How much can medical insurance reimburse for appendicitis surgery?

1. How much can medical insurance reimburse for appendicitis surgery?

1, appendicitis surgery can be reimbursed by medical insurance. This belongs to the category of basic medical insurance. Can apply for medical insurance. When the insured person is discharged from the hospital, the medical institution can only charge him the following fees: Qifubiaozhun fee, bed fee exceeding the prescribed standard, the expenses that the individual should bear in proportion, the expenses for using self-funded items, and the expenses that the overall fund will not pay.

2. Legal basis: Article 23 of People's Republic of China (PRC) Social Insurance Law.

Employees should participate in the basic medical insurance for employees, and employers and employees should jointly pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.

Second, what is the outpatient compensation standard?

1, 60% reimbursement for visits to village clinics and village center clinics, prescription drug cost limit for each visit 10 yuan, and prescription drug cost limit for temporary rehydration for doctors in health centers in 50 yuan;

2. 40% reimbursement for medical treatment in the town health center, with the limit of 50 yuan for each examination and operation, and the limit of prescription drug fee 100 yuan;

3, the secondary hospital reimbursement of 30%, each examination fee and operation fee limit 50 yuan, prescription drug fee limit 200 yuan;

4, tertiary hospital reimbursement of 20%, each visit examination fee and operation fee limit 50 yuan, prescription drug fee limit 200 yuan;

5. Chinese medicine invoice with prescription 1 yuan per paste;

6, the township cooperative medical outpatient compensation limit is 5000 yuan.