1 and PET-CT usually require patients to pay their own expenses;
2.PET-CT is often used for cancer screening, and the cost is high;
3. The developer's expenses can be partially reimbursed in some cases;
4. Patients still need to pay the main expenses of PET-CT examination at their own expense.
Reimbursement policy of medical insurance:
1, medical insurance reimbursement policy refers to a series of regulations and standards on medical expenses reimbursement formulated by national or local medical insurance management departments;
2. Reimbursement policies usually include reimbursement proportion, reimbursement scope, reimbursement conditions, reimbursement process and reimbursement limit;
3. Reimbursement ratio refers to the proportion of the self-paid part and the self-paid part of the medical insurance fund in the prescribed medical services and drugs;
4. The scope of reimbursement refers to the types of medical services and drugs that can be paid by the medical insurance fund, which usually includes outpatient service, hospitalization, special diseases and other different categories;
5. Reimbursement conditions refer to the requirements that the insured person needs to meet when enjoying medical insurance reimbursement, such as eligibility, hospital level, referral system, etc.
6. Reimbursement process refers to the process that the insured applies for reimbursement according to the prescribed procedures and steps after the occurrence of medical expenses;
7. Reimbursement limit refers to the maximum payment limit set by the medical insurance fund for different medical services and drugs, and the excess is borne by individuals.
To sum up, although PET-CT examination plays an important role in cancer screening, patients usually have to bear high examination expenses at their own expense because it is not covered by medical insurance reimbursement. Although the cost of imaging agent can sometimes be partially reimbursed, patients still have to pay most of the expenses.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 28
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.