What is the proportion of medical insurance reimbursement for chemotherapy expenses?

Radiotherapy can be reimbursed by medical insurance. In general outpatient service, the overall fund is ignored. It mainly deals with reimbursement of special outpatient and hospitalization expenses. But the cost of radiotherapy depends on your medical insurance type, which is a question of how much to report. Reimbursement for special outpatient service refers to the reimbursement of treatment expenses arising from cancer radiotherapy and chemotherapy and uremia dialysis, excluding operation expenses. The reimbursement of hospitalization expenses refers to the reimbursement of general hospitalization expenses and the reimbursement of hospitalization expenses seven days before emergency.

The general outpatient service, special outpatient service and hospitalization of the overall fund are not reimbursed, and the provisions are: 85%-97% reimbursement, deductible line 1.300 yuan. The upper limit of annual cumulative expenses is 70,000 yuan. Its reimbursement ratio is inversely proportional to the level of the hospital and directly proportional to the number of drugs prescribed. The higher the cost, the higher the reimbursement ratio.

Legal basis:

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

Article 1 This Law is formulated in accordance with the Constitution for the purpose of adjusting the social insurance relationship, safeguarding citizens' legitimate rights and interests in participating in social insurance and enjoying social insurance benefits, enabling citizens to enjoy the fruits of development and promoting social harmony and stability.

Article 2 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 in case of old age, illness, industrial injury, unemployment and maternity.

Article 3 The social insurance system adheres to the principles of wide coverage, basic protection, multi-level and sustainability, and the level of social insurance should be compatible with the level of economic and social development.