Can Beijing Yuefangya Medical Beauty Clinic reimburse medical insurance?
Beijing Yuefangya Medical Beauty Clinic is a well-known medical beauty clinic located in Beijing, providing various cosmetic surgery and non-surgical beauty projects. However, there has always been a dispute about whether Yuefangya outpatient department can reimburse medical insurance. The following is a detailed description of this problem from four aspects.
1、 Applicability of medical insurance policy and medical beauty outpatient department
According to the medical insurance policy, only medical services that meet the scope of medical care can be reimbursed. However, the scope of medical insurance reimbursement for medical beauty items is relatively narrow, generally only including medical plastic surgery and necessary plastic repair surgery. For non surgical beauty items, such as injection beauty, laser beauty, etc., medical insurance generally does not reimburse. Yuefangya outpatient department mainly provides non-surgical beauty items, so from the perspective of medical insurance policy, it cannot reimburse medical insurance.
In addition, the reimbursement of beauty items by medical insurance must meet the requirements of clinical needs and rationality. If the medical insurance thinks that a certain beauty project has no obvious clinical needs or is unreasonable, it will not be reimbursed. The projects provided by Yuefangya Outpatient Department mainly focus on beauty and appearance improvement, with low clinical demand. Therefore, from the perspective of clinical needs and rationality, it is difficult to meet the medical insurance requirements.
2、 Cooperation between medical insurance and private medical beauty clinic
Although in most cases, the medical insurance cannot reimburse the projects of private medical beauty clinics, the private medical beauty clinics cooperating with some public hospitals may have certain reimbursement conditions. Some public hospitals have set up beauty department or plastic surgery department to cooperate with private medical beauty clinic to carry out some beauty and plastic surgery projects. These cooperation projects generally meet the conditions for medical insurance reimbursement and can be reimbursed through designated medical insurance institutions.
Yuefangya Outpatient Department cooperates with a public hospital in Beijing to carry out academic exchanges and training with the cosmetic and plastic surgery doctors in public hospitals on a regular basis, but has not yet provided medical insurance reimbursement services. Therefore, although Yuefangya outpatient department has a certain professional level, it is not closely related to medical insurance reimbursement.
3、 Relationship between self expense and commercial insurance reimbursement
Compared with the limited reimbursement scope of medical insurance, commercial insurance has a broader reimbursement scope for medical beauty projects. Some commercial insurance products provide medical beauty insurance, including non-surgical beauty items. If the patient has purchased the relevant commercial insurance products, they can accept the beauty project in Yuefangya outpatient department and make reimbursement through commercial insurance.
However, the reimbursement scope, amount and conditions of commercial insurance are different, so you need to query specific insurance contracts. Yuefangya outpatient department cooperates with some commercial insurance companies, but whether the commercial insurance can be reimbursed depends on the specific insurance products and terms, and the patients need to verify with the insurance company.
4、 Comprehensive evaluation and summary
In general, Beijing Yuefangya Medical Beauty Clinic is unable to reimburse medical insurance at present. The medical insurance has limited reimbursement scope for non-surgical beauty items, and the main items of Yuefangya outpatient department also belong to non-surgical beauty. However, for private medical beauty clinics, not all items must rely on medical insurance reimbursement. Patients can choose to purchase commercial insurance to achieve a certain degree of reimbursement. Finally, patients can weigh the advantages and disadvantages according to their own needs and economic conditions, and choose whether to carry out beauty projects in Beijing Yuefangya Medical Beauty Clinic.
