Generally speaking, some common medical devices, such as sphygmomanometer, blood glucose meter and wheelchair, may be included in the scope of medical insurance reimbursement. However, the specific reimbursement ratio and reimbursement conditions may be different due to different regions and medical insurance policies.
In addition, some high-value medical consumables, such as pacemakers and artificial joints, may not be covered by medical insurance reimbursement and need to be borne by patients at their own expense.
Therefore, before purchasing medical devices, it is recommended to consult local medical insurance departments or medical institutions to understand relevant policies and regulations.
First, determine the types and uses of medical devices.
First of all, it is necessary to determine the types and uses of the required medical devices. Understanding the classification and scope of use of medical devices is helpful to better understand whether they may be included in the scope of medical insurance reimbursement.
Second, understand the medical insurance policy in this region.
There are differences in medical insurance policies in different regions, so it is necessary to know the specific medical insurance policies in different regions. You can consult the local medical insurance department or medical institution to find out whether medical devices are within the scope of medical insurance reimbursement, as well as the specific reimbursement ratio and reimbursement conditions.
Third, choose the appropriate medical devices and purchase channels.
According to personal needs and budget, choose the appropriate medical devices and purchase channels. It is suggested to choose formal channels to buy medical devices with quality assurance and avoid buying fake and shoddy products. At the same time, you can also consider buying commercial medical insurance or supplementary insurance to cover some medical expenses.
Four, for medical insurance reimbursement procedures
After the purchase and use of medical devices, the relevant medical insurance reimbursement procedures shall be handled according to the local medical insurance policy. Relevant supporting documents and expense list shall be provided and reimbursed according to the prescribed procedures.
To sum up:
Whether medical devices can be included in medical insurance depends on the specific types of medical devices and the medical insurance policy in the region. It is recommended to consult the local medical insurance department or medical institution to understand the relevant policies and regulations before purchasing. Choosing appropriate medical devices and purchasing channels and handling medical insurance reimbursement procedures can reduce the economic burden.
Legal basis:
Article 29 of the Social Insurance Law of People's Republic of China (PRC): The part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be directly settled by the social insurance agency, medical institution and pharmaceutical business unit.
Insured persons holding social security cards for medical treatment and medicine purchase can enjoy medical insurance benefits according to relevant regulations.