1, the specific reimbursement should be based on the local health insurance policy to take to decide, different hospitals, different levels of reimbursement, the scope of the reimbursement, there will be a certain difference; however, the artificial head of the femur as well as the related bone cement these are medical materials, is self-financed;
2, The reimbursement of the femoral head replacement medical insurance in the designated hospital visit, urban residents basic medical insurance implementation of individual contributions and government subsidies, enjoying the minimum subsistence guarantee people, the loss of the ability to work of disabled people, low-income families of sixty years of age or older and minors and other required individual contributions, the government to subsidize.
Medical insurance reimbursement process:
1, confirm the scope of reimbursement: in the process of treatment, you need to confirm that their treatment items belong to the scope of reimbursement of medical insurance;
2, collection of reimbursement materials: collect the relevant records of treatment, drug receipts, medical cost lists and other related materials;
3, to the social security department to handle the reimbursement: submit the relevant materials to the local social security department, and then submit to the local social security department for reimbursement.
4. Waiting for the audit: the social security department will carry out relevant audits and comparisons to confirm the reimbursement rate and reimbursement amount; receiving the reimbursement payment: after the audit is approved, you can receive the reimbursement payment of the medical insurance at the designated bank.
Summary, the replacement of the femoral head is able to reimbursement, artificial femoral head and its required bone marrow mud belongs to the medical material, this part belongs to the out-of-pocket expenses, this part can not be reimbursed, and reimbursement of the scope of the free auxiliary checkups or fees and other related costs to give a certain amount of insurance.
Legal basis:
"People's Republic of China*** and the State Social Insurance Law" Article 28
Conforms to the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical services and facilities, as well as emergency, rescue medical expenses, in accordance with state regulations from the basic medical insurance fund.