Legal analysis: Cataract surgery can be reimbursed, but the reimbursement ratio is different. Generally, the cost of cataract surgery in secondary hospitals is about 7000+, and it is about 4000 at its own expense, including 60% in town hospitals, 40% in secondary hospitals and 30% in tertiary hospitals. The medical expenses of urban workers within a settlement year are below 654.38+10,000 yuan, which shall be paid by tertiary hospitals. The reimbursement rate is 50%, and the upper limit is 2000 yuan. The minimum threshold for hospitalization in secondary hospitals is 300 yuan, and the reimbursement rate is 55%. There is no minimum threshold for first-class hospitals, and the reimbursement rate is 60%. Most of the operation expenses can be reimbursed. Crystals are consumables, which cannot be reimbursed by any medical insurance or any hospital. Therefore, the cost of cataract depends on what kind of lens the patient chooses. Different cataract patients have different eye conditions and suitable lenses.
Legal basis: People's Republic of China (PRC) Social Insurance Law.
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.
Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.