement for coronary artery CTA vary with regions and medical insurance policies, and patients should determine reimbursement according to local specific regulations.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 28
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.