How much can hemorrhoids surgery 10000 yuan be reimbursed?

Clinically, hemorrhoids are treated by surgery, and hospitalization expenses can be reimbursed through social security. Under normal circumstances, the reimbursement rate of residents' medical insurance is about 50%-60%, employees' medical insurance is about 70%-80%, and provincial medical insurance is about 90% or more. At the same time, the reimbursement ratio is directly related to the drugs and consumables used in the hospital, because some drugs and consumables are self-funded items and cannot be reimbursed by social security, but most drugs can be reimbursed by social security.

Therefore, taking the 3A hospitals as an example, the hospitalization expenses in hemorrhoids surgery are about 1 10,000 yuan, and most patients only need to pay about 2,000-3,000 yuan. During hospitalization, patients should insist on dressing change to avoid postoperative infection, otherwise the hospitalization expenses may increase.

Proportion of reimbursement for surgical expenses within the scope of medical insurance:

1. The medical expenses above 1800 yuan can only be reimbursed after the on-the-job employees go to the hospital for emergency treatment, and the reimbursement rate is 50%;

2. Retirees under the age of 70,1.Expenses above 300 yuan can be reimbursed, and the reimbursement rate is 70%;

3. Retirees over 70 years old,1.Expenses above 300 yuan can be reimbursed by 80%. The maximum payment limit (hospitalization expenses) of the basic medical insurance pooling fund within one year is currently 70,000 yuan;

4. 95% of the part exceeding the maximum payment limit of 40,000 yuan can be reimbursed, as long as the employee pays 5%;

5. The proportion of individual contributions of retirees is 60% of the on-the-job (that is, the above) employees, but all the contributions below the minimum threshold are paid by individuals.

I hope the above content can help you. Please consult a professional lawyer if you have any other questions.

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

Article 30

The following medical expenses are not included in the payment scope of the basic medical insurance fund:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(3) borne by public health;

(4) Go abroad for medical treatment. Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.