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Can eye surgery be reimbursed with a medical insurance card?

Myopia surgery is not reimbursed by medical insurance.

Myopia surgery can improve the appearance of girls to a certain extent, and can save boys from the trouble of wearing glasses when doing sports and fitness. Although myopia surgery brings great benefits to myopia, it is not a treatment in itself, so it is not covered by medical insurance.

Reimbursement scope.

1. There is no need to be hospitalized after myopia surgery. First of all, although myopia surgery is performed on the eyes, due to the continuous improvement of medical technology and equipment, it is ultra-minimally invasive and harmless to the eyes, and no bandaging is required after the operation. The visual acuity will be about 3 to 4 hours after the operation.

That is, there is a significant improvement, so there is no need to be hospitalized after myopia surgery, and you can go home after a short rest.

2. Myopia surgery is not covered by medical insurance reimbursement anywhere. All myopia surgery is not covered by medical insurance. It is an outpatient ultra-minimally invasive surgery. Although my country's medical security system is now in a state of improvement, laser myopia surgery is not covered by medical insurance. Eye surgery is similar to oculoplastic surgery. It is not a must-have surgery for everyone with myopia. Therefore, myopia surgery is not within the scope of medical insurance reimbursement stipulated by the state.

Legal basis: Article 29 of the "Social Insurance Law of the People's Republic of China": The portion of the medical expenses of insured persons that should be paid by the basic medical insurance fund shall be settled directly by the social insurance agency with medical institutions and pharmaceutical business units.

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.

Article 30 The following medical expenses are not included in the payment scope of the basic medical insurance fund: (1) Those that should be paid from the work-related injury insurance fund; (2) Those that should be borne by a third party; (3) Those that should be borne by the public health department

; (4) Seeking medical treatment abroad.

Medical expenses should be borne by a third party in accordance with the law. If the third party fails to pay or the third party cannot be identified, the basic medical insurance fund shall pay first.

After the basic medical insurance fund has paid in advance, it has the right to recover compensation from the third party.