Can radiotherapy reimburse medical insurance?

Radiotherapy can be reimbursed by medical insurance.

Radiotherapy can be reimbursed through medical insurance, but there are also some cases where medical expenses are not covered by medical insurance, such as industrial injury insurance, third party liability, public expenses or expenses for going abroad. The process of reimbursement for medical treatment usually includes: bringing a medical insurance card to the hospital, and the doctor can register in the hospital after diagnosis and pay in advance; The original ID card, medical insurance card, medical record, admission certificate and inspection report shall be reimbursed to the social security department. The purpose of medical insurance is to compensate the economic losses caused by diseases, and to establish funds through the contributions of units and individuals to provide certain economic compensation for the insured.

Reimbursement scope of medical insurance:

1, basic medical insurance: provide basic medical services for the insured, covering the treatment expenses of common diseases and frequently-occurring diseases; Including outpatient and inpatient medical expenses.

2. Critical illness insurance: to provide supplementary protection for the insured's medical expenses for critical illness and reduce the economic burden caused by major diseases; It mainly covers high medical expenses.

3. Drug reimbursement scope: drugs in the national medical insurance catalogue are covered, and drugs outside the catalogue are generally not reimbursed; It is divided into class A and class B, and the reimbursement rate of class A is higher than that of class B. ..

4. Medical service items: including routine diagnosis and treatment items, and specific medical services may need to be reimbursed according to the prescribed conditions and standards.

5. The difference between outpatient service and hospitalization: outpatient service is usually aimed at mild illness and routine treatment, while hospitalization has a wider scope of reimbursement, and the reimbursement ratio may be higher.

To sum up, radiotherapy can be reimbursed through medical insurance, but in some cases, it may incur expenses within the scope of medical insurance. The process of medical insurance reimbursement includes carrying a medical insurance card, the doctor issuing a registration and paying in advance, and finally submitting relevant materials to the department. Medical insurance is to help the insured compensate the economic losses caused by the disease and establish a fund to provide economic compensation.

Legal basis:

People's Republic of China (PRC) social insurance law

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.