Cataract surgery is reimbursed. There is a limit on the price of IOLs and emulsifying knives, which is 300 yuan for domestic IOLs, 500 yuan for imported IOLs, and 90 yuan for emulsifying knives. The excess is paid by the individual.
(1) Scope of reimbursement:
A. Pharmaceutical expenses: auxiliary examinations: EKG, X-ray fluoroscopy, radiography, laboratory tests, physiotherapy, acupuncture, CT, nuclear magnetic **** vibration and other various examinations are limited to 200 yuan; surgical expenses (with reference to the national standard, reimbursement for more than 1,000 yuan will be made in accordance with the amount of 1,000 yuan).
B. For the elderly over 60 years old who are hospitalized in Xingta Township Health Center, the treatment fee and nursing fee are compensated 10 yuan per day with a limit of 200 yuan.
(2) Reimbursement rate:
The town health center reimburses 60%; secondary hospitals reimburse 40%; tertiary hospitals reimburse 30%.
Expanded Information
The scope of reimbursement for urban medical insurance refers to all employers in towns and cities, as shown below:
1, including enterprises (state-owned enterprises, collective enterprises, foreign-invested enterprises, private enterprises, etc.);
2, organs, institutions, social organizations, private non-enterprise units
3. Some cities and towns have stipulated that township and village enterprises and their employees, as well as owners of urban self-employed economic organizations and their employees, should be gradually included in the scope of basic medical insurance (the last of which varies according to the policies of each locality), so that they can enjoy medical reimbursement.
The urban medical reimbursement mainly refers to is in the hospital to see a doctor, medicine, hospitalization, surgery, etc., can be through the medical insurance card in accordance with the relevant provisions of the medical reimbursement, urban medical insurance is more specialized, the scale of the project and the coverage of the larger, but it is in the major diseases or accidents in the limited payout.
Baidu Encyclopedia - Medical Insurance Reimbursement Scope