Compared with ordinary surgery, minimally invasive surgery only has a different path. By puncturing in the abdomen or other parts of the body surface, the lesions on the human body are removed. The specific reimbursement ratio should be consulted with the local medical insurance bureau or medical insurance office, because the reimbursement ratio is different in different provinces and cities.
Medical insurance reimbursement conditions for minimally invasive surgery:
1. The surgical items are in the medical insurance catalogue. The medical insurance catalogue refers to the medical service catalogue within the scope of medical insurance payment stipulated by the state. Minimally invasive surgery projects in the medical insurance directory, you can apply for medical insurance reimbursement;
2. Designated hospitals for medical insurance. The hospital for medical treatment needs to be a designated hospital for medical insurance, otherwise medical insurance cannot be reimbursed;
3. First of all, medical insurance review is needed. Before minimally invasive surgery, it is necessary to conduct medical insurance audit to confirm that the surgical items meet the medical insurance reimbursement standards and obtain medical insurance reimbursement approval.
To sum up, different regions and different medical insurance policies may be different, and the specific situation needs to be operated according to local policies and regulations. If you can't apply for medical insurance reimbursement for minimally invasive surgery, you can communicate with the hospital to understand other payment methods and preferential policies, or apply for other medical insurance reimbursement.
Legal basis:
Article 29 of People's Republic of China (PRC) Social Insurance Law
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
Article 30
The following medical expenses are not included in the payment scope of the basic medical insurance fund:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(three) shall be borne by public health;
(4) Go abroad for medical treatment.
Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.