Radioknife 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 reimbursed 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. Treatment needs to be carried out in designated medical institutions.
Medicare reimbursement conditions are:
1, the applicant has applied for insurance procedures, full payment of health insurance premiums, health insurance must be paid for six months before enjoying hospitalization reimbursement;
2, cooperative medical designated medical institutions for medical treatment;
3, participants in the record of the medical institutions for medical treatment of inpatient hospitalization medical expenses, and pay cash first, and save the relevant documents and information. and save the relevant documents and information.
To sum up, the insured person should seek medical treatment in the designated medical institutions, and the medical expenses for hospitalization with the medical insurance card can be settled directly at the settlement window of the designated hospital when he or she is discharged from the hospital. Medical fees for medical treatment or hospitalization not at a designated hospital will not be reimbursed.
Legal basis:
Article 2 of the Social Insurance Law of the People's Republic of China
The State establishes a social insurance system for basic pension insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance, and other social insurance systems, to safeguard the right of citizens to receive material assistance from the State and society in accordance with the law in the event of old age, sickness, industrial injury, unemployment, or childbirth.
Article 26
The standards of treatment for basic medical insurance for workers, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with the provisions of the State.
Article 28
Medical expenses that conform to the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical service facilities, as well as those for emergencies and salvages, shall be paid out of the basic medical insurance fund in accordance with the state regulations.