Robotic surgery in the medical insurance reimbursement scope

According to the query of China's medical insurance service platform: robotic surgery has not yet entered the medical insurance catalog, so the start-up fee and the cost of the robotic arm of robotic surgery, the medical insurance is not reimbursed. But the cost of the surgery itself can be reimbursed through medical insurance. The steps to apply for medical insurance reimbursement for robotic surgery are as follows:

1. Confirm the scope of surgical medical insurance: Patients need to be clear about whether their surgeries are covered by medical insurance. In most areas, the cost of robotic surgery has not yet been included in the health insurance catalog, so patients need to consult with their regional health insurance bureau or related organizations to understand the specific health insurance policy. It is also necessary to find out whether the surgery itself and other related medical costs (such as hospitalization fees, drug costs, etc.) are covered by medical insurance.

2. Preparing for reimbursement: After preparing the medical bills, patients also need to prepare other relevant reimbursement application materials. This includes: ID cards, medical insurance cards, diagnostic certificates, surgical records, cost details and so on. Ensure the authenticity and completeness of all materials so as not to affect the approval of the reimbursement application.

3, submit the reimbursement application to the medical insurance bureau: After preparing all the materials, patients can submit the reimbursement application to the medical insurance bureau in their region. You can choose to submit it online or offline, and you can consult the local medical insurance bureau for the specific way. When submitting the application, make sure to double-check all the materials to ensure that there are no errors.

4. Waiting for the review result: After submitting the reimbursement application, patients need to wait for the review result from the medical insurance bureau. The review process may take some time, depending on the efficiency of the local health insurance bureau. During the waiting period, patients can keep an eye on the progress of the audit and consult with the medical insurance bureau if necessary.

5. Pass the audit and receive the reimbursement: Once the audit is passed, the patient can receive the reimbursement. The reimbursement will usually be paid directly into the patient's health insurance card account or designated bank account. When receiving the reimbursement, patients need to double-check that the amount is correct, and if there are any questions, they can communicate with the health insurance bureau to solve the problem in a timely manner.