First, the scope of application of medical insurance card

Medical insurance card is an important part of China's medical security system, which aims to provide medical expenses settlement services for insured persons. Usually, the medical insurance card can cover the expenses of several medical departments, including ophthalmology.

Second, the medical insurance policy for ophthalmic treatment

When seeking medical treatment in ophthalmology, the insured can use the medical insurance card to settle part of the expenses. The specific settlement scope includes routine ophthalmic examination, drug treatment, partial surgical treatment, etc. However, it should be noted that some high-end ophthalmic services, imported drugs and non-basic medical items may not be covered by medical insurance.

Three, the use of medical insurance card matters needing attention

The insured should pay attention to the following points when using the medical insurance card to settle the ophthalmology expenses: First, ensure that the medical institution seeking medical treatment is the designated medical insurance unit; Secondly, understand the medical insurance policy before seeking medical treatment, and clarify which items can be included in the scope of medical insurance; Finally, take the initiative to show the medical insurance card at the time of settlement and follow the instructions of the medical institution.

Four, the adjustment and change of medical insurance policy

The medical insurance policy will change according to the adjustment at the national level and the local actual situation. Therefore, the insured needs to pay attention to the latest development of medical insurance policy in order to know the medical insurance settlement of ophthalmic treatment in time.

To sum up:

Ophthalmology can use medical insurance card to settle some expenses, but the specific scope of use needs to be determined according to the region, medical insurance policy and diagnosis and treatment projects. Insured persons should understand the medical insurance policy before seeking medical treatment, ensure that the medical institution seeking medical treatment is a designated medical insurance unit, and take the initiative to show the medical insurance card at the time of settlement. At the same time, pay attention to the adjustment and change of medical insurance policy, and keep abreast of the medical insurance settlement of ophthalmology.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 28 provides that:

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

People's Republic of China (PRC) social insurance law

Article 29 provides that:

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.