Can imported hip prosthesis be reimbursed?
1, reasonable material specification: there are many materials for artificial hip joint prosthesis, and some are made in China. Domestic products are relatively cheap, and it can be done between 1-20000 yuan. Millions of medical insurance clearly stipulates that only reasonable and standardized expenses can be reimbursed, that is, 1 0,000 yuan is settled, and 50,000-60,000 yuan is generally not compensated;
2. Exemption of prosthetic limbs: General prosthetic limbs are exempt from the millions of medical insurance. Taking China Life as an example, the definition of disease is as follows:
Except for heart valves, intraocular lenses and artificial joints, other artificial organ materials, installation and replacement costs, various rehabilitation treatment devices, prostheses, artificial limbs, massage health care and treatment supplies for personal use, and all over-the-counter medical devices will not be compensated.
"Generally speaking, joint replacement in most areas is within the scope of medical insurance. However, according to the different types of joints selected, the proportion of medical insurance reimbursement is also different. The reimbursement rate of domestic joints may be higher, and the reimbursement rate of imported joints will be relatively lower. Joint replacement refers to the method of replacing a painful joint with an artificially made joint, which is often used for hip and knee. The materials for making artificial joints require high strength, wear resistance, corrosion resistance, good biocompatibility and non-toxicity. Commonly used alloys, carbon, microcrystalline ceramics and silica gel. At present, joint replacement has been applied to all joints of the whole body. Replacement bones include hip joint, knee joint, humeral head, elbow joint, vertebral body, pelvis, navicular bone, lunate bone and distal radius. "
Legal basis:
Article 28 of the Social Insurance Law conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid by the basic medical insurance fund in accordance with state regulations.