What is the reimbursement rate of chemotherapy medical insurance?

80% of the cost of chemotherapy can be reimbursed by medical insurance.

The medical insurance for chemotherapy patients belongs to the new rural cooperative medical system, and the reimbursement rate is generally 80%; If patients receiving chemotherapy participate in employee medical insurance, they can only be reimbursed according to a certain proportion afterwards.

The medical insurance reimbursement process is as follows:

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.

Medical insurance can reimburse the following items:

1. Hospitalization: Medical insurance can guarantee hospitalization caused by illness or accident, including medical service fees, medicine fees, materials fees, examination fees, etc.

2. Outpatient treatment: Medical insurance can reimburse medical expenses for outpatient treatment, including registration fees, inspection fees, inspection fees, medicine fees, etc.

3. Physical examination: Medical insurance can reimburse medical examination expenses paid by individuals at their own expense.

To sum up, 80% of the cost of chemotherapy can be reimbursed by medical insurance. The cost of radiotherapy is mainly divided into two parts. Part of it is the setting cost before radiotherapy, which is generally between 3000-5000 yuan. In addition, the one-time cost of radiotherapy is determined by the provincial price departments according to the local economic development and residents' income. At the same time, the cost of radiotherapy will also be determined according to whether there are side effects in the treatment process and whether it is necessary to cooperate with chemotherapy, surgery and other treatment methods. According to different conditions, the cost is different. In addition, most medical insurance covers the cost of radiotherapy, which needs to be judged according to the actual situation of patients.

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 28

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.