Reimbursement of medical insurance by Wuhan Tian'an Plastic and Cosmetic Hospital
Wuhan Tian'an Plastic and Cosmetic Hospital is a hospital focusing on the field of plastic and aesthetic surgery, located in the center of Wuhan. Many people will consider whether medical insurance can be reimbursed when choosing a plastic and cosmetic hospital. The following will elaborate on the medical insurance reimbursement of Wuhan Tian'an Plastic and Cosmetic Hospital from four aspects: the scope of application, reimbursement conditions, application process and reimbursement amount.
1、 Applicable scope of medical insurance
The scope of medical insurance is one of the key factors that determine whether medical expenses can be reimbursed. According to relevant regulations, medical insurance is generally applicable to the costs of treating diseases, maintaining health and preventing diseases. However, plastic surgery is a non-medical beauty project, which is generally not within the scope of medical insurance. Therefore, the plastic surgery expenses of Wuhan Tian'an Plastic and Cosmetic Hospital cannot be reimbursed through medical insurance generally.
2、 Reimbursement conditions
Although the cost of plastic surgery is not within the scope of medical insurance, in some special cases, part of the cost can be reimbursed through medical insurance. Generally, only patients who meet the following conditions can enjoy medical insurance reimbursement:
1. Serious deformation or dysfunction: plastic surgery has serious deformation or dysfunction, and has been identified as medical surgery by professional doctors.
2. Combined cause: plastic surgery is to treat certain diseases or congenital malformations, and there are associated combined causes.
3. Medical insurance approval: patients need to apply for medical insurance reimbursement to the social insurance department in advance and obtain approval.
3、 Application process
For patients who meet the medical insurance reimbursement conditions, they can apply according to the following process:
1. Consultation: patients can consult Wuhan Tian'an Plastic and Cosmetic Hospital about the details of medical insurance reimbursement in advance. The professional staff of the hospital will evaluate and answer the questions according to the specific situation of the patient.
2. Prepare materials: prepare relevant medical certificates, identity certificates, medical insurance approval documents and other materials required for application.
3. Submission of application: The patient goes to the local social security department to submit the medical insurance reimbursement application, and submits the corresponding application materials as required.
4. Review and reimbursement: The social security department will review the application materials, and eligible expenses will be reimbursed.
4、 Reimbursement amount
When medical insurance reimburses plastic and cosmetic expenses, the reimbursement amount is generally calculated according to a certain proportion of medical expenses. The specific proportion may vary from region to region, generally between 20% and 80%. In addition, the medical insurance also has a limit, and the expenses beyond the limit will not be reimbursed.
Summary
To sum up, the plastic surgery expenses of Wuhan Tian'an Plastic and Cosmetic Hospital cannot be reimbursed through medical insurance generally. However, some patients can enjoy medical insurance reimbursement under the special circumstances of meeting severe deformation or dysfunction, combined etiology and medical insurance approval. Patients need to consult the hospital in advance and understand the relevant conditions and processes in order to successfully apply for medical insurance reimbursement. The reimbursement amount is generally calculated according to a certain proportion, and the specific proportion and limit may vary from region to region.
