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Can eye surgery be reimbursed?
Some can be reimbursed, and the specific situation is analyzed. There are more than a dozen common ophthalmic operations, such as cataract surgery, myopia surgery, strabismus surgery and orbital plastic surgery. Different types of surgery can enjoy different insurance coverage. Cataract surgery expenses are within the scope of medical insurance, which can be reimbursed by medical insurance and commercial medical insurance; Myopia surgery, strabismus surgery, orbital plastic surgery, etc. It does not belong to the treatment category, and medical insurance and commercial medical insurance are not reimbursed. Myopia surgery cannot be reimbursed in commercial medical insurance. Myopia surgery is generally considered as plastic surgery, which is not covered by commercial medical insurance. Myopia surgery is to take off your glasses and make them more beautiful. Unlike other fundus retinas, such as retinal detachment and macular degeneration, which have been included in ophthalmic diseases and have seriously affected their vision, they can enjoy medical insurance reimbursement.

Medical insurance card reimbursement scope:

1, drugs reimbursed for basic medical insurance are included in the payment scope of basic medical insurance, which are divided into Class A and Class B. Class A drugs refer to drugs that are basically unified in the whole country and can ensure the basic needs of clinical treatment. The expenses of such drugs are included in the payment scope of the basic medical insurance fund, and the expenses are paid according to the basic medical insurance payment standard.

2, the basic medical insurance treatment project reimbursement of basic medical insurance treatment project shall meet the following conditions:

(1) Clinical diagnosis and treatment must be safe and effective, and the cost should be appropriate;

(2) The price department has set the charging standard;

(3) within the scope of designated medical services provided by designated medical institutions for the insured.

3. Reimbursement of basic medical service facilities The reimbursement scope of basic medical insurance medical service facilities includes the living service facilities provided by designated medical institutions and necessary for the insured to receive diagnosis, treatment and nursing, mainly including inpatient bed fees or outpatient (emergency) observation bed fees.

Legal basis:

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

Eighth social insurance agencies to provide social insurance services, responsible for social insurance registration, personal rights and interests records, social insurance benefits payment and other work.

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