Reimbursement ratio of new rural cooperative medical system for cardiac stent

The reimbursement ratio of cardiac stents in the new rural cooperative medical system is divided into domestic stents and imported stents:

1, and the reimbursement rate of domestic stents is 70%.

2. The reimbursement rate for imported stents is 50%.

Reimbursement process of rural cooperative medical care for heart stent;

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 complete the examination, settlement and payment on the same day.

3. After the social security agency reviews the materials and approves the application, the applicant receives the reimbursement form of social medical insurance medical expenses and submits it for reimbursement.

To sum up, the reimbursement rate of the new rural cooperative medical system for heart stents is 70% of the material cost, and it will be reimbursed in proportion after reasonable medical expenses are included. However, the specific reimbursement ratio may vary according to factors such as hospital level and regional policies.

Legal basis:

People's Republic of China (PRC) social insurance law

second

The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.

Article 26

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.