Dialysis is a treatment for kidney diseases, which is covered by health insurance. According to the National Medicare Drug Catalog, dialysis fluid and dialyzer and other related equipment are included in the reimbursement scope of medical insurance. Meanwhile, the reimbursement rate and restrictions for dialysis treatment vary according to the health insurance policies of different regions.
Medicare reimbursement scope and standard:
1. Drugs are categorized into Class A, Class B and Class C drugs, of which Class A drugs are necessary for clinical treatment and widely used, and the drug costs of these drugs are fully reimbursed according to the proportion stipulated by the medical insurance. Class B drugs are first paid a certain percentage, and then reimbursed by the health insurance, the specific reimbursement rate is different in different places of the health insurance bureau regulations are different;
2, diagnosis and treatment items refers to the hospital for treatment, the use of medical instruments, equipment and medical materials, mainly two ways to reimbursement of the full co-ordination of all the items are all included in the health insurance reimbursement, according to the prescribed proportion of payment. The first part of the integrated project, is to pay a part of the first, and then reimbursement according to the prescribed proportion;
3, medical service facilities standard, refers to the hospital bed fee, outpatient hospital bed fee and so on, the reimbursement scope and standard is different from place to place. If the social security of the medical insurance reimbursement scope is for the medical insurance catalog within the project reimbursement, including drugs, diagnostic and treatment items and medical services facilities.
In summary, in addition to reimbursement by health insurance, dialysis treatment can also be reimbursed by commercial insurance. Dialysis treatment is also covered under the health insurance products offered by some large commercial insurers.
Legal basis:
Article 2 of the Social Insurance Law of the People's Republic of China
The state establishes a social insurance system for basic old-age pension insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance and other social insurance, and guarantees the right of citizens to receive material assistance from the state and society in accordance with the law in the event of old age, illness, industrial injury, unemployment and childbirth.
Article 28
Medical expenses that conform to the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical service facilities, as well as those for emergencies and salvages, shall be paid out of the basic medical insurance fund in accordance with state regulations.