人工耳蜗植入费
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我省调整人工电子耳蜗医保支付政策
Xin Lang Cai Jing· 2026-01-20 16:47
Core Viewpoint - The recent adjustments to the artificial cochlear implant reimbursement policy aim to enhance the efficiency of medical insurance fund usage while ensuring basic medical security for patients [1][2]. Group 1: Policy Adjustments - The new policy states that cochlear implants not officially registered in China will no longer be covered by basic medical insurance in Hainan Province starting January 9, 2026 [1]. - Patients who have already been hospitalized before January 8, 2026, will continue to receive insurance benefits under the previous policy, ensuring their rights are protected [1]. Group 2: Coverage Criteria - The policy specifies strict eligibility criteria for insurance coverage, including: - For pre-lingual deaf patients: children under 7 years with severe to profound sensorineural hearing loss, or those under 18 with some speech foundation after rehabilitation [2]. - For post-lingual deaf patients: individuals with severe to profound hearing loss who cannot communicate normally even with hearing aids [2]. Group 3: Payment Standardization - The reimbursement policy has been standardized for urban and rural residents, aligning the maximum payment limits for cochlear implant consumables [2]. - The reimbursement will be based on the winning bid prices from national procurement for cochlear implants, with non-winning products capped at the highest winning price for similar products [2]. Group 4: Service Classification - Two key medical services related to cochlear implants have been reclassified from Category C to Category B, allowing for a higher reimbursement rate from the insurance fund [3].