Proportion of medical insurance reimbursement for imported stents

Legal analysis: stents belong to medical devices and medical materials in medical insurance reimbursement. At present, domestic drug stents belong to the material cost, which is generally included in the scope of medical insurance reimbursement according to 50%, and imported stents need to be calculated separately. Stents belong to medical devices and medical materials reimbursed by medical insurance. At present, domestic drug stents belong to the material cost, which is generally included in the scope of medical insurance reimbursement according to 50%, and imported stents need to be calculated separately. Social security of imported stents cannot be fully reimbursed. There is also a part of self-funded medical expenses, which are generally deducted from the minimum payment standard and balloon and stent expenses. Other expenses are hospitalization surgery and medical expenses, which are reimbursed according to 85% ~ 90% of medical insurance regulations.

Legal basis: Article 30 of the Social Insurance Law of People's Republic of China (PRC), the following medical expenses are not included in the payment scope of the basic medical insurance fund:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(3) borne by public health;

(4) Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.