Hearing aids are not currently covered by medical insurance and cannot be reimbursed through medical insurance. In accordance with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, as well as emergency, rescue medical expenses, in accordance with national regulations from the basic medical insurance fund. According to the Social Insurance Law, medical expenses in accordance with the basic medical insurance drug catalog, diagnostic and therapeutic items, medical service facility standards, as well as emergency and rescue medical expenses shall be paid from the basic medical insurance fund in accordance with national regulations. Hearing aids belong to the range of medical devices, which are generally not covered by medical insurance at present.
Medicare reimbursement process:
1, under normal circumstances, the sick need to be hospitalized, take the medical insurance card, medical records to their designated hospital, you can use the medical insurance card settlement. That is, the self-pay part of their own payment, reimbursement part of the health insurance center and the hospital settlement;
2, if by their own designated hospitals to secondary or tertiary hospitals, with the health insurance card settlement;
3, the condition of the critical, hospitalized in a hospital that is not their own designated hospital resuscitation, within five days to the municipal health insurance center for the emergency medical resuscitation of the type of disease identified as an emergency rescue disease, identified as an emergency rescue disease, you can use the card in the The medical insurance card can be used to settle the bill at the hospital after it is recognized as an emergency rescue hospital;
4. If you are transferred to a foreign country for treatment, you can go through the referral procedures with the consent of the hospital and the medical insurance center. The expenses incurred in the field will be settled at one's own expense first, and after the end of the treatment, all the information will be reimbursed by the community labor security workstation;
5. The reimbursement of the medical insurance is calculated according to the proportion, which is generally ranging from 70%. The reimbursement rate and the amount of reimbursement are related to the examination and medication, medical grade and other factors;
6. When reimbursement is made, the insured person needs to prepare the relevant information used in the hospitalization, such as outpatient medical records, discharge records, discharge diagnosis (diagnosis of diseases), hospitalization invoices (outpatient invoices for outpatient cases), the total list of hospitalization expenses, the settlement of the medical insurance bill, and the hospitalization expenses for CT, ultrasound, ECG, and so on, if any.
7. Discharge settlement, after the submission of the relevant information, in the health insurance reimbursement window for reimbursement, after the audit, the amount of reimbursement will usually be in about 15 working days to the account.
Summary, although hearing aids are medical devices, they are not covered by Medicare for the time being and cannot be reimbursed. Medical insurance has certain regulations on the reimbursement of drugs and medical devices, such as Class A and Class B drugs are reimbursable, while some imported drugs and medical devices are not covered.
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 list, diagnostic and therapeutic items, standards of medical service facilities, as well as those for emergency and rescue, shall be 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.