Radio Knife is the world's newest stereotactic whole-body radiosurgery treatment device. It can treat tumors in all parts of the body, but it is not yet reimbursable by Medicare.
Medical insurance coverage:
1, basic medical insurance drug reimbursement. The country is now divided into three categories of drugs: A, B and C, of which Category A drugs are within the scope of medical insurance, so only Category A drugs can be reimbursed by medical insurance, while Category B and C can not be reimbursed;
2, the reimbursement of basic medical service facilities. This reimbursement scope mainly refers to the insured person, in the medical insurance designated institutions for diagnosis and treatment and nursing care, in the process, the bed fee, emergency bed fee, consulting fees, etc.;
3, the basic medical insurance diagnosis and treatment program reimbursement. It must be a safe and effective diagnosis and treatment, and the charges are determined by the price department. You need to be treated in a designated medical institution.
In summary, the radio wave knife medical insurance is not reimbursable.
Legal basis:
Article 28 of the Social Insurance Law of the People's Republic of China
Medical expenses that are in line with the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical service facilities, as well as those for emergency and rescue, are paid out of the basic medical insurance fund in accordance with state regulations.
Article 29
The portion of the medical expenses of insured persons 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.