Is chemotherapy reimbursement one at a time?

Chemotherapy reimbursement will be submitted together.

Medical insurance reimbursement scope:

There are certain restrictions on the scope of medical insurance reimbursement, which can only be reimbursed after treatment in designated medical institutions and drug purchase in designated pharmacies. Not all drugs can be reimbursed, especially imported drugs and drugs needed for major diseases. Similarly, there are legal provisions for service facilities, which can only be reimbursed if they meet the statutory standards, mainly including hospitalization expenses and outpatient expenses. For example, nursing expenses and accompanying expenses are not reimbursed.

The concept of medical insurance:

Medical insurance is insurance to compensate medical expenses caused by diseases. Social insurance in which employees are provided with necessary medical services or material assistance by society or enterprises due to illness, injury or childbirth. For example, free medical care and labor insurance medical care in China. The medical expenses of employees in China are shared by the state, units and individuals to reduce the burden on enterprises and avoid waste.

Medical insurance reimbursement process:

1. Keep relevant information, including treatment expenses, diagnosis notes, personal medical insurance related information, etc. After the treatment, the handling personnel will submit the reimbursement documents and other materials to the social security agency for acceptance.

2. After receiving the reimbursement application, the accepting department shall review and settle the materials, and pay the corresponding fees if there is no problem in the review.

3. Waiting to be released to the designated account.

Generally speaking, if it is local and treated in a designated hospital or pharmacy, there is no need for additional procedures. When submitting medical insurance information, only the remaining amount after reimbursement will be automatically deducted at checkout.

To sum up, the reimbursement rate of chemotherapy drugs varies according to different types of medical insurance. At present, most chemotherapy drugs are included in medical insurance reimbursement, only a few imported chemotherapy drugs, or can not be reimbursed according to the ladder of cross-step medication, and patients need to pay their own expenses.

Legal basis:

Article 26 of People's Republic of China (PRC) Social Insurance Law

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.