PET-CT examinations are generally not covered by medical insurance reimbursement.
1. PET-CT examinations usually require patients to bear their own expenses; 2. PET-CT is often used for cancer screening and is relatively expensive; 3. The cost of imaging agents can be partially reimbursed in some cases; 4. Patients still need to pay for themselves
Pay the main cost of the PET-CT examination.
Medical insurance reimbursement policy: 1. Medical insurance reimbursement policy refers to a series of regulations and standards on medical expense reimbursement formulated by the national or local medical insurance management department; 2. Reimbursement policy usually includes reimbursement ratio, reimbursement scope, reimbursement conditions, reimbursement process and
Reimbursement limits, etc.; 3. The reimbursement ratio refers to the ratio of the personal out-of-pocket portion to the portion paid by the medical insurance fund for the prescribed medical services and drugs for the insured persons; 4. The reimbursement scope refers to the medical services that the medical insurance fund can pay for
Items and drug types usually include different categories such as outpatient, inpatient, and special diseases; 5. Reimbursement conditions refer to the various requirements that insured persons need to meet when enjoying medical insurance reimbursement, such as insurance qualifications, hospital level and referral system
etc.; 6. The reimbursement process refers to the process in which insured persons apply for reimbursement according to prescribed procedures and steps after incurring medical expenses; 7. The reimbursement limit refers to the maximum payment limit set by the medical insurance fund for different medical services and drugs.
, the excess shall be borne by the individual.
In summary, although PET-CT examination plays an important role in cancer screening, because it is not covered by medical insurance reimbursement, patients usually need to bear the high cost of the examination at their own expense, although the cost of imaging agents can sometimes be partially reimbursed.
But patients still have to pay most of the costs.
Legal basis: Article 28 of the "Social Insurance Law of the People's Republic of China" that meets the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be deducted from the basic medical insurance fund in accordance with national regulations.
Pay.
In the early 1990s, the establishment of Zhuxin Fund marked the beginning of China Investment Fund (the embryonic form of closed-end fund). Later