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Is myopia surgery reimbursed by rural medical insurance?

Rural medical insurance cannot reimburse for myopia surgery.

Surgical treatment for myopia, whether corneal refractive surgery or intraocular refractive surgery, is currently not covered by normal medical insurance reimbursement.

Therefore, the cost of these treatments cannot be reimbursed through rural medical insurance.

When managing services, social insurance agencies will sign service agreements with medical institutions and pharmaceutical business units to standardize medical service practices, but myopia surgery is not included in the reimbursement items of the service agreement.

Reimbursement conditions for myopia surgery: 1. Reimbursement policy: Medical insurance policies vary in different regions. Some places may list myopia surgery as a reimbursable item, while others do not. 2. Type of surgery: Usually only specific types

Only myopia surgery, such as refractive surgery, can be reimbursed; 3. Medical institution qualifications: the hospital performing the surgery needs to be a designated hospital for medical insurance and have corresponding surgical qualifications; 4. Personal conditions: the patient's age, degree of myopia, and

Personal conditions such as whether you meet the surgical indications will also affect the possibility of reimbursement; 5. Necessity of surgery: Medical insurance usually only reimburses medical behaviors that are considered necessary, and myopia surgery is often regarded as an elective surgery, so reimbursement may not be possible

Lower sex.

To sum up, myopia surgery cannot be reimbursed through rural medical insurance because it is not among the reimbursement items in the service agreement.

Legal basis: Article 28 of the "Social Insurance Law of the People's Republic of China" that meets the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be deducted from the basic medical insurance fund in accordance with national regulations.

Pay.

Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit.

The social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in other places to facilitate insured persons to enjoy basic medical insurance benefits.