Can Shenzhen Jiaxin Medical Beauty Clinic reimburse medical insurance?
Shenzhen Jiaxin Medical Beauty Clinic, as a professional medical beauty organization, is favored by people. However, many people are concerned about whether Shenzhen Jiaxin Medical Beauty Clinic can reimburse medical insurance? The following will elaborate on this issue from four aspects.
1. Medical insurance reimbursement policy
According to the medical insurance system of our country, the medical insurance implements the principle of "diagnosis and treatment first, reimbursement later", and only the relevant treatment in the designated medical institution can enjoy the medical insurance reimbursement treatment. Whether Shenzhen Jiaxin Medical Beauty Clinic is a qualified designated medical insurance institution is the key to determine whether medical insurance can be reimbursed. According to the regulations of relevant departments, only medical beauty clinics that meet the relevant requirements and approval procedures can be included in the scope of designated medical insurance institutions. Therefore, whether Shenzhen Jiaxin Medical Beauty Clinic can reimburse medical insurance depends on the specific situation.
First of all, Shenzhen Jiaxin Medical Beauty Clinic must pass the approval of relevant departments to obtain the qualification of a designated medical insurance institution. Secondly, the outpatient department needs to meet certain requirements for medical facilities, medical personnel and service quality to ensure that the medical beauty services provided meet the standards of designated medical insurance institutions. Only when these conditions are met can Shenzhen Jiaxin Medical Beauty Clinic enjoy medical insurance benefits.
2. Recognition of designated medical insurance institutions
The identification of designated medical insurance institutions is a relatively cumbersome procedure. If Shenzhen Jiaxin Medical Beauty Clinic wants to be included in the scope of designated medical insurance institutions, it needs to submit relevant materials to the local medical insurance management department, such as medical facilities, personnel qualifications, service quality, etc. The medical insurance management department will review and issue the certificate of the designated medical insurance institution after the review is passed. Only the medical beauty clinic with this certificate can enjoy medical insurance benefits and provide medical insurance reimbursement services for patients.
At the same time, the identification of designated medical insurance institutions needs to be reviewed regularly. If Shenzhen Jiaxin Medical Beauty Clinic wants to continue to enjoy medical insurance benefits, it needs to regularly submit relevant materials for review. Only after being reviewed and meeting the requirements can it continue to be included in the scope of designated medical insurance institutions.
3. Scope of medical insurance reimbursement
Even if Shenzhen Jiaxin Medical Beauty Clinic is successfully included in the scope of designated medical insurance institutions, it does not mean that all medical beauty projects can enjoy medical insurance reimbursement. According to China's laws and regulations and medical insurance policies, the reimbursement scope of medical insurance mainly includes medical services and medication costs required for treating diseases, as well as some specific physical examination items and surgical treatment costs. Some items only for beauty purposes are not covered by the medical insurance reimbursement.
Therefore, if the items provided by Shenzhen Jiaxin Medical Beauty Clinic are for cosmetic purposes only, such as micro plastic surgery, freckle removal, lip augmentation, etc., it is not in line with the scope of medical insurance reimbursement. If the items provided have the nature of medical treatment, such as scar repair, skin disease treatment, etc., and comply with the provisions of the medical insurance policy, they can enjoy medical insurance reimbursement treatment.
4. Rational drug use and expenses
As a designated medical insurance institution, Shenzhen Jiaxin Medical Beauty Clinic also needs to comply with relevant medical insurance policies, including rational drug use and cost management. Rational drug use requires medical institutions to use drugs in the national drug catalog and use drugs according to prescribed prescriptions. The cost management requires that medical institutions should abide by the principle of reasonable charge in charge, and should not raise the charge standard at will. Only in strict compliance with the policy requirements in terms of rational drug use and cost management can Shenzhen Jiaxin Medical Beauty Clinic ensure that patients enjoy medical insurance reimbursement treatment.
Summary
To sum up, whether Shenzhen Jiaxin Medical Beauty Clinic can reimburse medical insurance depends on whether it is qualified as a designated medical insurance institution. Only when the accreditation procedure is successfully passed and the relevant requirements of medical insurance are met, Shenzhen Jiaxin Medical Beauty Clinic is likely to enjoy medical insurance benefits. At the same time, items only for beauty purposes are not included in the scope of medical insurance reimbursement, but items of therapeutic nature may enjoy medical insurance reimbursement. In addition, Shenzhen Jiaxin Medical Beauty Clinic also needs reasonable drug use and cost management to ensure the rights and interests of patients and the implementation of medical insurance policies.
