Can hemorrhoid medicine be reimbursed?

Clinically, hemorrhoids are all 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%, the reimbursement rate of employees' medical insurance is about 70%-80%, and the reimbursement rate of 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.

Medical insurance reimbursement process:

1. Confirm reimbursement scope: During the treatment, you need to confirm whether your treatment items are within the scope of medical insurance reimbursement;

2. Collect reimbursement materials: collect relevant treatment records, drug receipts, medical expense lists and other relevant materials;

3. Go to the social security department for reimbursement: submit relevant materials for medical insurance reimbursement to the local social security department;

4. Pending review: The social security department will conduct relevant review and comparison to confirm the reimbursement ratio and reimbursement amount; Receive reimbursement: After approval, you can receive medical insurance reimbursement at the designated bank.

Medical insurance reimbursement standard:

1, residents' reimbursement ratio: town health centers reimburse 60%; 40% reimbursement for secondary hospitals; 30% reimbursement for tertiary hospitals;

2, urban residents, in a settlement year, the medical expenses that meet the scope of reimbursement are 65,438+10,000 yuan, the threshold for tertiary hospitals is 659 yuan, the reimbursement ratio is 50%, and the upper limit is 2,000 yuan; The Qifubiaozhun for hospitalization in secondary hospitals is 300 yuan, and the reimbursement rate is 55%; There is no Qifubiaozhun in the first-class hospital, and the reimbursement rate is 60%;

3. You need to go back to your hometown for reimbursement, and the reimbursement rate is 35-65%, which varies according to the level of the hospital.

To sum up, the treatment of hemorrhoids can be reimbursed. Therefore, taking a 3A hospital as an example, the hospitalization expense in hemorrhoids surgery is 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.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

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.

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.