Is there any medical insurance reimbursement for knee replacement?

Legal analysis: The main expenses of knee replacement include the following:

1, material cost;

2. Hospital operation fee, anesthesia fee, bed fee and medicine fee.

Most of the medical insurance expenses and anesthesia expenses during hospitalization can be reimbursed, and the proportion of personal burden is relatively low. The proportion of artificial joints in Shanghai medical insurance is 15000 yuan. If the joint amount exceeds 15000 yuan, the individual shall pay. In other regions, different regions have different medical insurance reimbursement policies, some regions may be more, and some regions may be slightly less.

As far as the overall material cost of artificial articular surface is concerned, it is now divided into imported and domestic, and the overall material ranges from 30 thousand to 50 thousand yuan. Because of its different materials, design technology and patent composition, the price is also different. Appropriate selection can be made according to the patient's condition, but there are some differences between hospitals because different hospitals may introduce different varieties.

Generally speaking, doctors will give advice according to the patient's age, weight and degree of joint injury, so as to advise patients to choose the most suitable prosthesis with good cost performance. The general principle is to save costs for patients as much as possible and achieve the maximum therapeutic effect with limited economic costs.

Legal basis: Article 23 of the Social Insurance Law of People's Republic of China (PRC), employees shall participate in the basic medical insurance for employees, and both employers and employees shall pay the basic medical insurance premium according to the provisions of the state. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.