Imported stents medical insurance reimbursement

Medical insurance for imported stents is generally available for reimbursement, for example, Million Dollar Medical Insurance and other medical insurance that can reimburse out-of-pocket expenses are available for reimbursement of medical expenses for imported stents. Medical insurance can generally reimburse the reasonable and necessary medical expenses incurred by the insured due to illness or accident. The policyholder/insured can carefully check the terms and conditions of the insurance contract when taking out the policy to see the specific scope of reimbursement, the scope of non-reimbursement, and so on, and do not blindly take out the policy.

Medicare refers to social health insurance. Social medical insurance is a social insurance system established by the state and society in accordance with certain laws and regulations in order to provide protection for the basic medical needs of workers covered by the insurance in case of illness. The basic medical insurance fund consists of a general fund and individual accounts. The basic medical insurance premiums paid by individual workers are all credited to individual accounts; the basic medical insurance premiums paid by employers are divided into two parts, one of which is credited to individual accounts and the other is used to establish a comprehensive fund. It is characterized by "low level and wide coverage".

Medical insurance reimbursement process:

1, the insured person should go to the designated medical institutions for reimbursement procedures;

2, submit ID cards, medical insurance card, disease diagnosis certificate, the original medical information;

3, belong to the scope of reimbursement of the medical insurance, by the medical institutions direct settlement.

At present, the domestic drug stent belongs to the material cost, generally 50% into the medical insurance reimbursement scope, imported stents need to be calculated separately. The stent belongs to the medical insurance reimbursement of diagnostic and therapeutic equipment and medical materials. The current domestic drug stent belongs to the material cost, generally by 50% into the health insurance reimbursement scope, imported stents need to be calculated separately. Imported stents need to be calculated separately. Imported stents cannot be fully reimbursed by social security. There are also some out-of-pocket medical expenses, generally deduct the starting standard money and balloon and stent fees, and other costs for hospitalization surgery, medicine, according to the provisions of health insurance, reimbursement at 85% to 90%.

Legal basis:

"The Chinese People's **** and the State Social Insurance Law"

Article 29 of the medical costs of insured persons should be paid by the basic medical insurance fund, by the social insurance agency and the medical institutions, pharmaceutical business units direct settlement. 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.

Article 26 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.