Can you get reimbursed for health insurance for appendicitis

Appendicitis can be reimbursed by health insurance.

Appendicitis surgery can be reimbursed through the medical insurance, it belongs to the medical insurance catalog of necessary diagnostic items in the scope of the catalog, hospitalization costs after the operation, but also belong to the necessary medical services and facilities are within the scope of the medical insurance reimbursement of the loss of medical expenses. However, different regions on the medical insurance reimbursement policy agreement is different, but also with the participation of the employee health insurance or urban and rural residents of the medical insurance related to the different regions, the appendicitis surgery hospital level is different, can be reimbursed for the amount is different.

Appendicitis reimbursement procedures:

1, the first necessary appendicitis surgery medical treatment, the process of the main to the scope of reimbursement, as far as possible to choose the medical insurance coverage of the medication, to increase the amount of reimbursement, while retaining the necessary medical evidence;

2, ready to the list of medical expenses, medical insurance card, ID card, original, discharge summary, diagnostic records, etc., to the medical insurance department for application.

3, the counter claims processing specialist to review the information, complete the medical insurance settlement accounting;

4, finally wait patiently for the medical insurance reimbursement costs into the account can be.

Summary, the different circumstances of the health insurance, reimbursement ratio and amount is different, the general employee health insurance reimbursement ratio is higher than the residents of the health insurance, reimbursement procedures are also very simple, designated network hospitals can be settled in real time, brush the health insurance card reimbursement.

Legal basis:

Article 30 of the Social Insurance Law of the People's Republic of China

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

(1) those that should be paid from the workers' compensation insurance fund;

(2) those that should be borne by a third party;

(3) those that should be borne by the public **** Health to bear;

(iv) medical treatment outside the country.

Medical expenses shall be borne by a third person in accordance with the law, and if the third person fails to pay or if the third person cannot be identified, the basic medical insurance fund shall pay in advance. The basic medical insurance fund shall have the right to recover the costs from the third party after the payment is made.

Article 31

Social insurance administrators may, in accordance with the needs of management and service, sign service agreements with medical institutions and drug operators to regulate the behavior of medical services.

Medical institutions shall provide reasonable and necessary medical services to insured persons.

Article 32

If an individual is employed across the integrated area, his basic medical insurance relationship shall be transferred with him, and the years of contribution shall be accumulated.