gamma knife can be reimbursed by medical insurance.
Coverage of medical insurance:
1. Reimbursement of basic medical insurance drugs: Our country now divides drugs into three categories: A, B and C, among which Class A drugs are within the scope of medical insurance, so only Class A drugs can be reimbursed by medical insurance, while Class B and C drugs cannot be reimbursed;
2. Reimbursement of basic medical service facilities: This reimbursement scope mainly refers to the bed fee, first-aid bed fee, consultation fee, etc. incurred by the insured in the process of medical treatment and nursing in the designated medical insurance institution;
3. reimbursement of basic medical insurance diagnosis and treatment items: it must be safe and effective diagnosis and treatment, and the charging standards are determined by the price department. Need to be treated in a designated medical institution.
medical insurance reimbursement process:
1. medical treatment in a designated medical insurance hospital: every city has a designated medical insurance hospital, and medical insurance can only be used for reimbursement if it is treated in a designated medical insurance hospital. Therefore, if you want to use medical insurance, you must go to the designated hospital for medical insurance and go through the relevant registration procedures;
2. Prepare discharge materials: prepare discharge materials in advance when you leave the hospital, such as disease diagnosis, discharge records and medical records. Generally, talk to the doctor during treatment. If we need these materials, the doctor will help us prepare them. It is best to make a copy after getting these materials. One is submitted to the medical insurance reimbursement office, and the other is reserved for use;
3. discharge settlement: take the hospitalization list and invoice and go through the settlement procedures in the hospital. After that, you can take the relevant information to the medical insurance reimbursement department for reimbursement and review;
4. Waiting for reimbursement to arrive: After handing over the materials, you will receive a receipt, and the amount of reimbursement will arrive within 15 days. Everyone just needs to wait patiently.
To sum up, the treatment cost of Gamma Knife can be reimbursed through medical insurance. As early as 212, the national gamma knife surgery fee has been included in the scope of medical insurance. The reimbursement rate varies from place to place. Please refer to the local reimbursement rate for details.
Legal basis:
Article 26 of the Social Insurance Law of the People's Republic of China
The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.
article 28
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.