The reimbursement methods for liver cancer in rural medical insurance are as follows:
1. During the treatment, the materials needed for reimbursement should be sorted out. After discharge from hospital after treatment, the relevant materials will be handed over to the local cooperative medical care contact point, and the staff of the contact point will reimburse them at the designated place.
2. Hospitalization reimbursement: If you are hospitalized due to illness, you can directly provide the rural medical insurance certificate to the hospital and directly participate in reimbursement.
The reimbursement policies for employees' chronic disease medical insurance are as follows:
1, Qifubiaozhun for chronic diseases, 300 yuan.
2, chronic disease reimbursement ratio, according to the low standard payment of adult residents reimbursement ratio of 50%; The reimbursement rate for minor residents and adult residents who pay according to the high-grade standard is 60%.
3. There is no deductible line for reimbursement of outpatient treatment expenses after radiotherapy and chemotherapy for malignant tumor, dialysis treatment for uremia and transplantation of tissues and organs. The reimbursement rate for adult residents with low standards is 70%, and that for minor residents with high standards is 80%.
4. The annual expense reimbursement standard for taking anti-rejection drugs after uremia dialysis treatment and organ transplantation is paid according to the low standard, and the payment limit for adult residents is 60,000 yuan. The limit for underage residents and adult residents who pay according to high-grade standards is 80,000 yuan.
The materials required for slow maintenance applications are as follows:
1. First, write an application in the name of the insured person and write it to the social security management office in the area where the registered permanent residence belongs.
2, the treatment of this disease outpatient medical records.
3, must be hospitalized for this disease within two years, including discharge summary, original and copy.
4. A copy of the relevant information in the discharge medical record must be stamped with the red seal of the hospital.
5. Fill in the application form for serious illness at the social security office where the account is located.
6. Together with the above information, send it to the medical insurance department of the regional social security management office for review.
7. After the regional social security audit is passed, a form will be given and then identified in the designated hospital.
8. After the appraisal hospital is stamped, go to the regional social security review, hand in one-inch registration photos, and inform the designated hospital for treatment.
To sum up, patients with chronic diseases who participate in medical insurance can enjoy medical insurance outpatient chronic disease subsidies if they meet the criteria for chronic disease subsidies. Reimbursable drugs in chronic medical insurance for liver cancer: sorafenib, repaglinide and renvadi.
Legal basis:
People's Republic of China (PRC) social insurance law
second
The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to get material help from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.
Article 26
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. Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue shall be paid from the basic medical insurance fund in accordance with state regulations.