The cost of genetic testing cannot be claimed by medical insurance.

Genetic testing is an examination method used for disease diagnosis, assessment of disease severity and prognosis. It is currently not included in the scope of medical insurance reimbursement. Therefore, the cost of genetic testing is not reimbursable.

Genetic testing is of great value for the diagnosis and condition assessment of hematological malignant diseases such as acute leukemia, myeloproliferative neoplasms, lymphoma and other hematological malignancies. Although the cost of genetic testing cannot be reimbursed, it can be reimbursed if the condition requires it. , it is still recommended that patients complete relevant genetic testing.

Genetic testing includes many items, and the cost of each item is relatively high. It is necessary to select genetic testing items after the doctor evaluates the condition, so as to reduce the patient's pain as much as possible without affecting the diagnosis and treatment of the patient's disease. economic burden.

Medical insurance reimbursement conditions:

1. Insured persons must go to a designated medical institution for basic medical insurance to seek medical treatment and purchase medicines, or go to a social insurance institution with a medical prescription issued by a doctor at a designated hospital. Determined designated retail pharmacies purchase drugs from outside;

2. The medical expenses incurred by insured persons during the process of medical treatment must comply with the scope of the basic medical insurance insurance drug catalog, diagnosis and treatment items, and medical service facility standards. The basic medical insurance fund will pay the basic medical insurance fund according to the payment standard;

3. Among the medical expenses of the insured person that meet the payment scope of the basic medical insurance, the social medical coordinating fund’s minimum payment standard and the maximum payment limit The following expenses will be paid by the Social Medical Coordination Fund in a uniform proportion.

Medical insurance reimbursement process:

1. Diagnosis and treatment in medical insurance designated hospitals: Every city will have a medical insurance designated hospital. Only when you are diagnosed and treated in a medical insurance designated hospital, you can use medical insurance to reimburse. Therefore, if you want to use medical insurance, you must go to a medical insurance designated hospital and complete the relevant registration procedures;

2. Prepare discharge information: When you are discharged from the hospital, submit the discharge information in advance Prepare information, such as disease diagnosis certificates, discharge records, and medical records, etc. Generally, during treatment, we tell the doctor that we need these materials, and the doctor will help us prepare them. It is best to make a copy after getting these materials. Submit one copy to the medical insurance reimbursement office, and keep the other for backup;

3. Discharge settlement: Take the hospitalization list and invoice, and go through the settlement procedures in the hospital. After that, you can take the relevant information to the medical insurance reimbursement department for reimbursement and review;

4. Wait for the reimbursement to arrive: After the information is handed over, you will receive a receipt and the reimbursement amount. It will arrive within 15 days, everyone just needs to wait patiently.

To sum up, genetic testing cannot be reimbursed because genetic testing is not yet included in the scope of medical insurance.

Legal basis:

Article 28 of the "Social Insurance Law of the People's Republic of China"

Comply with the basic medical insurance drug catalog, diagnosis and treatment items, Standards of medical service facilities and medical expenses for emergency and rescue services shall be paid from the basic medical insurance fund in accordance with national regulations.

Article 29

The part 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 medical expense settlement system for medical treatment in other places to facilitate insured persons to enjoy basic medical insurance benefits.