1, radiofrequency ablation procedure costs about 30,000 yuan; 2, social security reimbursement rate is generally 60-70%, but varies by region; 3, the southeast coast of Jiangsu, Zhejiang and Shanghai area patients usually pay 10-20% of the procedure costs out-of-pocket; 4, some of the instruments used in the procedure, such as shunt wheel, punching holes in the device, the coronary artery blocking needle, RF catheters, etc. are at your own expense; 5. Disposable RF pens (heads) are also at your own expense.
Radiofrequency ablation medical insurance policy:
1, medical insurance reimbursement scope: including drug costs, treatment costs, surgical fees, bed costs, etc.;
2, reimbursement conditions: need to comply with the medical insurance provisions of the disease and treatment projects;
3, reimbursement process: patients in the hospital, treatment, reimbursement of the medical insurance card and the relevant documents;
4, out-of-pocket expenses, the proportion of out-of-pocket expenses, such as shunts, perforators, coronary artery blocking needle, radiofrequency catheters, etc. are subject to out-of-pocket expenses.4, out-of-pocket expenses: according to the health insurance policy of different regions, the out-of-pocket expenses may be different;
5, limit management: some regions have annual or disease limits for radiofrequency ablation treatment.
In summary, the cost of radiofrequency ablation surgery is about 30,000 yuan, and the social security reimbursement rate is generally 60-70%, but due to regional differences, the out-of-pocket percentage of patients in Jiangsu, Zhejiang, and Shanghai areas in the southeastern coastal region is usually 10-20%, and the shunt wheel, perforator, coronary artery blocking needles, radiofrequency catheter and other instruments used in the surgery as well as the disposable radiofrequency pens (tips) are all out-of-pocket items.
Legal basis:
The Social Insurance Law of the People's Republic of China
Article 26
The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.