Hemodialysis medical insurance can reimburse how much

Generally speaking, patients need to do hemodialysis 2-3 times a week, and each time the time of hemodialysis needs about 5 hours, the cost of a hemodialysis is about 500 yuan, if you have medical insurance can be reimbursed up to 90%, which can greatly reduce the burden on the patient.

Can I get reimbursed by my health insurance for hemodialysis?

No, you can't get reimbursed if you're not hospitalized. However, as dialysis is a major disease, you should be able to use it as a family room (inpatient hospitalization) or as a special outpatient clinic (depending on the local regulations). Ordinary outpatient care is definitely not covered. The urban workers' health insurance will cover 80%-95% (varying from place to place), the urban residents' health insurance 60%, and the new rural cooperative 40%.

Reimbursement ratio for major diseases:

Any hospitalized patient who participates in cooperative medical care will be compensated for a one-time or yearly total of over 5,000 yuan of reimbursement in sections, i.e., 65% for 5,001-10,000 yuan, and 70% for 10,001-18,000 yuan. The annual limit of compensation for township-level cooperative medical care inpatient and outpatient blood dialysis for uremia, outpatient radiotherapy and chemotherapy for tumors is 11,000 yuan.

Enjoying medical insurance treatment:

In a year, the starting standard for outpatient medical expenses according to the first class standard contribution is 50 yuan, the maximum payment limit of outpatient co-ordination fund of the current year of the participant is 900 yuan, and the initial reimbursement ratio for general outpatient co-ordinated medical expenses that are in line with the policy regulations between the starting standard and the maximum payment limit is 30%.

There is no starting line for outpatient medical expenses for those who pay according to the second category standard. The maximum payment limit of the outpatient coordinated fund for the current year is 500 yuan, and the initial reimbursement rate for general outpatient coordinated medical expenses in accordance with the policy is 25%.

The reimbursement of general outpatient medical expenses in accordance with the policy is subject to secondary compensation. The secondary reimbursement rate will be determined by the municipal human resources and social security department in conjunction with the municipal finance department, depending on the fund balance.

Can dialysis medical insurance reimbursement? In summary, it can be seen that only because of dialysis hospitalization can be reimbursed, not hospitalized can not be reported, but should be able to be reimbursed according to the family ward or special outpatient to handle. In addition, the hospitalized patients who participate in cooperative medicine medical expenses 5001-10000 yuan can be reimbursed 65%, 10001-18000 yuan reimbursement of 70%.

Legal basis:

The People's Republic of China*** and the State Social Insurance Law

Article 28 The medical expenses that are in accordance with the basic medical insurance drug directory, diagnostic and therapeutic items, the standard of medical service facilities as well as the emergency and rescue, shall be paid out of the basic medical insurance fund in accordance with the state regulations.