How much is the 65438+ 10,000 reimbursement for bypass surgery?

Legal analysis: the reimbursement rate of medical insurance for heart bypass surgery is generally around 80%, and the reimbursement rate is slightly different in different regions. It is recommended to consult the local social security bureau. First, the basic medical hospitalization Qifubiaozhun is: 1, 200 yuan, a community health service center; 2.400 yuan, first-class hospital; 600 yuan, a secondary hospital; 3.800 yuan, tertiary hospital. Two, the basic medical insurance Qifubiaozhun above, the annual payment limit (240 thousand) within the cost, according to the hospital level and cost segmentation, medical insurance fund to pay in different proportions. The annual accumulated basic medical insurance cost is less than 6,543.8+million, and the proportion of medical insurance fund is: 654.38+ 0, 92% (on-the-job) and 93.6% (retired) come from communities and first-class hospitals; 2. The secondary hospital fund pays 89% (on-the-job) and 9 1.2% (retired); 3.86% (in-service) and 88.8% (retired) are paid by the tertiary hospital fund. 3. According to the basic requirements for the payment of basic medical insurance benefits in China, the insured person who goes to the medical insurance institution to reimburse the medical expenses incurred by his medical treatment generally meets the following conditions: 1. The insured person must go to the designated medical institution of basic medical insurance to buy medicine, or go to the designated retail pharmacy determined by the social insurance institution with the medical prescription issued by the doctor in the designated hospital. 2. The medical expenses incurred by the insured in the process of medical treatment must conform to the scope and payment standards of the basic medical insurance drug list, medical treatment items and medical service facilities standards, and can be paid by the basic medical insurance fund according to regulations.

Legal basis: Article 1 of People's Republic of China (PRC) Social Insurance Law.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

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