Brain pacemaker Hebei province health insurance can reimbursement

Yes. Pacemakers belong to the category of medical devices, which are used for the treatment of cardiac arrhythmia and other diseases. In China, the pacemaker is a medical device within the scope of the medical insurance catalog and can be reimbursed within the scope of the medical insurance. The Hebei Provincial Department of Human Resources and Social Security issued the Notice on Further Standardizing the Catalogue of Diagnostic and Treatment Items and Medical Service Facility Items for Basic Medical Insurance and Maternity Insurance in Hebei Province (2016 Edition), which stipulates that the maximum reimbursement limit for pacemakers is 30,000 yuan, with the excess to be borne by the insured themselves.

Conditions to be met for reimbursement of medical devices

1. After diagnosis and prescription by a doctor, it belongs to the indications within the scope of payment by medical insurance;

2. The types and models of pacemakers should be in line with the national standards and the provisions within the scope of payment by medical insurance;

3. The patients are required to provide the relevant medical certificates and prescriptions, etc., for the purchase and use of pacemakers. materials for medical insurance reimbursement.

In summary, brain pacemakers can be reimbursed by health insurance in Hebei Province.

Legal basis:

Social Insurance Law of the People's Republic of China

Article 2

The state establishes a social insurance system of basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance, etc., and guarantees the right of citizens to obtain material assistance from the state and society in old age, sickness, industrial injury, unemployment and maternity, etc., as provided for by law. rights.

Article 30

The following medical expenses shall not be included in the scope of payment by the Basic Medical Insurance Fund:

(1) those which should be paid from the Workmen's Compensation Insurance Fund;

(2) those which should be borne by a third person;

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

(4) those which are incurred in seeking medical treatment outside the country.

Medical expenses shall be borne by a third party in accordance with the law, and if the third party fails to pay or if the third party 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.