What is the reimbursement rate for chemotherapy?

Chemotherapy is 65438+ 10,000 yuan. If this drug is within the scope of social security reimbursement, the reimbursement ratio will generally be between 40% and 90%, usually not less than 40% and not more than 90%. The actual situation depends on the actual reimbursement ratio of this drug in the local hospital.

When reimbursing, you must bring the following information:

1, original ID card or social security card;

2, the original certificate of disease diagnosis issued by the designated medical institutions;

3, outpatient medical records, inspection, test results report and other original medical information;

4. Original receipt of outpatient charges of medical institutions with unified finance and taxation;

5. The detailed list of outpatient expenses printed by the hospital computer or the original payment of prescriptions issued by doctors;

6. Designated pharmacies: unified original invoices and computer-printed sales lists of taxable goods;

7. If it is an agent, you need to provide the original ID card of the agent.

Reimbursement process: bring all the above information to the relevant departments of the local social security center for application. Upon examination, if the information is complete and meets the requirements, it can be handled immediately. When applying for reimbursement of outpatient medical expenses, the applicant should first deduct the amount transferred to the personal account of medical insurance in this social security year, and then verify the amount to be reimbursed.

Medical insurance reimbursement process for different hospitalization reasons:

1. Sick hospitalization: Within three days of hospitalization, go to the hospital medical insurance office for medical insurance networking procedures with valid documents such as medical insurance card or ID card and household registration book, and go directly to the hospital medical insurance office for settlement procedures when leaving the hospital.

2. Injury hospitalization: Within three days of hospitalization, you should go to the hospital medical insurance office to go through the medical insurance networking procedures with valid documents such as medical insurance card or ID card and household registration book. After the investigation by the inspection department of the municipal (district) medical insurance office, those who meet the conditions for medical insurance reimbursement will go directly to the hospital medical insurance office for settlement when they leave the hospital; If the investigation is unclear or disagrees, after discharge, bring all documents such as medical records, invoices, statements, and copies of my CCB passbook to the Municipal Medical Insurance Office for investigation, and then submit them to the urban residents' medical insurance management department for reimbursement.

3. Outpatient accidental injury: After the treatment, bring all documents such as outpatient medical records, invoices and copies of my CCB passbook to the municipal medical insurance office for investigation, and then submit them to the urban residents' medical insurance management department for reimbursement.

Legal basis: National Basic Medical Insurance Reimbursement Standard Article 1 The medical expenses of employees and retirees who meet the outpatient treatment conditions for serious and serious diseases shall be paid by the overall fund according to the following proportion, but individuals shall also bear a certain proportion.

Article 2 (III) 20 19 New Policy on Medical Insurance Reimbursement Proportion According to the regulations of various regions, the basic medical reimbursement expenses can be accepted, and the minimum deductible, out-of-pocket amount, out-of-pocket proportion and age proportion can be deducted. If reimbursement is given at the hospital level, please consult the local social security department for details.