The cost of a ventilator is partially not reimbursable, and there are ways in which it can be reimbursed. But the cost of the ventilator, depending on the specific items charged, because it is a classification of charges, that is to say, specific to which charges, not all of the cost of the ventilator reimbursement, belonging to the scope of the reimbursement, to be reimbursed, does not belong to the reimbursement of the scope of the reimbursement, that is, need to pay for their own.
The ventilator is an artificially assisted breathing device that is widely used in clinical practice to treat a variety of causes of respiratory failure, and is one of the most important pieces of equipment. The cost of the ventilator mainly includes two parts:
1. The cost of oxygen, this part of the cost and ordinary oxygen is the same, all belong to the category of reimbursement, in the medical insurance catalog belongs to the category A reimbursement.
2. The cost of assisted respiratory ventilation, both non-invasive and invasive. However, both invasive ventilator-assisted ventilation and non-invasive ventilator-assisted ventilation are within the scope of reimbursement in the national health insurance catalog. Of course, for commercial insurance reimbursement, each region and each commercial insurance company may have corresponding regulations, but most of them refer to the national health insurance catalog, so generally can be reimbursed.
Legal basis:
The Social Insurance Law of the People's Republic of China
Article 2: The State establishes a system of social insurance for basic pension insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance, and so on, to guarantee the right to obtain material assistance from the State and the society according to law, in the case of old age, sickness, industrial injury, unemployment, and maternity, etc.
The State has established a system of social insurance, which is based on the principle that the State shall provide the public with the necessary resources to ensure the safety of the public. society in cases of old age, sickness, industrial injury, unemployment and maternity, in accordance with the law.
Article 23: Employees shall participate in basic medical insurance for employees, and the employer and the employee shall pay the basic medical insurance premiums in accordance with state regulations***.
Individual industrial and commercial households without employees, part-time workers who do not participate in the basic medical insurance for employees at their employing units, and other flexibly employed persons may participate in the basic medical insurance for employees, with individuals paying the basic medical insurance premiums in accordance with state regulations.
Article 24: The State shall establish and improve a new type of rural cooperative medical care system. The administration of the new rural cooperative medical care shall be regulated by the State Council.
Article 25: The State shall establish and improve the basic medical insurance system for urban residents. Basic medical insurance for urban residents is a combination of individual contributions and government subsidies.
The government shall subsidize the individual contributions required by persons enjoying the minimum subsistence guarantee, persons with disabilities who have lost the ability to work, and elderly persons over sixty years of age and minors from low-income families.
Article 26 of the basic medical insurance for employees, the new rural cooperative medical care and the basic medical insurance for urban residents in accordance with national regulations.