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Will medical insurance reimburse for stent surgery?

1. Cost The cost of cardiac stent surgery is related to how many stents need to be installed. Generally, the total cost is about 30,000 for one stent, and more than 40,000 for two. If there are more than three, heart bypass surgery is recommended.

This may vary between hospitals in different regions.

2. Insurance ratio At present, domestic drug stents are material expenses, and are generally included in the scope of medical insurance reimbursement at 50%.

There are also some out-of-pocket medical expenses. Generally, after deducting the standard minimum payment (about 1,000 yuan) and the cost of balloon and stent (about 5,000 yuan for balloon and 14,000 yuan for stent), other expenses include hospitalization surgery,

Medical expenses, according to the regulations of medical insurance, are reimbursed at 85% to 90%.

As for how many stents can be reimbursed, the stipulation is that “the cumulative maximum payment limit for medical expenses paid by the basic medical insurance pooling fund to employees and retirees in a year is determined by approximately four times the average salary of employees in the city in the previous year.