All medical expenses borne by hospitalized individuals within the scope of the policy can be reimbursed according to the prescribed proportion, and the reimbursement amount is not capped. The medical expenses incurred in referral, medical treatment in different places and hospitalization shall be paid in advance by the patient or the unit to which he belongs. Within 30 days after the end of medical treatment, the patient or his close relatives shall hold relevant materials to the municipal medical insurance agency for settlement. If the insured is hospitalized in a designated medical institution, which exceeds the Qifubiaozhun of the overall fund and is lower than the maximum payment limit, the reimbursement rates in the first, second and third-class hospitals in this city are 80%, 70% and 60% respectively, and the insured with Class A minimum living allowance and severe disability will increase by 10% on the basis of the above reimbursement.
Medical insurance reimbursement:
1, outpatient and emergency medical expenses: the medical expenses of the employees who meet the basic medical insurance regulations are more than 2,000 yuan in a year (1 10/February 31February).
2. Settlement ratio: 50% of the part of the dispatched personnel above 2,000 yuan will be reimbursed during the contract period, and 50% will be paid by the individual; Within one year, the maximum amount of accumulated reimbursement for outpatient and emergency services of dispatched personnel is 20,000 yuan.
3. The insured shall properly keep the medical documents (including receipts and prescriptions for large amounts) in the outpatient department of the designated hospital. ), as a medical expense reimbursement certificate.
4. Outpatient treatment of three kinds of special diseases: when the insured person needs to take anti-rejection drugs after radiotherapy and chemotherapy for malignant tumor, renal dialysis and renal transplantation, the second-and third-level designated hospitals where the insured person is treated will issue the Certificate of Disease Diagnosis, fill in the Application and Approval Form for Special Diseases of Medical Insurance, and report it to the district medical insurance center for approval and filing.
5. Hospitalization.
To sum up, kidney transplantation is expensive, which is divided into preoperative cost and postoperative cost. The cost is different in different regions and hospitals. If it is a kidney provided by a family member, it is relatively cheaper. Generally, it costs1-200,000 yuan to change kidneys, and thousands of anti-rejection drugs are taken every month. This medicine must be taken for life. Medical insurance reimbursement varies from region to region, mostly around 30,000-40,000. After kidney transplantation, you need to drink plenty of water and rest, and avoid eating spicy food.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.