ICU intensive care expenses, based on the actual required items, can be reimbursed by medical insurance if they are in the medical insurance reimbursement catalog. If they are not within the scope of medical insurance reimbursement, they will not be reimbursed.
Items that can be reimbursed by ICU include ECG monitoring fees, ventilator usage fees, injection fees, diagnosis and treatment fees and other items that are included in the medical insurance reimbursement catalog.
If the imported drugs used are not in the medical insurance reimbursement catalog, they will not be reimbursed.
The medical insurance catalog is stipulated by the local social security bureau.
Taking Zhengzhou as an example, according to Article 23 of the "Zhengzhou Basic Medical Insurance Measures for Urban Residents (Trial)", newly insured residents who pay basic medical insurance premiums in full and on time will enjoy inpatient medical insurance benefits and outpatient benefits for prescribed diseases.
The waiting period is 3 months, and the waiting period starts from the first month when the basic medical insurance takes effect.
Medical expenses incurred during the waiting period shall be borne by the individual and will not be paid by the collective fund.
Article 34: The drug catalog, diagnosis and treatment item catalog, medical service facility scope and payment standards for resident medical insurance shall be separately formulated by the municipal labor and social security department.
Medical expenses beyond the scope of the catalog will not be paid by the unified fund.
Article 35: The portion of hospitalization medical expenses incurred by insured residents in designated medical institutions shall be paid by the individual with cash or personal account; the portion payable by the overall fund shall be accounted for by designated medical institutions.
Extended information: Article 28 of the "Social Insurance Law of the People's Republic of China" meets the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses, and shall be deducted from the basic medical insurance fund in accordance with national regulations.
Pay.
Article 29 The portion of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit.
The social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in other places to facilitate insured persons to enjoy basic medical insurance benefits.