According to the relevant regulations, the medical insurance for minimally invasive surgery can be reimbursed. Compared with general surgery, minimally invasive surgery is also a kind of surgery. The proportion of reimbursement should be consulted with the local medical insurance bureau, and the proportion of reimbursement is different in different cities. Generally, the reimbursement is about 60%.
Minimally invasive surgery is a very simple operation with the advantages of less trauma, less pain and quick recovery. At present, this kind of operation is also reimbursed by medical insurance in clinic, but not all patients are suitable for this kind of treatment. It is suggested that patients must do relevant examinations before operation.
The medical insurance reimbursement policy is as follows:
1. More outpatient expenses will be included in the medical insurance reimbursement. On April 7th, the State Council held an executive meeting, and decided to gradually include some outpatient expenses of chronic diseases, special diseases, frequently-occurring diseases and common diseases that are harmful to health and have a heavy cost burden into the overall fund payment. The proportion of contributions within the scope of the policy starts from 50% and is appropriately tilted towards retirees. In the future, with the strengthening of the fund's affordability, the level of protection will gradually improve. Therefore, bringing more outpatient expenses into medical insurance reimbursement will help to reduce the medical burden of the insured;
2, the unit payment is no longer included in the personal account, the meeting decided to improve the personal account included in the method. Individual contributions of on-the-job employees are still included in my personal account, and all unit contributions are included in the overall fund; Retirees' personal accounts are allocated by the overall fund according to the quota, and the allocated amount is gradually adjusted to about 2% of the average basic pension level in the year when the reform is implemented in the overall planning area;
3. Family members can use personal accounts. The meeting decided to broaden the scope of personal accounts and allow family members to help, which can be used to pay for medical treatment in designated medical institutions and purchase medicines, medical devices and medical consumables in designated retail pharmacies, and explore individual contributions from family members to participate in basic medical insurance for urban and rural residents. This means that there is less money in personal accounts, but the use of personal accounts has expanded;
4. Strengthen the supervision and management of medical insurance funds. The meeting decided to strengthen the supervision and management of medical insurance funds, improve the auditing and internal control system, severely investigate and deal with illegal acts such as false hospitalization and fraudulent insurance, and improve the payment mechanism suitable for outpatient economic security.
To sum up, whether minimally invasive surgery can be reimbursed depends on medical expenses, surgical materials, hospital visits, and specific issues.
Legal basis:
Notice of the Ministry of Finance and the National Health Insurance Bureau of State Taxation Administration of The People's Republic of China, People's Republic of China (PRC) on Doing a Good Job in Basic Medical Security for Urban and Rural Residents Article 1 202 1.
Continue to improve the financing standard of medical insurance for urban and rural residents;
In order to support the consolidation and improvement of residents' medical insurance treatment level and gradually expand the scope of medical insurance payment, the financing standard of residents' medical insurance continued to be raised in 20021year. The per capita financial subsidy standard for residents' medical insurance has been increased in 30 yuan, reaching not less than that in 580 yuan per person per year.
At the same time, raise the individual payment standard of residents' medical insurance in 40 yuan, and reach the 320 yuan per person per year. In accordance with the regulations, the central government gives subsidies to local governments in different grades, 80% and 60% to the western and central regions respectively, and a certain proportion to the eastern provinces respectively.
Local governments at all levels should arrange financial subsidies in full and allocate them in time according to regulations. Further liberalize the household registration restrictions for participating in basic medical insurance. For those who hold residence permits to participate in medical insurance for local residents, governments at all levels should give subsidies according to the same standards for local residents.