The health insurance reimbursement for coronary CTA (coronary computed tomography angiography) is as follows:
1. Outpatient coronary CTA: If you have a coronary CTA test in an outpatient clinic, you can pay for it directly by using your health insurance card, which is owned by the individual.
2. Inpatient coronary CTA: If coronary CTA is performed during hospitalization, health insurance can cover part of the cost. The specific reimbursement rate and process may vary from region to region, and you need to follow the local health insurance policy.
3, reimbursement conditions: Coronary CTA as an inpatient examination, must be the doctor according to the patient's condition to determine the necessary inspection items. The examination needs to be carried out in the medical insurance designated hospital, and must have the relevant supporting documents issued by the doctor of the medical 4, insurance designated hospital.
5, reimbursement materials: before discharge, you need to prepare the relevant materials for reimbursement of coronary CTA hospitalization expenses, such as hospital invoices, hospitalization medical records, and relevant supporting documents issued by the doctor, etc., and submit them to the window of the health insurance window of the designated hospitals or the relevant departments for review.
Coronary CTA reimbursement process:
1, choose the designated hospital: coronary CTA hospitalization reimbursement must be carried out in the designated hospital.
2, consultation and hospitalization: go to the medical insurance designated hospital for coronary CTA hospitalization, according to the doctor's recommendation for hospitalization, and inform the hospital of the need to reimbursement of coronary CTA hospitalization costs.
3. Pay the fee and ask for an invoice.
4. Prepare reimbursement materials.
5. Submit the reimbursement request.
6. Wait for the reimbursement result.
In summary, the cost of coronary CTA is about 1,500 yuan, and whether or not it can be reimbursed by health insurance depends on the local health insurance policy and the type of health insurance the patient has. Patients should consult and confirm with their personal situation and the specific health insurance policy of their region.
Legal basis:
The Social Insurance Law of the People's Republic of China
Article 28
Payment of medical expenses by the basic medical insurance fund shall be in accordance with the catalog of medicines, the catalog of diagnostic and therapeutic items, and the standards of service facilities for basic medical insurance. The specific scope and standard of payment shall be formulated by the State Council's administrative department of medical insurance in conjunction with the State Council's financial department.
Article 29
The portion of the medical expenses of the insured that shall 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.