Radiofrequency ablation medical insurance reimbursement rate

Medical insurance reimbursement, you need to go to the local cooperative medical management institutions or designated medical institutions medical insurance checkout window reimbursement.

The procedures include: ID card, medical insurance card, original invoice, medication list, medical records and other materials.

The reimbursement is based on a percentage, which usually fluctuates around 20-85%. The percentage and amount of reimbursement is related to your examination and medication, medical grade and other factors. An example will be clearer, Class A drugs can enjoy full reimbursement, Class C will need to pay all the out-of-pocket expenses, while Class B reimbursement of 80%, the proportion of 20% out-of-pocket.

Remember: the cost of the bed is not supported for reimbursement.

The cost of radiofrequency ablation surgery is generally covered by the medical insurance 60-70%, it is recommended to consult the local hospital.

The cost of radiofrequency ablation ranges from 10,000 yuan to 30,000 yuan, and is generally covered by 60-70% of the medical insurance, but the reimbursement rate is different in different regions, and the reimbursement rate of the medical insurance is also affected by the foreign medical treatment, so you need to consult with the hospital where you go.

Radiofrequency ablation surgery is commonly used in the clinic to treat uterine fibroids, cardiac arrhythmias, liver cancer, breast cancer, etc. Through the assistance of other imaging techniques, the electrode catheter is inserted into the corresponding location and targeted to dry and necrose the tumor or cardiomyocytes to achieve the therapeutic goal, which is more commonly used in the clinic and has better results.

The location of the corresponding, targeted to make the tumor or cardiomyocytes dry necrosis, to achieve the purpose of treatment, in the clinical use of more, the effect is also better.

It is recommended that patients consult their doctors in detail about the relevant information before undergoing the surgery, so as to be prepared and actively cooperate with the treatment.

It costs about $30,000 for a radiofrequency ablation procedure. If you already have social security, the reimbursement from social security is 60-70%. This is because the reimbursement rate is not exactly the same for hospitals in different areas. However, the out-of-pocket expenses for the radiofrequency ablation procedure are quite high, so the reimbursement may not be very high. Because of the different financial situation of different places, the implementation of some standards are also slightly different, according to the southeast coastal areas of Jiangsu, Zhejiang and Shanghai on the implementation of radiofrequency ablation is to bear 10-20% of the cost of the operation (there are also self-burdened 20-30% of the regional city) because of the different procedures require different instruments, generally speaking, according to the provisions of some of the surgical instruments, such as shunt wheel, punching holes in the device, coronary artery blocking needles, RF catheters are self-paying, of course, of course, different regions hospitals are not exactly the same reimbursement rate. The cost of these devices, including the disposable radiofrequency (RF) pen, will be covered by the patient's own expense.

Radiofrequency ablation surgery is commonly used in the clinic to treat uterine fibroids, cardiac arrhythmias, liver cancer, breast cancer, etc. Through the assistance of other imaging techniques, the electrode catheter is inserted into the corresponding location, targeting to make the tumor or cardiomyocytes dry and necrotic, so as to achieve the therapeutic purpose, which is used more often in the clinic, and the effect is better as well.

Basic medical insurance can not be fully reimbursed for the diagnosis and treatment items

1, diagnostic and treatment equipment and medical materials category are:

(1) x-ray computerized tomography device (ct), stereotactic radiography device, cardiac and angiography x-ray machine (including digital subtraction equipment), magnetic **** vibration imaging device (mri), single-photon emission electronic computer scanning devices (spect), color Doppler, linear gas pedal and other large medical equipment for examination and treatment. The deductible is 30% for examination items and 20% for treatment items.

(2) Extracorporeal shock wave lithotripsy, hyperbaric oxygen therapy, radiofrequency therapy, etc., will be covered at 20%.

(3) Individuals will pay 50% for the installation of various artificial organs and materials placed inside the body (e.g., pacemakers, artificial joints, artificial crystals, artificial larynx, artificial femoral head, artificial heart valves, vascular stents, etc.).

(4) 30% of the disposable medical materials that can be charged separately as stipulated by the price department of Sheng City.

2. Treatment Programs

(1) Hemodialysis and peritoneal dialysis: 10%.

(2) Kidney, heart valve, cornea, skin, blood vessel, bone and bone marrow transplantation 30% out-of-pocket.

(3) Cardiac bypass, cardiac catheter balloon dilatation, cardiac stenting, drainage, cardiac laser perforation, coronary angiography, cardiac electrophysiology radiofrequency ablation, anti-tumor cellular immunotherapy and fast neutron therapy, and a variety of interventional procedures pay 20% out-of-pocket.

Legal basis:

Article 24 of the Social Insurance Law of the People's Republic of China

The State establishes and improves the new rural cooperative medical system.

Methods for administering the new rural cooperative medical care shall be prescribed by the State Council.

Article 25 of the Social Insurance Law of the People's Republic of China

The State establishes and improves the basic medical insurance system for urban residents.

Basic medical insurance for urban residents is a combination of individual contributions and government subsidies.

The government shall subsidize the portion of individual contributions required by those who are entitled to the minimum subsistence guarantee, persons with disabilities who have lost the ability to work, and elderly persons over the age of sixty and minors from low-income families.

Article 26 of the Social Insurance Law of the People's Republic of China

The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be carried out in accordance with state regulations.