Myocarditis is an inflammatory lesion of the heart muscle caused by various reasons, which may lead to damage and necrosis of heart muscle cells, thus affecting the normal function of the heart. The treatment of myocarditis requires an individualized treatment plan based on the specific condition, which generally includes medication, psychotherapy and lifestyle adjustment. Currently, myocarditis is covered by medical insurance in China, but specific reimbursement rates and limits may vary by region and policy.
Generally, medical insurance can reimburse a portion of the cost of medications, but the exact reimbursement rate and limit need to be determined by local policies. In addition, there are some commercial insurances that can provide medical coverage, but their specific terms and reimbursement rates may also vary depending on the insurer and the specific product. Therefore, if a patient with myocarditis needs treatment, it is recommended that he/she first consults with the hospital about the specific medical insurance policy and reimbursement rate, and learns about his/her medical insurance account and contribution status, so that he/she can receive medical insurance reimbursement in time for the treatment process.
Medical insurance coverage:
1, basic medical insurance drug reimbursement
Our country is now divided into three categories of drugs, which are in the scope of the medical insurance, so only A drugs can be used to reimbursement, while B and C can not be reimbursed;
2, the basic health care facilities reimbursement
This is the first time in the world that a medical insurance company has been able to reimburse a patient for the cost of medical care.
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 incurred bed fee, emergency bed fee, consulting fees, etc.;
3, the basic medical insurance reimbursement of diagnosis and treatment items
Must be safe and effective diagnosis and treatment, the charges are determined by the price department. You need to be treated in a designated medical institution.
Summary, myocarditis can be reimbursed by medical insurance, the specific percentage is different in each place.
Legal basis:
Article 28 of the Law of the People's Republic of China on Social Insurance
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, shall be paid from 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.