1, radiofrequency ablation is usually reimbursed in the new rural medical insurance, but the reimbursement rate varies by region;
2, medical devices such as video ablation catheters and probes, especially imported devices, may not be reimbursed;
3, some of the devices for cardiac electrophysiology examination may also not be reimbursed.
4. The specific reimbursement rate and cost should be consulted with the local health insurance department, and the reimbursement rate varies according to the level of hospitals and regional differences;
5. The cost of the surgery is about 30,000 RMB, and the reimbursement rate of social security is usually 60-70%, but the specific rate should be determined according to the local policy;
6. Some devices used in the surgery, such as shunt wheel, punching hole device, coronary artery
7. For reimbursement procedures, you need to bring your ID card, health insurance card, original invoice, medication list, medical records and other materials to the health insurance checkout window.
Radiofrequency ablation medical insurance reimbursement policy:
1, reimbursement conditions: need to be based on the local NAC policy, whether the patient is eligible for reimbursement, such as the type of disease, the necessity of treatment, etc.;
2, reimbursement rate: the NAC reimbursement rate may be different in different areas, you usually need to check the local medical insurance policy;
3、Reimbursement process: after receiving radiofrequency ablation, patients need to submit the relevant medical expense vouchers for reimbursement according to the stipulated process;
4、Limit regulation: some areas of the NAC may have a limit on the reimbursement of radiofrequency ablation, and the exceeding part of the reimbursement may need to be paid for out-of-pocket;
5、Specialized hospitals: usually, only the radiofrequency ablation performed by the designated hospitals of the NAC can be reimbursement.
In summary, the reimbursement of radiofrequency ablation in the NNHI is complex and variable, usually reimbursable but the proportion is affected by the region, specific medical devices such as imported products may not be reimbursed, the cost of the procedure is about 30,000 yuan, the social security reimbursement is generally in the range of 60-70%, but based on specific local policies, and some of the devices may have to be self-payment, and the reimbursement procedures need to be provided with a complete set of materials.
Legal basis:
Social Insurance Law of the People's Republic of China
Article 2
The state establishes a social insurance system of basic pension insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance, etc., and guarantees the citizens' rights to obtain material assistance from the state and society according to the law in case of old age, illness, industrial injury, unemployment and maternity. rights.