The proportion of reimbursement for hysteroscopy needs to be understood according to the categories of service items and non-disease treatment items, internal diagnosis and treatment equipment, application materials and treatment items, so as to have a specific reimbursement situation. These items are divided into many other situations. Take service items as an example, including registration fee, medical record fee, production fee, outpatient fee, high quality and low price fee, customer fee, etc. Therefore, when the proportion of hysteroscopy medical reimbursement is not clear, you can go to the relevant departments to learn more about their targeted reimbursement ratio and principles. Hysteroscopy is not particularly complicated, and patients can do it with confidence.
Hysteroscopic surgery refers to minimally invasive surgery with hysteroscopy. Hysteroscopy is an advanced equipment for diagnosis and treatment of intrauterine diseases. It can clearly observe various changes in uterine cavity and make a definite diagnosis.
Hysteroscopy can be divided into diagnostic type and surgical type, as well as soft type and hard type. Soft diagnostic hysteroscope is made of advanced optical fiber, which has a small diameter and can be bent at will. It is easy to observe and diagnose the whole uterine cavity, the examination process is fast (about 2 to 5 minutes), and it is painless and harmless to the uterus.
legal ground
Article 27 of the Social Insurance Law of People's Republic of China (PRC) * * * If an individual who participates in the basic medical insurance for employees reaches the statutory retirement age and the accumulated payment reaches the fixed number of years stipulated by the state, he will no longer pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state. Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations. Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.