A lung transplant of RMB 600,000 can be reimbursed at 60%.
The scope of medical insurance reimbursement refers to ensuring the basic medical needs of insured persons and standardizing the management of medication, diagnosis and treatment under basic medical insurance. Basic medical insurance stipulates the reimbursement scope of drug catalogs, diagnosis and treatment items, and medical service facilities.
The details are as follows: 1. Medical insurance funds will pay relevant medical expenses incurred by insured persons in designated hospitals that comply with the three major categories in accordance with regulations. Urban medical reimbursement mainly refers to medical treatment, medication, hospitalization, surgery, etc. in the hospital, which can be paid through
Medical insurance cards can reimburse medical expenses in accordance with relevant regulations. Urban medical insurance is relatively specific, with large project scale and coverage, but its compensation for major diseases or accidents is limited; 2. Organ sources for various types of organ transplants or tissue transplants
Or tissue source, other organ or tissue transplantation except kidney, heart valve, cornea, skin, blood vessel, bone marrow transplantation; orthopedic surgery for myopia; qigong therapy, music therapy, health-care nutritional therapy, magnetic therapy and other auxiliary treatment projects.
Please click to enter the picture description (maximum 18 words) Article 30 of the "Social Insurance Law of the People's Republic of China": The following medical expenses are not included in the payment scope of the basic medical insurance fund: (1) Should be paid from the work-related injury insurance fund;
(2) Should be borne by a third party; (3) Should be borne by the public health department; (4) Seek medical treatment abroad.
Medical expenses should be borne by a third party in accordance with the law. If the third party fails to pay or the third party cannot be identified, the basic medical insurance fund shall pay first.
After the basic medical insurance fund has paid in advance, it has the right to recover compensation from the third party.
Article 28: Medical expenses that comply with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue expenses shall be paid from the basic medical insurance fund in accordance with national regulations.
Article 25: The state establishes and improves the basic medical insurance system for urban residents.
The basic medical insurance for urban residents combines individual contributions and government subsidies.
The government subsidizes the required personal contributions for people who enjoy the minimum living security, disabled people who have lost the ability to work, elderly people over 60 years old and minors from low-income families.