No matter what kind of people, the maximum payment limit for outpatient and emergency medical expenses is 20 thousand yuan. If it is hospitalization expenses, the minimum payment for employees and retirees is 1300 yuan when the basic medical insurance is used for the first time within one year in 2009. And the second and subsequent hospitalization medical expenses, Qifubiaozhun is determined by 50%, which is 650 yuan. 1 year, the maximum payment limit of basic medical insurance fund (hospitalization expenses) is 70,000 yuan;
The reimbursement standard for hospitalization is related to the level of the hospital where the insured person is located. For example, in a tertiary hospital, employees have to pay 15%, that is, 85%, from the threshold to 30,000 yuan. The expenses of 30,000-40,000 yuan shall be paid by employees themselves 10%, and 90% shall be reimbursed; If the expenses exceed 40,000 yuan to the maximum payment limit, 95% can be reimbursed, and employees only need to pay 5%. Retirees pay 60% of the on-the-job employees, but all below the minimum threshold are paid by individuals.
1. What is the reimbursement rate for minimally invasive breast augmentation surgery?
The scope of reimbursement for breast minimally invasive medical insurance still needs to be determined according to the specific situation of patients. For example, if it is rural medical insurance reimbursement, it may be around 45%, but if it is employee medical insurance, it is generally around 89%. If it is medical insurance for retired employees, the reimbursement ratio will be slightly higher, and the proportion will be different in different places.
Second, how much is the medical insurance reimbursement for minimally invasive breast augmentation surgery?
The cost of minimally invasive breast surgery is related to the number of breast lesions. Under normal circumstances, the cost of minimally invasive resection of a single breast lesion is about 8000 yuan. People have two breasts. Breast diseases can occur unilaterally or bilaterally. Unilateral breast lesions can be one or more. Generally speaking, minimally invasive breast surgery can remove multiple lesions at one time, and the cost depends on the number of lesions. Therefore, the more lesions found by preoperative examination, the higher the treatment cost. But medical insurance can reimburse most of the expenses.
Third, will it recur after minimally invasive breast surgery? What to do?
There is a possibility of recurrence of breast adenoma surgery. Breast adenoma This is a very common benign breast tumor, which usually presents as a lump or a single lump with smooth surface and clear boundary. Recurrence may occur after surgical treatment, especially in patients with multiple fibromas.
Although every patient expects that he will never relapse, it is inevitable that recurrence and metastasis are an uncertain probability. For this reason, since 20 19, a variety of breast cancer recurrence insurance has broken the shackles of the insurance industry, bringing an economic guarantee for breast cancer patients.
I hope the above content can help you. If in doubt, please consult a professional lawyer.
Legal basis:
Article 2 of People's Republic of China (PRC) Social Insurance Law
The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.
Article 3 The social insurance system adheres to the principles of wide coverage, basic protection, multi-level and sustainability, and the level of social insurance should be compatible with the level of economic and social development.