Tuberculosis Reimbursement Policy 2023

Tuberculosis Reimbursement Policy 2023 is a state policy that gives tuberculosis patients free chest X-rays after the 1st and 6 months, and free anti-tuberculosis medication every month.

Tuberculosis part of the drugs need to pay for their own money, if you have health insurance, most of the hepatoprotective drugs are reimbursed. Article 28 of the Social Insurance Law: medical expenses in line with the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical service facilities, as well as emergency and rescue, shall be paid from the basic medical insurance fund in accordance with state regulations.

Article 29: The part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be settled directly between the social insurance administration organization and the medical institutions and drug business units. The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.

Tuberculosis reimbursement process:

1, the patient needs to apply for tuberculosis medical insurance reimbursement to the local insurance center in advance, and apply for the relevant procedures in the hospital admitting and treating tuberculosis, and the hospital will complete the reimbursement application.

2. After completing the reimbursement application, the local insurance center needs to review the patient's TB condition and medical expenses.

3. After the audit, the local insurance center will pay the reimbursement fee directly to the hospital through cash or credit transfer.

4. Hospitals receiving reimbursements are required to provide the local insurance center with appropriate receipts to be reimbursed by the local insurance center.

5. If the reimbursement is insufficient, the patient will be responsible for the final payment, and the patient will be responsible for the portion of the reimbursement that exceeds the limit.

Reference: Baidu Encyclopedia - Social Insurance Law