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Can artificial liver be reimbursed?

Medical insurance can reimburse some expenses during artificial liver treatment.

Some expenses during artificial liver treatment can be reimbursed, and the proportion and scope of reimbursement depend on the hospital level and medical insurance level. Hospitalization expenses and some drug expenses can be reimbursed, but specific treatment expenses are usually not fully reimbursed. The proportion of patients' out-of-pocket expenses may exceed 8%, and the expenses increase significantly with the increase of treatment times, and the overall expenses are relatively high.

Indications of artificial liver:

1. It is used to treat acute liver failure, so as to support patients' liver function and strive for the time of liver self-recovery;

2. It can be used to treat chronic severe hepatitis, help alleviate the illness and improve the quality of life of patients;

3. It can improve the ascites of patients with liver cirrhosis.

4. Adjuvant therapy for patients with liver cancer is helpful to improve the survival rate of patients;

5. It can be used for other diseases requiring liver support, such as toxic hepatitis and drug-induced liver injury.

To sum up, although medical insurance can reimburse some expenses during artificial liver treatment, the proportion and scope of reimbursement are affected by hospital level and medical insurance level, and the patient pays more than 8%. With the increase of treatment times, the overall cost is still high, which brings economic burden to patients.

Legal basis:

Article 28 of the Regulations of the People's Republic of China on the Basic Medical Insurance for Urban Workers

Personal accounts are used to pay medical expenses beyond the scope of the overall fund; If the personal account is insufficient to pay, it shall be borne by me.

Article 29

Medical expenses for hospitalization of serious diseases shall be paid in the following ways: (1) Qifubiaozhun shall, in principle, be controlled at 9%-11% of the average social wage of employees in cities, counties and autonomous counties in the previous year. (two) the maximum payment limit is controlled in principle at 3-5 times of the average annual social wage of employees in cities, counties and autonomous counties. (three) medical expenses above the minimum threshold and below the maximum payment limit are mainly paid by the overall fund, and a certain proportion is borne by the individual. Give appropriate care to the proportion of retirees who bear medical expenses. The scope of serious diseases, the specific standards of Qifubiaozhun and the maximum payment limit, and the sharing ratio of medical expenses above Qifubiaozhun and below the maximum payment limit shall be determined by the provincial people's government.

Article 3

The pooling fund will not pay the medical expenses below the minimum threshold and above the maximum payment limit.

Article 54 of the Social Insurance Law of the People's Republic of China

If the employer has paid maternity insurance premiums, its employees shall enjoy maternity insurance benefits; Unemployed spouses of employees enjoy maternity medical expenses in accordance with state regulations. The required funds are paid from the maternity insurance fund.

Maternity insurance benefits include maternity medical expenses and maternity allowance.