Traditional Culture Encyclopedia - Photography major - My mother suffered from breast cancer and spent about 35,000 yuan in Jiaxing Women's Hospital. If I live in Qiao Feng Town and participate in rural medical insurance, how much can I reimburse?

My mother suffered from breast cancer and spent about 35,000 yuan in Jiaxing Women's Hospital. If I live in Qiao Feng Town and participate in rural medical insurance, how much can I reimburse?

In principle, it can only be used in designated hospitals in insured areas.

You have to go through the formalities of going abroad for medical treatment, and specifically consult the agency in the insured place.

The reimbursement process can be consulted at the time of declaration.

For procedural matters, I suggest you consult the place of insurance. National policies are the same, but small policies and procedures are quite different.

eliminate

Threshold fee

Self-funded medicine

Self-financing project

Self-funded service facilities

The first self-funded part of Class B drugs

The first self-funded part of Class B diagnosis and treatment

After the remaining amount, according to the local provisions of the hospital level corresponding proportion distribution.

I think a lot of things are only known after discharge, so I can't determine the reimbursement amount before discharge.

According to the experience, it is normal that the reimbursement ratio of general expenses is lower than the overall reimbursement ratio of medical insurance 10-20%, mainly for threshold fees and self-funded items.

If it is too low, the general reason is that there are too many self-funded items, mostly in different places for medical treatment or recuperation, and the medical insurance catalogues of the two places do not correspond. For example, this AB disease can be treated with two drugs. A is in the medical catalogue, and B is in the insurance catalogue. If drug A is used for treatment, it will not be reimbursed at the insured place. If the insured place and the medical treatment place are always the same, doctors will generally switch to drugs with similar catalogue effects to avoid drugs and articles at their own expense. That's about it. I hope it is clear.

According to experience, the final report can be 1w a little more. 30-40%。 for reference only