Appendicitis surgery can be reimbursed through medical insurance, which belongs to the scope of necessary diagnosis and treatment items in the medical insurance catalogue. Postoperative hospitalization expenses are also necessary medical service facilities, which are all medical expenses losses within the scope of medical insurance reimbursement. However, different regions have different agreements on medical insurance reimbursement policies, which is also related to whether the insured is employee medical insurance or urban and rural medical insurance. Appendicitis surgery is performed in different regions and hospitals with different grades, and the amount of reimbursable expenses is also different.

Appendicitis reimbursement procedures:

1. First, perform the necessary appendicitis surgery. In the process, mainly go to the scope of medical insurance reimbursement, try to choose drugs within the scope of medical insurance, increase the amount of reimbursement, and keep the necessary medical vouchers;

2. Prepare the medical expense list, medical insurance card, original ID card, discharge summary, diagnosis record and other materials, and apply for claims at the medical insurance handling department;

3, by the counter claims processing specialist audit data, complete the medical insurance settlement accounting;

4. Finally, wait patiently for the medical insurance reimbursement expenses to be recorded.

To sum up, the proportion and amount of reimbursement are different in different situations of participating in medical insurance. The reimbursement rate of general employee medical insurance is higher than that of resident medical insurance, and the reimbursement procedure is very simple. Fixed-point networked hospitals can settle accounts in real time and brush medical insurance cards for reimbursement.

Legal basis:

Article 30 of People's Republic of China (PRC) Social Insurance Law

The following medical expenses are not included in the payment scope of the basic medical insurance fund:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(three) shall be borne by public health;

(4) Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.

Article 31

According to the needs of management services, social insurance agencies can sign service agreements with medical institutions and pharmaceutical business units to standardize medical service behavior.

Medical institutions shall provide reasonable and necessary medical services for the insured.

Article 32

If an individual is employed across the overall planning area, his basic medical insurance relationship will be transferred accordingly, and the payment period will be calculated cumulatively.