Legal analysis: Pacemakers can be reimbursed in most regions because most of them are imported, but the reimbursement ratio will be related to the types of pacemakers in the region and the medical insurance policy. Part can be reimbursed. The cost of pacemakers can be partially reimbursed by medical insurance. Medical equipment and medical materials within the scope of medical insurance: 1, X-ray computed tomography (CT), stereotactic radiotherapy (γ knife, χ knife), cardiac and angiographic X-ray machine (including digital subtraction equipment), nuclear magnetic resonance imaging device (MEI) and single photon emission computerized scanning device (SPECT). 2. Extracorporeal shock wave lithotripsy and hyperbaric oxygen therapy; 3. Pacemakers, artificial joints, intraocular lenses, vascular stents, etc. replace artificial organs in vivo and place materials in vivo; 4, the provisions of the provincial price department can be charged separately for disposable medical materials.
Legal basis: People's Republic of China (PRC) Social Insurance Law.
Thirtieth the following medical expenses are not included in the basic medical insurance fund payment scope:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(three) shall be borne by public health;
(4) Go abroad for medical treatment.
Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.
Thirty-first social insurance agencies may, according to the needs of management services, sign service agreements with medical institutions and pharmaceutical business units to standardize medical service behavior.
Medical institutions shall provide reasonable and necessary medical services for the insured.