petct reimbursement rate
Eligible malignant tumors out-of-pocket expenses accumulated more than $10,000,000, up to $300,000, reimbursement of 90%; newly diagnosed and recurring malignant tumors within the insurance year can be entitled to one PET-CT examination reimbursement, reimbursement ratio of 60%! Really? Really? According to the latest "Notice on the Implementation of Zhuhai Supplementary Medical Insurance Additional Programs" issued by the Municipal Bureau of Human Resources and Social Security, Zhuhai will build up a multi-level medical insurance system in Zhuhai of "Basic + Supplementary + Additional Supplementary Insurance". Among them, the Supplementary Medical Insurance Supplementary Program will be formally implemented on January 1 next year. Individuals can voluntarily enroll in the program, with an annual premium of 190 yuan. Premiums can be purchased using the health insurance personal account funds or cash, personal account can be family **** relief. What are the add-ons? How strong is the coverage? Zhong Jinsong, director of the Zhuhai People's Hospital's health insurance department, explained that the Zhuhai City, the implementation of the additional supplemental program from four aspects of the reimbursement, and the strength is relatively large. 1, reimbursement of hospitalized medical expenses Participants in the social security year of the hospitalization of approved medical expenses incurred more than 600,000 yuan, within 1 million yuan of the part, reimbursement of 90%. That is to say, the Zhuhai basic health insurance is the maximum annual reimbursement of 720,000 yuan, such as hospitalization of participants more than 600,000 yuan, but also 400,000 yuan 90% reimbursement. 2. Reimbursement of out-of-pocket expenses 90% of out-of-pocket expenses for malignant tumors above 10,000 RMB and within 300,000 RMB will be reimbursed; PET-CT examination will be reimbursed for newly diagnosed and recurrent malignant tumors within the insured year, and the reimbursement rate will be 60%. The provisions of out-of-pocket expenses are anti-tumor drugs other than those listed in the Zhuhai Basic Medical Insurance Catalog, including chemotherapeutic drugs, targeted drugs, and immune preparations. 3. Reimbursement of out-of-pocket hospitalization expenses 90% of hospitalized medical expenses above 30,000 RMB and up to 300,000 RMB will be reimbursed. 4. Participants diagnosed with 10 major diseases for the first time Participants diagnosed with 10 major diseases for the first time will be given a cash subsidy of 20,000 RMB. Why PET-CT? "At present, many cancers are not diagnosed at an early stage by CT, magnetic **** vibration and other tests, and it is invasive to take a small part of the mass out of the patient's body for laboratory tests by surgery, puncture and other methods." Chen Jianglin, director of nuclear medicine at Zhuhai People's Hospital, explained that PET-CT, a perfect combination of PET and CT, through the former can be a detailed examination of the function of the foci as well as the metabolism of the examiner, while the latter can provide patients with precise anatomical localization of the foci. Therefore, the purpose of early detection of diseases can be realized under one imaging, which can clarify whether the tumor is benign or malignant, and whether the cancer cells have metastasis, etc., and it has higher accuracy, even close to the level of pathological extraction, and it is mainly used in the diagnosis of tumors and cardio-cerebral diseases at present. This is why PET-CT was the first to be included in the supplemental program as a major reason for medical coverage. PET-CT can be used to identify and locate cancers PET-CT can effectively identify tumors at an early stage and determine their location and severity in a short period of time. Doctors then use this valid information to locate the primary and metastatic foci of the tumor and determine the medication regimen. Evaluation of cancer and treatment of tumors Through this examination, it is possible to know how the tumor is recovering, whether there is any deterioration of the cancer, and to detect the activity of the cancer cells, and then use this information to choose the way to deal with the tumor by means of surgery, radiotherapy, or chemotherapy, etc. In general, for the treatment of cancer, the doctor can determine the location and severity of the tumor in a short time. All in all, it is very helpful for the treatment of cancer. PET-CT has a "genuine" version? PET/CT is a class A large-scale medical equipment, if you want to equip the "genuine", the medical institutions to the Ministry of Health in Beijing to defend, the provincial health administrative departments to participate in the demonstration review, in order to approve the configuration and use! Municipal People's Hospital is the introduction of PET-CT in 2014, is the only one in Zhuhai approved by the National Health Planning Commission, in line with the national quality control standards and obtain the license of the Provincial Health Planning Commission PET / CT equipment, so far, has done more than 3,000 cases of examination.