Hysteroscopic surgery can be reimbursed by Medicare. Hysteroscopic surgery is one of the more sophisticated surgeries, and this surgery is also covered by health insurance, so hysteroscopy can be reimbursed. Hysteroscopic surgery usually requires treatment based on full anesthesia and requires a hospital stay of 3 to 5 days for conditioning. So this part of the cost is able to be reimbursed, but the reimbursement of the specific circumstances will depend on the specific region.
Reimbursement of the scope of health insurance
1, the reimbursement of health insurance card is limited to the designated hospital due to disease and some of the accident caused by the hospitalization of more than the medical expenses.
The reimbursement formula is: (total cost - threshold fee - out-of-pocket expenses - overspending) * (75 + age * 0.2)%, under normal circumstances, the actual reimbursement rate ranges from 20 to 60%. There is no reimbursement for out-of-pocket expenses, 80% reimbursement for Class B drugs, a limit on bed charges, and some examination and treatment fees as required.
2. The reimbursement amount of the medical insurance card is 4 times of the local social wage (the cumulative value in 1 year).
3. The money in the medical insurance card can be used to buy medicines at designated pharmacies and to pay for outpatient and emergency treatment, but it is not reimbursed because the money in the card is the money in the individual account of the medical insurance.
4. Reimbursement of Major Disease Insurance
After a participant suffers from a major disease, the part of the individual's out-of-pocket expenses incurred in the designated medical institutions of the city's health insurance and in line with the city's health insurance regulations are included in the scope of the payment of the resident's major disease insurance, and 50% of the funds are reimbursed by the major disease insurance. That is, the amount of reimbursement = deductible × 50%.