1, ICU ward expenses can be reimbursed by medical insurance, but generally only about 40%.
2. The drugs commonly used in 2.ICU are also expensive new drugs or imported drugs, and this medical insurance is not reimbursed.
3, so the part of medical insurance reimbursement is very small. If the patient gets better, he can be transferred to the general ward.
Generally, only about 40% is reported.
1, ICU ward expenses can be reimbursed by medical insurance, but generally only about 40%.
2. The drugs commonly used in 2.ICU are also expensive new drugs or imported drugs, and this medical insurance is not reimbursed.
3, so the part of medical insurance reimbursement is very small. If the patient gets better, he can be transferred to the general ward.
You need to apply for medical insurance to be reimbursed.
Each province, city and region has different regulations on the reimbursement ratio of neonatal medical insurance. At present, there is no uniform standard, and the reimbursement ratio of different levels of hospitals is different.
Social medical insurance is a social insurance system established by the state and society according to certain laws and regulations to provide basic medical needs for workers within the scope of protection. [1] is undertaken by the government and enforced and managed by economic, administrative and legal means.
Social medical insurance consists of basic medical insurance and large medical assistance, enterprise supplementary medical insurance and individual supplementary medical insurance.
ICU intensive care expenses, according to the actual needs of the project, can be reimbursed by medical insurance in the medical insurance reimbursement catalogue, but not within the scope of medical insurance reimbursement. Items that can be reimbursed in ICU include ECG monitoring fee, ventilator use fee, injection fee, medical treatment fee and other items in the medical insurance reimbursement catalogue. If the imported drugs used are not in the medical insurance reimbursement catalogue, they will not be reimbursed. The medical insurance catalogue is stipulated by the local social security bureau.
Legal basis:
Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and 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.
People's Republic of China (PRC) Social Insurance Law Article 7 The administrative department of social insurance in the State Council is responsible for the management of social insurance throughout the country, and other relevant departments in the State Council are responsible for the relevant social insurance work within their respective functions and duties. The social insurance administrative department of the local people's government at or above the county level shall be responsible for the social insurance management within its administrative area, and other relevant departments of the local people's government at or above the county level shall be responsible for the relevant social insurance work within their respective functions and duties.