Can kidney calculi gravel be reimbursed by medical insurance?

Kidney calculi gravel can be reimbursed by medical insurance. However, it needs to be judged according to the local medical reimbursement situation. Kidney calculi is usually covered by basic medical care, but not all expenses can be reimbursed. If the stones in kidney calculi are relatively small, they can usually be relieved by calculus-expelling drugs or extracorporeal lithotripsy, which belongs to outpatient treatment and usually cannot be reimbursed. If the stone is relatively large, surgery is needed to remove the stone, and hospitalization is needed after operation, which can generally be reimbursed by medical insurance. If you feel uncomfortable, see a doctor in time.

Medical insurance reimbursement process:

1. The agent submits the reimbursement documents and other materials to the social security agency for acceptance;

2. After receiving the application materials, the accepting department shall review, settle accounts and pay;

3. If the social security agency approves the application, the applicant will be reimbursed after receiving the "Social Medical Insurance Medical Expense Reimbursement Form".

Legal basis: Article 26 of People's Republic of China (PRC) Social Insurance Law.

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.