Specific reimbursement rates and limits need to be consulted with local health insurance organizations or designated medical institutions for accurate information. In addition, cataract surgery costs generally fall under Category A reimbursement, which has a higher reimbursement rate, but the exact reimbursement rate may vary depending on the region and type of health insurance. Some regions have additional incentives for cataract surgery, such as higher reimbursement rates and elimination of the starting line, so patients can learn about specific local policies to get more bang for their buck.
Cataract surgery:
1, designated hospitals: patients need to go to the local health insurance center for registration, and choose a qualified designated hospital as the location of surgery.
2, designated outpatient: if you choose to visit the local health insurance center, the patient needs to first go to the local health insurance center for registration, select a qualified designated outpatient as the place of surgery.
3, designated pharmacies: if you choose to use the drugs in the local health insurance center, the patient needs to first go to the local health insurance center for registration, choose a qualified designated pharmacies as the use of drugs.
4, foreign medical record: if you choose to go to other places for medical treatment, patients also need to go to the local health insurance center for the record in advance, choose a qualified medical institutions as the location of the operation.
5, the reimbursement process: after completing the above steps, the patient can hold a good reimbursement of the required materials to the local social security bureau for reimbursement.
Summary, cataract imported IOLs reimbursement rate is affected by a variety of factors, patients need to make reasonable choices and preparations according to the local health insurance policy and personal situation.
Legal basis:
The People's Republic of China*** and the State Social Insurance Law
Article 28
The payment of medical expenses by the basic medical insurance fund shall be in accordance with the catalog of medicines for basic medical insurance, the catalog of diagnostic and therapeutic items, as well as the standard of service facilities. The specific scope and standard of payment shall be formulated by the State Council's administrative department of medical insurance in conjunction with the State Council's financial department.
Article 29
The portion of the medical expenses of the insured that shall be paid by the basic medical insurance fund shall be settled directly by the social insurance administrative organization with the medical institutions and drug business units. The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.