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Can the plastic surgery department of Shanghai Ninth Hospital apply for reimbursement of medical insurance?

Can the plastic surgery department of Shanghai Ninth Hospital apply for reimbursement of medical insurance

The plastic surgery department of Shanghai Ninth Hospital is one of the famous plastic surgery hospitals in Shanghai, with first-class medical facilities and expert team. When choosing plastic surgery, many people are concerned about whether the medical insurance can be reimbursed. In this paper, we will elaborate on whether the plastic surgery department of Shanghai Jiuyuan Hospital can reimburse medical insurance from four aspects: medical insurance policy, operation type, reimbursement conditions and medical treatment process.

 Can the plastic surgery department of Shanghai Ninth Hospital apply for reimbursement of medical insurance?

Medical insurance policy

According to the national and local medical insurance policies, plastic surgery is usually a self funded project and is not covered by the medical insurance reimbursement. This also means that most plastic surgery can not be reimbursed through medical insurance when it is carried out in the plastic surgery department of Shanghai Ninth Hospital. However, plastic surgery in some special cases may be partially reimbursed, such as removal of skin lesions, repair of congenital malformations, etc. Before choosing plastic surgery, it is best to consult the medical insurance specialist of the hospital or contact the local medical insurance department to understand the specific policy.

Type of operation

The plastic surgery department of Shanghai Ninth Hospital provides a wide range of plastic surgery, including breast augmentation, nose augmentation, double eyelid, liposuction, face slimming, etc. Some types of surgery may be performed for aesthetic or personal psychological needs, but not necessarily related to health. These operations are generally not recognized as medical needs, and it is difficult to obtain medical insurance reimbursement. However, some types of surgery, such as reconstructive plastic surgery and breast reconstruction surgery, may meet the conditions of medical insurance reimbursement because of their health related. When selecting the type of surgery, comprehensive consideration should be given to individual conditions and medical insurance policies.

Reimbursement conditions

Even if some plastic surgery meets the reimbursement conditions of the medical insurance policy, it still needs to meet certain requirements. Generally speaking, if the operation is recognized as a medical need, relevant medical history and doctor's diagnosis certificate should be provided. In addition, the surgical expenses should also be accounted according to the relevant standards. If they exceed the reimbursement scope specified by the medical insurance, the excess part should be paid at its own expense. Therefore, it is necessary to consult the hospital and medical insurance department to understand the required procedures and materials, as well as the specific reimbursement proportion and amount.

Medical treatment process

If you plan to have plastic surgery in the Plastic Surgery Department of Shanghai Ninth Hospital and want to be reimbursed through medical insurance, you can follow the following procedures. First, consult the medical insurance specialist of the hospital or contact the local medical insurance department to understand the relevant policies and reimbursement conditions. Then, detailed medical history information shall be provided to the doctor at the time of medical treatment, so that the doctor can evaluate whether the operation conforms to the medical insurance policy. If the conditions are met, prepare relevant materials and procedures according to the requirements of the medical insurance department. Finally, submit the application for reimbursement to the medical insurance department after the operation, and provide the invoice and relevant supporting documents of the operation expenses as required. After review, if the conditions are met, the medical insurance department will reimburse according to relevant regulations.

To sum up, most plastic surgeries in the Plastic Surgery Department of Shanghai Ninth Hospital cannot be reimbursed through medical insurance. However, in certain circumstances, some plastic surgery may be partially reimbursed. It is recommended to consult the hospital and the local medical insurance department when selecting the type of surgery and medical procedures, so as to obtain accurate information. In order to avoid unnecessary economic losses, it is best to make comprehensive consideration and planning before plastic surgery.

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