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Can blood transfusion be reimbursed by medical insurance?
Generally speaking, the cost of blood transfusion except platelets has been included in the scope of medical insurance reimbursement. The blood donation deposit can be refunded with a blood donation card without reimbursement. There is also a controversy that blood transfusion reimbursement does not belong to the scope of medical insurance reimbursement. You can bring blood transfusion bills and proof of immediate family members to the blood station for reimbursement. In short, medical insurance does not reimburse blood expenses. Once the blood is transfused, I or my immediate family members will refund part of the blood expenses and the corresponding blood deposit on the blood donation card. To handle or go to the relevant blood station, you need to bring your ID card, hospitalization certificate, blood donation card, and relevant certificates that can prove your immediate family. The cycle is about six months. Reimbursement items are: 1, bed fee (up to township hospitals 12 yuan/day, municipal and above medical institutions 15 yuan/day); 2. Drug expenses (the scope of drug use shall be subject to the provisions of the provincial drug catalogue); 3, inspection fees (inspection, testing, etc. , limit 600 yuan); 4. Treatment expenses (settled according to the facts within 300 yuan, and 50% of the above parts in 300 yuan are included in the scope of reimbursement); 5. Surgery fee (charged according to regulations); 6. Blood transfusion fee (the maximum amount of surgery or rescue and hospitalization is in 500 yuan); 7, material costs (the maximum limit of 2000 yuan per hospitalization); 8, all kinds of tumor patients with radiotherapy, chemotherapy and renal failure need dialysis outpatient expenses, as hospitalization expenses for compensation.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 24 The state establishes and improves the new rural cooperative medical system. Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council.
Article 25 The state establishes and improves the basic medical insurance system for urban residents. The basic medical insurance for urban residents combines individual contributions with government subsidies. People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.
Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.
Derivative problem:
What documents do I need to bring for medical insurance reimbursement?
Materials to be provided for medical insurance reimbursement: 1, transfer certificate issued by municipal hospital; 2. The transfer certificate issued by the hospital shall be submitted to the social security department (medical insurance department) of the city and district where the doctor is treated for approval and filing; 3. Original hospitalization invoice of designated hospitals in different places; 4. Original taxi fare list; 5. A valid copy of the inpatient medical record (stamped with a valid hospital seal) 1 copy; 6. 1 copy of ID card. The following do not belong to the reimbursement scope of rural cooperative medical insurance: 1, self-seeking medical treatment (no designated hospital or referral form), self-purchased drugs, drugs that cannot be reimbursed according to the provisions of public medical care, and medical expenses that do not conform to family planning; 2, outpatient treatment fees, visits, hospitalization fees, meals, escort fees, nutrition fees, blood transfusion fees (except for family blood storage, according to the relevant provisions of reimbursement), heating and cooling fees, ambulance fees, allowances and other expenses; 3. Medical expenses for car accidents, fights, suicides, alcoholism, industrial accidents and medical accidents; 4. Orthopedics, cosmetic surgery, dental implants, artificial limbs, organ transplantation, roll call surgery fees, consulting fees, etc. ; 5, within the scope of reimbursement, beyond the limit.
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