Laser surgery is generally not reimbursed by medical insurance.

Laser surgery is not covered by medical insurance and is usually regarded as a medical aesthetic project or cosmetic surgery. For example, myopia surgery and other cosmetic surgeries are not covered by medical insurance.

Although in some cases, health insurance may reimburse some of the costs of laser surgery, such as exams and medications, the cost of the surgery is usually paid out of pocket.

Therefore, before undergoing laser surgery, it is best to consult your doctor and local medical insurance agency to understand the specific reimbursement policy.

Medical insurance reimbursement scope: 1. Drug reimbursement scope: Class A drugs: refer to drugs that are basically unified across the country and can ensure the basic needs of clinical treatment.

The cost of such drugs is included in the payment scope of the basic medical insurance fund, and is paid according to the payment standards of the basic medical insurance.

Category B drugs: After employees pay a certain proportion of the cost, they are then included in the scope of payment by the basic medical insurance fund, and the cost is paid according to the basic medical insurance payment standard.

The specific drug catalog is adjusted by each province, autonomous region, and municipality according to its own conditions.

2. Scope of reimbursement for diagnosis and treatment items: diagnosis and treatment items that are necessary for clinical diagnosis and treatment, are safe and effective, and are reasonably priced, and for which charging standards have been established by the price department.

Note: Special medical services such as registration fees, out-of-hospital consultation fees, out-of-hospital consultation fees, expedited examination and treatment fees, roll-call surgery surcharges, high-quality and low-price fees, self-recruited special nurse fees, and some non-functional plastic surgery and orthopedic surgeries are not within the scope of reimbursement.

Inside.

3. Scope of reimbursement for medical service facilities: mainly includes inpatient bed fees or outpatient (emergency) outpatient observation bed fees.

To sum up, the cost of laser surgery is usually not covered by medical insurance and needs to be paid by the patient themselves.

However, some medical service costs related to surgery can be paid by medical insurance, depending on local medical insurance policies and the hospital's designated qualifications.

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.