So, taking the top three hospitals as an example, the hospitalization expenses in hemorrhoids surgery are about 1, yuan, and most patients only need to pay about 2,-3, yuan. During hospitalization, patients should insist on dressing change to avoid postoperative infection, otherwise the hospitalization expenses may increase.
The reimbursement rate of surgical expenses within the scope of medical insurance:
1. On-the-job employees can only be reimbursed for medical expenses of more than 1,8 yuan after seeing a doctor in the outpatient department and emergency department of the hospital, and the reimbursement rate is 5%;
2. For retirees under the age of 7, the expenses above 1,3 yuan can be reimbursed, and the reimbursement rate is 7%;
3. For retirees over 7 years old, 8% of the expenses above 1,3 yuan can be reimbursed. The maximum payment of the basic medical insurance pooling fund (hospitalization expenses) in a year is currently 7, yuan;
4. 95% of expenses exceeding 4, yuan to the maximum payment limit can be reimbursed, and employees only need to pay 5%;
5. The proportion of retirees' personal payment is 6% of the on-the-job (that is, the above-mentioned) employees, but all those below the minimum threshold are paid by individuals.
I hope the above contents can help you. If you have any other questions, please consult a professional lawyer.
Legal basis: Article 3 of the Social Insurance Law of the People's Republic of China
The following medical expenses are not included in the payment scope of the basic medical insurance fund:
(1) Those that should be paid from the industrial injury insurance fund;
(2) It shall be borne by a third party;
(3) It shall be borne by public health;
(4) seeking medical treatment abroad. Medical expenses shall be borne by the third party according to law. If the third party fails to pay or cannot determine the third party, the basic medical insurance fund shall pay in advance. After the basic medical insurance fund has paid in advance, it has the right to recover from the third party.