The cost of the ventilator mainly includes two parts:
1, the cost of oxygen, this part of the cost and the ordinary oxygen is the same, all belong to the category of reimbursement, in the health insurance catalog belongs to the category A reimbursement.
2, the cost of assisted respiratory ventilation, including non-invasive and invasive. However, both invasive ventilator-assisted ventilation and non-invasive ventilator-assisted ventilation are within the scope of reimbursement in the national health insurance catalog. Of course, for commercial insurance reimbursement, each region and each commercial insurance company may have corresponding regulations, but most of them refer to the national health insurance catalog, so generally can be reimbursed.
The cost of ventilator ventilation during hospitalization is reimbursable. The charges may vary from region to region due to different policies, but they should be covered by health insurance. However, when you use a ventilator in the hospital, you need to purchase the ventilator tubing and mask yourself, and this part of the cost cannot be fully reimbursed. If you are hospitalized several times during the year, and the medical expenses for the first hospitalization exceed the starting line, the expenses incurred for the second hospitalization will be calculated cumulatively and reimbursed in accordance with the regulations. If a person is hospitalized due to illness and is approved to be transferred to another hospital for continuous hospitalization, the medical expenses incurred for his/her hospitalization will be calculated cumulatively and reimbursed in accordance with the regulations, and the report will be settled once a month.
Legal basis:
The People's Republic of China*** and the State Social Insurance Law
Article 30
The following medical expenses shall not be included in the scope of payment by the basic medical insurance fund:
(1) Those that should be paid from the Workers' Compensation Insurance Fund;
(2) Those that should be paid by a third party;
(iii) should be borne by the public ****health;
(iv) medical treatment outside the country.
Medical expenses shall be borne by a third party in accordance with the law, and if the third party fails to pay or if the third party cannot be identified, the basic medical insurance fund shall pay in advance. The basic medical insurance fund shall have the right to recover the costs from the third party after the first payment.