Pacemaker medical insurance reimbursement scope

Legal analysis: The installation of pacemakers is a relatively large operation, and the cost is relatively high. The reimbursement of medical insurance is limited. If the installed pacemakers are domestic, they belong to the scope of medical insurance, and they can be reimbursed. If they are imported pacemakers, they need to be reimbursed at their own expense. Generally, the reimbursement ratio is 6-8%, but it does not include materials and drugs at their own expense.

Legal basis: Scope of National Basic Medical Insurance Treatment Projects II. The scope of treatment projects and the proportion of self-payment paid by the basic medical insurance fund (I) Treatment equipment and medical materials 4. Artificial organs such as pacemakers (with a maximum payment limit of 2, yuan), intraocular lenses, artificial joints, artificial larynx, artificial femoral heads, etc., can be charged separately and the single price is more than 1,5 yuan (including 1,5 yuan). The individual pays 1% for domestic products, 15% for Sino-foreign joint venture products and 2% for imported products.