1. After the medical insurance reimbursement for urban workers, the individual pays about 4-5 yuan;
2. After the medical insurance reimbursement for urban residents, the individual pays about 1-15 yuan;
3. After the reimbursement of the new rural cooperative medical insurance, the proportion of individual payment is higher;
4. For reimbursement of major diseases, 51-1 yuan is 65% and 11-18 yuan is 7%.
Medical insurance policy for uremia dialysis:
1. The scope of medical insurance reimbursement: including dialysis treatment fee, dialysis-related drug fee, dialysis equipment fee, etc.
2. Personal out-of-pocket ratio: According to the medical insurance policies in different regions, the personal out-of-pocket ratio may be different;
3. capping line and deductible line: some areas have medical insurance capping line and deductible line, and the excess is borne by individuals;
4. Reimbursement of special drugs: for some special drugs, it may need to be approved separately before reimbursement;
5. Designated medical institutions: Dialysis treatment should be carried out in designated medical institutions of medical insurance in order to enjoy the reimbursement policy of medical insurance.
To sum up, when uremia patients receive dialysis treatment, according to different types of medical insurance, the expenses borne by individuals are quite different. Urban workers pay about 4-5 yuan for medical insurance, urban residents pay about 1-15 yuan for medical insurance, and the proportion of new rural cooperative medical insurance is higher. For the reimbursement policy of major diseases, the expenses of 51-1 yuan can get 65% compensation, and the expenses of 11-18 yuan can get 7% compensation.
Legal basis:
Article 28 of the Social Insurance Law of the People's Republic of China
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue shall be paid from the basic medical insurance fund in accordance with state regulations.