Herceptin is not reimbursable.
Medical insurance reimbursement ratio:
1, outpatient and emergency medical expenses: the portion of medical expenses exceeding 2,000 yuan or more in total that meet the scope of basic medical insurance during the year (January 1~December 31) of an active employee.
2. Settlement ratio: 50% reimbursement for the part of over 2,000 yuan for dispatched staff during the contract period, and 50% out-of-pocket payment by individuals; the maximum amount of outpatient and emergency reimbursement paid to dispatched staff is 20,000 yuan cumulatively in a year.
3. Participants should keep the outpatient medical receipts (including receipts and prescription bottoms) of the outpatient treatment at the designated hospitals as proof of reimbursement of medical expenses.
Expanded information:
Where the object of participation, the reimbursement process is as follows:
(a) Participating farmers holding the "New Farmers' Cooperative Card" in the fixed-point institution outpatient treatment, by the fixed-point health care institutions in accordance with the "New Farmers' Cooperative Card" family outpatient account clinic account of the existing amount of direct medical fee waiver, beyond the Department of the participant farmers to self-pay. The fixed-point medical institutions should settle the bill with the Farmers' Medical Institute in a timely manner.
(2) participating farmers in the city, county, township designated medical institutions hospitalization, by the designated medical institutions for direct subsidies. The fixed-point medical institutions will audit the medical expenses incurred by them and advance the amount of subsidy payable according to the standards stipulated in the implementation measures.
Participating farmers hospitalized in provincial fixed-point medical institutions and non-fixed-point medical institutions are compensated by the township agricultural medical institutions. Their hospitalization medical expenses in a lump sum of less than 2,000 yuan (including 2,000 yuan) by the township (township) Agricultural Medical Office review and reimbursement, more than 2,000 yuan or hospitalization information in doubt by the township (township) Agricultural Medical Office review and submit to the county Agricultural Medical Bureau review and approval before reimbursement.
Baidu Encyclopedia - Medical Insurance