Is there medical insurance reimbursement for radiotherapy and chemotherapy?

Radiotherapy can be reimbursed by medical insurance. In general outpatient service, the overall fund is ignored. It mainly deals with reimbursement of special outpatient and hospitalization expenses. But the cost of radiotherapy depends on your medical insurance type, which is a question of how much to report. Reimbursement for special outpatient service refers to the reimbursement of treatment expenses arising from cancer radiotherapy and chemotherapy and uremia dialysis, excluding operation expenses. The reimbursement of hospitalization expenses refers to the reimbursement of general hospitalization expenses and the reimbursement of hospitalization expenses seven days before emergency.

First, the reimbursement process of commercial medical insurance for chemotherapy:

The basic medical insurance is discharged directly, while the reimbursement process of commercial medical insurance is:

1, to report the case, you can contact the customer service phone number of the insurance company or the policy service personnel around you to report the case;

2. Preparation materials, commercial medical insurance reimbursement requirements: outpatient medical record book, outpatient invoice, medical insurance settlement sheet, hospitalization expense list, hospitalization invoice, discharge record and disease diagnosis.

3. Submission of materials. You can go to the insurance company's outlets to submit the mail yourself, or you can ask the policy service staff to do it for you. Insurance companies with fast claims channels can upload their own information on WeChat or APP.

4. Audit of insurance companies. Chemotherapy and radiotherapy are usually cancer, which is a serious disease. Usually the first claim will definitely be investigated.

5. After the approval, the user will issue a claim decision, and at this time, the user will receive a short message about the claim decision, telling the user what the claim amount is this time.

6. Insurance company transfers money.

Second, what should I pay attention to during radiotherapy?

In the process of radiotherapy, some patients are accompanied by changes in sense of smell and taste, such as bitter taste, no sweetness or sugar, and unbearable cooking taste. Therefore, in food preparation, we should pay attention to color, aroma and taste, eat a little more meals, properly control the pain before meals, and take a walk before meals. At the same time, it is necessary to ban alcohol, avoid irritating foods such as spicy frying and hard food, encourage patients to drink more soup, and accelerate the excretion of toxins in the body.

Legal basis:

Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities and emergency and rescue medical expenses standards, and shall be paid from the basic medical insurance fund in accordance with state regulations.