Can stents be reimbursed by medical insurance?

The cost of stent surgery can be reimbursed by medical insurance, but it needs to be in a designated medical institution.

The conditions for medical insurance reimbursement are as follows:

1, social basic medical insurance: you must participate in the local social basic medical insurance to enjoy the medical insurance reimbursement service.

2. Medical services within the scope of medical insurance catalogue: medical insurance reimbursement is limited to medical services and medicines within the scope of medical insurance catalogue, and some high-end medical services and medicines may not be within the scope of medical insurance catalogue and cannot enjoy medical insurance reimbursement services.

3. Designated medical institutions for medical insurance: Medical insurance reimbursement is limited to medical services provided by designated medical institutions for medical insurance. If you go to a non-designated medical institution for medical treatment or medicine purchase, you will not be able to get medical insurance reimbursement.

4. Necessity of disease diagnosis and treatment: Medical insurance reimbursement must diagnose and treat diseases that meet the standards of medical diagnosis and treatment, and the treatment must be necessary, reasonable and economical.

5. Provide complete medical expense vouchers: Medical expense invoices or receipts and other formal medical expense vouchers are required for medical insurance reimbursement to prove that the reimbursed expenses are true and legal.

The information required for medical treatment is as follows:

1, ID card: an important document for checking medical insurance information;

2. Household registration book or residence permit: used to prove personal household registration and residence information. Medical insurance, you need to provide a household registration book or residence permit consistent with your information;

3. Social security card or medical insurance card: used to handle medical insurance procedures and reimburse medical expenses.

To sum up, in order to avoid the failure of reimbursement due to incomplete information or non-compliance, it is recommended to know the local medical insurance policies and reimbursement regulations in advance, and collect and keep relevant certification materials and vouchers.

Legal basis:

Article 26 of People's Republic of China (PRC) Social Insurance Law

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented 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.