New rules for dialysis reimbursement in 2022

From June 5438, 2022+this year 10, people who participate in urban workers' medical insurance will fully enjoy the outpatient medical insurance reimbursement treatment, and go to a third-class first-class hospital for medical treatment, and the reimbursement ratio will start from 50% to 50%. If you go to a secondary hospital for reimbursement, it can even reach more than 60%. Obviously, compared with such reimbursement methods in the past, it will be more beneficial for individuals to see a doctor in an outpatient clinic.

If you register in the hospital and pay the fee at the toll booth, you will pay the fee yourself first, and then the unit or individual will go to the Social Security Bureau for reimbursement. After the treatment, you can submit the invoices, statements and other supporting materials issued by the hospital to the local social security center for reimbursement. Second, the proportion of uremia medical insurance dialysis reimbursement The proportion of medical expenses incurred by employees' medical insurance insured in general outpatient clinics can be paid by the balance of medical insurance personal accounts. In the aspect of outpatient special disease reimbursement. When the personal account balance of employee medical insurance is more than 2000 yuan, the medical expenses will be paid by the personal account. When the balance of personal account is less than or equal to 2000 yuan, the proportion of medical expenses above the deductible line that meets the scope of outpatient special diseases is 85%. In terms of hospitalization reimbursement, the hospitalization deductible standard of employee medical insurance is: tertiary hospital 500 yuan, secondary hospital 300 yuan,

Dialysis expenses can be reimbursed by medical insurance, but the specific reimbursement ratio should be based on your local actual situation and hospital regulations. I suggest you go to a local hospital and ask the local government to consider it according to the local actual situation. At the same time, it is recommended that you actively cooperate with the treatment to avoid other adverse consequences.

legal ground

Management standard of hemodialysis room in medical institutions

Fourth health administrative departments at all levels should strengthen the management of hemodialysis rooms in medical institutions, guide and inspect the hemodialysis rooms in medical institutions within their jurisdiction, strengthen the quality management of hemodialysis treatment, and ensure the safety of patients.

Article 10 Doctors in hemodialysis room are responsible for formulating and adjusting dialysis treatment plans for patients, evaluating dialysis quality of patients, handling complications of patients, and making relevant records in accordance with relevant regulations.