Platelets cannot be reimbursed, and blood products such as platelets, plasma and serum cannot be reimbursed. Blood products, such as platelets, cannot be reimbursed by medical insurance or commercial insurance. If you want to use blood products such as plasma for free, you must have a certain amount of free qualified blood donation in the early stage, otherwise the platelet input cannot be reimbursed.

Blood transfusion fee belongs to medical nutrition, and hemoglobin is below 4.0. 80% of the suspended red blood cells that have lost white blood cells are reimbursed by medical insurance, 80% of the platelets below 20,000, and the rest are reimbursed at their own expense.

First, the scope of medical insurance reimbursement:

1, general outpatient service fees, outpatient service fees and emergency service fees of eligible medical institutions;

2, designated medical institutions general ward bed fee;

3, outpatient decocting fee;

4, designated medical institutions for medical treatment, dispensing or retail pharmacies dispensing medical expenses;

5, in line with the basic medical insurance treatment project, medical service facilities, medication scope and payment standard of medical expenses.

Second, the proportion of medical insurance reimbursement:

1. outpatient and emergency medical expenses: the accumulated medical expenses of employees who meet the medical insurance requirements for one year in a row have reached more than 2,000 yuan;

2. Settlement ratio: 50% of the part of the dispatched personnel that reaches more than 2,000 yuan during the contract period will be reimbursed, and the remaining 50% will be borne by the individual; The maximum reimbursement for outpatient and emergency services paid by dispatched personnel within one year is 20,000 yuan;

3, the insured must keep the medical documents of designated medical institutions, as reimbursement vouchers;

4. Outpatient treatment of three kinds of special diseases: when the insured suffers from malignant tumor, chemotherapy, renal dialysis, kidney transplantation and other diseases and needs to take anti-rejection drugs in outpatient treatment, he must ask the hospital to issue a "disease diagnosis certificate", fill in the "medical insurance special disease declaration and approval form" and report it to the local medical insurance center for approval and filing. These three special diseases can only be settled after diagnosis and treatment in designated hospitals.

legal ground

People's Republic of China (PRC) social insurance law

Article 2 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 receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.

Thirtieth the following medical expenses are not included in the basic medical insurance fund payment scope:

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

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

(three) shall be 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.