Can medical insurance for cancer review be reimbursed?

Cancer review medical insurance can be reimbursed.

Special outpatient service refers to eligible serious diseases and chronic diseases, which can also be reimbursed as hospitalization in outpatient service, because medical insurance only reimburses hospitalization expenses, but some serious diseases and chronic diseases do not necessarily need hospitalization, and can also be treated in outpatient service, so there are special outpatient services. The insured person submits materials to the social security department of the insured place, and the social security department conducts preliminary examination, review and approval of the accepted materials, and pays the reimbursement amount to the financial account provided by the insured person.

Reimbursement scope: the insured person is in the designated medical insurance hospital or specialized hospital selected by the individual. Hospitalization expenses in Chinese medicine hospitals and third-class first-class hospitals

Reimbursement ratio: minimum payment for the first hospitalization in a natural year 1.300 yuan, each time in 650 yuan. The payment ratio is divided into three grades. Take a tertiary hospital as an example.

Floating standard: 30,000, 85 in service, 9 1 retired, 900,000 to 40,000 in service, 944,000 in service, 95 in service and 97 in retirement. 90 days of general hospitalization is a settlement cycle. Psychiatric hospitalization for 360 days is a settlement cycle, and the floating standard is halved. In a natural year, the overall fund pays a maximum of 70,000 yuan.

Reimbursement process: At the time of discharge, the hospital and the individual will settle the self-funded and self-funded amount, and the reimbursement amount of the overall fund will be settled by the hospital and the district medical insurance center.

The following materials shall be provided for reimbursement:

1, ID card. One of the materials needed for medical insurance reimbursement is the identity documents of the recovered patients who need to reimburse medical expenses. That is to say, ID cards, non-commissioned officers' cards, military officers' cards and other documents are generally used to prove the identity of patients, and ID cards generally need originals and photocopies. It is recommended to prepare the original and copy according to the requirements of the hospital.

2. Household registration book. The second information needed for medical insurance reimbursement is the household registration certificate for reimbursement of medical expenses. This information is generally unnecessary, and if the patient has an identity document, it is not needed. However, if the patient does not have proper identity documents, he must bring the household registration book. For example, if a child does not have an ID card, he/she has to use the household registration book as an ID card.

3. Medical records. The third information needed for medical insurance reimbursement is the need for medical records. That is, the patient's medical records, generally including medical records, illness certificates, discharge illness certificates, discharge summary, etc. These materials are usually copied in the hospital when leaving the hospital.

4. Medical insurance card. The fourth information needed for medical insurance reimbursement is the medical insurance card. This is also one of the important materials for medical insurance reimbursement. You must swipe your medical insurance card when you leave the hospital. Now in many places, you can swipe your card directly when you leave the hospital, and then settle the expenses directly.

5. Proof of charge. The fifth information needed for medical insurance reimbursement is the charging voucher. Charge voucher is an invoice or bill for all expenses incurred in the hospital, which will be issued by the hospital every time payment is made. If you pay online, you can take the payment voucher and go directly to the charging window to change the invoice.

6. Payment list. The sixth information needed for medical insurance reimbursement is the bill of payment. The so-called payment list refers to the detailed list of every expense spent in the hospital, and there is a detailed list of where and what money was spent, which is also the material directly issued by the hospital when leaving the hospital.

To sum up, to go to the hospital again, you only need to show your medical insurance card to the designated hospital to prove your insured status. At the time of checkout, the individual pays part by medical insurance card or cash, and the medical insurance reimbursement part is settled by the medical insurance contractor and the hospital.

Legal basis:

Article 2 of People's Republic of China (PRC) Social Insurance Law

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.

The examination fee, treatment fee and reexamination fee related to malignant tumor shall be reimbursed in proportion.

Other treatments unrelated to malignant tumors, such as colds, fever, and traumatic injuries, will not be reimbursed. The specific content shall be implemented according to the regulations.