Medicare reimbursement process need to provide reimbursement bills and materials:
1, outpatient (emergency) clinic: receipts, drug prescriptions, checking and treatment cost details;
2, hospitalization costs: receipts, cost lists, statements, medical diagnosis certificate;
3, a variety of inspection and laboratory test reports must be attached to the list of details;
4, the health insurance has real-time settlement The reimbursement of the expenses need to fill out the "Application for Benefit Payment".
Medical insurance to pay part of the cost of diagnostic and treatment equipment and medical materials range:
1, the application of X-ray computed tomography device, stereotactic radiography device, cardiac and angiography X-ray machine (including digital subtraction equipment), nuclear magnetic **** vibration imaging device, single-photon emission computerized scanning device, color Doppler instrument, Medical linear gas pedal and other large medical equipment for examination, treatment programs;
2, extracorporeal shock wave lithotripsy and hyperbaric oxygen therapy;
3, pacemakers, artificial joints, artificial crystals, vascular stents in vivo replacement of artificial organs, in vivo replacement of materials;
4, provincial pricing departments can be charged individually for disposable medical materials.
In summary, pacemaker surgery, health insurance can be reimbursed, different hospitals reimbursement rate is different. Arrhythmia indications include high sinus bradycardia (heart rate less than 40 beats/min), 2nd degree type 2 AV block, 3rd degree AV block, and sick sinus node syndrome. Medical expenses are reimbursed after implantation of a permanent pacemaker in patients with indications. The percentage of pacemakers implanted in rural cooperative medicine is about 50 percent.
Legal basis:
Article 26 of the Social Insurance Law of the People's Republic of China
The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be carried out in accordance with state regulations.
Article 28
Medical expenses that are in line with the basic medical insurance drug catalog, diagnostic and treatment 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 the state regulations.