Cochlear implant medical insurance reimbursement?

Cochlear implants at this stage is able to reimbursement, cochlear implants have been included in the coverage of the basic social health insurance, because cochlear implants are mainly used for the treatment of ear inconvenience to patients, such as deaf and mute, etc., treatment of hearing loss and other conditions, if you need to carry out a cochlear implantation, you can in the appropriate designated hospitals for treatment, generally reimbursement of about 80%, some of the drugs are not involved in the reimbursement, you can according to their own circumstances You can choose the appropriate medication according to your situation. Cochlear implant is a new product in recent years, mainly used for the treatment of deafness symptoms, has been included in the basic health insurance reimbursement, the specific reimbursement can not be fully determined, lies in the choice of institutions and drugs related to the hospital, in the designated hospitals for reimbursement of the child is also higher, if in the non-formal hospitals or non-designated hospitals for treatment, there may be reimbursement. The amount of money is lower or not reimbursed.

A cochlear implant is an electronic device that restores or rebuilds a person's hearing function by directly exciting the auditory nerve through a system of electrodes implanted in the body. From a clinical point of view, it is an electronic device that can replace the function of the human ear, and is currently the main technology for the treatment of congenital severe or very severe hearing impairment, which converts external sound stimulation into neural bioelectricity to stimulate the auditory system and produce sound. If a patient has severe or very severe sensorineural thin, it can usually be treated by cochlear implant surgery. However, before the patient undergoes cochlear implant surgery, he/she needs to go to the hospital to have a relevant ear examination, including hearing, general condition, and so on. Hearing and speech rehabilitation training is needed after the surgery.

Legal basis:

Notice on the inclusion of cochlear implantation and other items into the scope of payment of basic medical insurance

Article 1

The 2 items of cochlear implantation and cochlear programming will be included into the scope of payment of the medical insurance of the region, and will be managed according to the category A items.

Article 2

The implanted equipment "cochlear implant + speech processor" used for hospitalization of insured persons shall be included in the scope of payment of basic medical insurance according to the standard of not higher than 56,500 yuan per set, and be managed according to the management of medical materials of category C. If the cost is lower than 56,500 yuan, it shall be paid according to the actual price; if the cost exceeds 56,500 yuan, it shall be paid according to the actual price. The cost of 56,500 yuan shall be borne by the insured person himself.

Article 3

The following conditions shall be met at the same time for inclusion in the scope of payment of basic medical insurance:

(1) The age of the insured person: 1-14 years old (including 14 years old).

(2) Diagnosed with "severe or extremely severe sensorineural deafness in both ears (hearing loss of 80 decibels or more in the good ear, including 80 decibels)", ineffective or ineffective use of hearing aids or other hearing aids, normal development of the hearing organs, and no cochlear lesions.

(3) No contraindications to surgery.

(d) No cochlear implantation.