All myopic surgery is not covered by medical insurance, it is an outpatient ultra-minimally invasive surgery, although nowadays China's medical insurance system has been in a step-by-step improvement of the situation, but the laser myopic surgery is similar to oculoplastic nature of the surgery, in the strict sense of the word, myopic surgery belongs to a kind of plastic cosmetic surgery, can not be reimbursed by the medical insurance. This kind of surgery is voluntary elective, rather than must be treated disease, is the hope that through surgery to achieve the purpose of improving vision, and not every myopic friends must do the surgery, so myopic surgery is not in the national regulations of the health insurance reimbursement category.
The expenses that can be reimbursed by the medical insurance mainly include three categories: drug costs, diagnosis and treatment program costs and service facility costs.
1, basic medical drug costs: medical insurance can be reimbursed for the cost of drugs, including Class A and Class B. Class A drugs are nationally standardized drugs that can ensure the basic requirements of clinical treatment, while Class B drugs are adjusted by each region;
2, basic medical diagnostic and therapeutic costs: hemodialysis, bone marrow transplantation, and other diagnostic and therapeutic items within the scope of the basic medical insurance diagnostic and therapeutic items;
2, basic medical diagnostic and therapeutic costs. Costs of basic medical service facilities:
3. Costs of basic medical service facilities:
4. Costs of essential living service facilities used by insured persons in the process of diagnosis, treatment and care in designated medical institutions.
The three main catalogs for reimbursement of medical insurance are the drug catalog, the diagnosis and treatment item catalog and the medical service facility catalog. The next step is to analyze the three catalogs in detail.
1. Diagnostic and treatment catalog
Diagnostic and treatment catalog mainly includes some items that are necessary for treatment and the effect is certain but expensive, such as hemodialysis, bone marrow transplantation and so on. It is important to note that mainly non-essential, uncertain or special medical items, such as cosmetic surgery, plastic surgery, etc., are not covered.
2. Drug List
The medicines that we prescribe in the hospital must be prescribed in the medical insurance list in order to be reimbursed. The medicines that can be reimbursed by the medical insurance can be divided into the following two categories:
(1) Class A medicines: medicines that are necessary for clinical treatment and are cheap and useful, and the state has unified regulations, which can be reimbursed at a rate of 100%.
(2) Category B drugs: optional use, good but slightly more expensive drugs, generally reimbursed at 70%-80%.
But note that tonic and health care medicines like diet pills, antidepressants, and some special effects and imported medicines are not included in the drug list and cannot be reimbursed.
3. The medical services catalog
The medical services catalog refers to the cost of services that are necessary in the course of treatment, such as the cost of a bed. However, expenses for non-essential services such as hospital companion fees, nurse's fees and recreational activities are not reimbursable.
Additionally, myopic surgery is not for everyone, so a detailed pre-operative examination is very important. It is only after a rigorous pre-operative examination that it can be determined whether the surgery can be performed.