Medicare reimbursement is categorized and includes the following items:
1, general medical insurance. It mainly includes outpatient expenses, medical expenses, examination expenses and so on.
2. Hospitalization insurance. It mainly covers daily hospitalization fee, cost of utilizing hospital equipment, surgery cost, medicine cost and so on.
3. Surgical insurance. Provides for all expenses incurred due to necessary surgery required by the patient.
4. Comprehensive medical insurance. Its cost coverage includes all costs of medical treatment and hospitalization and surgery, etc.
5, special disease insurance. Certain special diseases often bring the patient a catastrophic cost payment, the average resident family can hardly afford. Examples include cancer and heart disease. Provide coverage for policyholders of major diseases, can be a single, such as malignant tumors, or even malignant tumors in a certain number of cancers.
Extended information:
Medicare drugs and non-medicare drugs have certain differences, and the reimbursement starting line varies according to the hospital level. Usually, Class A drugs can enjoy full reimbursement, while Class C requires full out-of-pocket expenses, and Class B reimbursement is 80% with a 20% out-of-pocket percentage.
For example, if a person spends 10,000 yuan in the hospital, 500 yuan will be deducted if he or she is admitted to a Level 1 hospital. If the person is admitted to a Level II hospital, $1,000 will be deducted. If it's a tertiary hospital admission, $2,000 is subtracted first, and that's the difference in the starting line.
Reference:
Baidu Encyclopedia-Medicare Reimbursement Scope