2022 tomo radiotherapy can be reimbursed?

The cost of a single course of treatment in the 50,000-10,000 yuan, tomo knife has been into the scope of medical insurance, Beijing local patients can be reimbursed 40% of the cost, the cost of other areas will have to depend on the local medical insurance bureau regulations.

TOMO knife, as a good radiotherapy equipment, has more advantages than the gamma knife and other radiotherapy equipment, its treatment indications are wider, bringing less side effects, and the treatment only takes 3-8 minutes. And Beijing Air General is also able to provide professional standardized treatment.

Tomo radiotherapy system is a new advanced equipment for the treatment of tumors, combined with computerized body image navigation, omni-directional coverage and thus killing cancer cells within the range. tomo radiotherapy has the advantage of higher dosage conformity, more accurate intensity adjustment, wider therapeutic range and fewer links compared with other treatment methods.

tomo radiotherapy system is a combination of imrt and igrt, all-round spiral conformity, accurate positioning of cancer cells through the image reflecting the size and shape of cancer cells, and quantitatively and accurately project the drug onto the cancer cells, thus killing the cancer cells.

Tomo is an advanced tumor treatment technology because its irradiation range is wide enough and long enough to continuously probe the patient's body and facilitate treatment.

Medicare reimbursement instructions:

1, the use of special medical materials or the use of disposable medical materials with a unit price of more than 1,000 yuan, as well as for the installation and replacement of artificial organs, 90% of which will be paid for by the basic medical insurance fund according to the price of the domestic universal model

2, dialysis on an outpatient basis in the case of chronic renal failure, and the use of anti-rejection medicines in the outpatient clinic after organ transplantation, and the use of anti-rejection medicine in the case of malignant tumors. The basic medical expenses for chemotherapy, radiotherapy, interventional therapy or nuclide therapy for malignant tumors on an outpatient basis shall be paid 90% by the Basic Medical Insurance Coordination Fund.

3. 80% of outpatient special examination and treatment costs will be paid by the Basic Medical Insurance Coordination Fund, and individuals will pay 20% out of pocket

4. Continuous contributions are linked to the reimbursement rate, which is increased to 71% after two years of continuous enrollment, and 72% after four years of continuous enrollment, and so on.

Legal basis:

The Social Insurance Law of the People's Republic of China

Article 28

Medical expenses that conform to the basic medical insurance drug catalog, diagnostic and therapeutic items, and medical service facility standards, as well as those for emergencies and salvages, shall be paid out of the basic medical insurance fund in accordance with state regulations.

Article 29

The portion of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be settled directly between the social insurance administrative organization and the medical institutions and drug business units. The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.