Is kidney transplant reimbursable by Medicare? Which major medical insurance can be reimbursed?

Can kidney transplant health insurance reimbursement?

Kidney transplant is a major surgery, the cost before and after the surgery is very expensive, which most of the medical expenses can be reimbursed by health insurance, a small part is not reimbursed by health insurance.

The biggest single cost of a kidney transplant is the kidney source, which is not covered by health insurance for the time being. This cost is not necessarily how much, usually in the majority of 15-40 million, the biggest problem is that it is difficult to match to. Here is a more common situation, immediate family members donate, not only do not need the cost of kidney source, but also to avoid a relatively large rejection. Health insurance rules, immediate family members do organ donation, the donor's surgery costs are reimbursed. In addition to the kidney source, the hospitalization cost before and after the surgery is reimbursable by health insurance. This surgery is reimbursed by health insurance in accordance with the normal hospitalization cost reimbursement starting line, reimbursement rate and ceiling line. After reimbursement, you need to bear the cost of about 2-10 million, the hospital level, the city of different surgical costs are also different.

After successful kidney surgery, it is necessary to take lifelong medication for anti-rejection therapy. The purchase of anti-rejection therapy is usually purchased on an outpatient basis, outpatient reimbursement can only be reimbursed by applying for an outpatient special chronic disease. The application requirements for the chronic disease of anti-rejection treatment after organ transplantation are relatively simple, and only the case file of the transplantation surgery is required. After the application through the outpatient chronic disease in the health insurance system for the record, in the purchase of medication with a valid card and other documents can be directly in the hospital charge window settlement reimbursement.

Take Jiangxi as an example:

1, urban and rural residents health insurance outpatient chronic disease reimbursement rate is 70%, no starting line, the ceiling and hospitalization synchronization is 400,000 per year (basic medical + major medical insurance)

2, urban workers health insurance outpatient chronic disease reimbursement rate is 80%, no starting line, ceiling and hospitalization synchronization is 500,000 per year (basic medical + major medical insurance)

2, urban employees health insurance outpatient chronic disease reimbursement rate is 80%, no starting line, ceiling and hospitalization synchronization is 500,000 per year (basic medical + major medical insurance)

3, the outpatient chronic disease is the first time in the world that the outpatient hospitalization is the most important thing. p> Anti-rejection treatment after kidney transplantation many small counties in the central and western provinces do not have this level of medical care, often need to cross-provincial medical treatment, starting this year, all provinces in the country have realized the outpatient costs of cross-provincial medical treatment direct settlement, this chronic disease is one of the first to open the five types of diseases, after the record of cross-location medical treatment, outpatient medical treatment can be realized across the province direct settlement.

For uremia patients, the biggest problem of kidney transplantation is the source of the kidney, it is difficult to find a suitable source of kidney for transplantation can be matched, not long ago, announced a can be driven by blood pressure to achieve a long-term effective artificial mechanical kidney, although not formally approved for clinical use, but this is at least has been a great hope. The original this technology can be realized as soon as possible breakthrough, approved for clinical use and can be mass-produced, can once and for all solve the problem of uremia patients.