Can Changchun Yimei Plastic and Cosmetic Clinic reimburse medical insurance?
Changchun Yimei Plastic and Cosmetic Clinic is a well-known plastic and aesthetic institution in Changchun, which provides various cosmetic services including facial plastic surgery, breast plastic surgery, body shaping, etc. Among many beauty seekers, many people are concerned about whether the financial burden can be reduced through medical insurance reimbursement. The following details whether the clinic can reimburse medical insurance from four aspects: medical insurance policy, hospital qualification, project reimbursability and medical insurance reimbursement process.
Medical insurance policy
The medical insurance policy is an important basis for determining the scope of medical expenses reimbursement. According to national regulations, medical insurance reimbursement mainly covers the scope of basic medical insurance, mainly medical expenses for disease treatment and common and frequently occurring diseases. Plastic surgery belongs to cosmetic surgery, and generally does not belong to the scope of basic medical insurance. Therefore, according to the medical insurance policy, the beauty items provided by Changchun Yimei Plastic and Cosmetic Clinic are not within the scope of medical insurance reimbursement.
The medical insurance policy varies in different regions. Special medical needs may be included in the reimbursement scope, but plastic surgery is usually not reimbursed by the medical insurance.
Hospital qualification
All medical institutions within the scope of medical insurance reimbursement must have corresponding medical qualifications and licenses. Changchun Yimei Plastic and Cosmetic Clinic, as a private beauty agency, is not a hospital. Compared with regular hospitals, there may be a gap between their qualifications and medical standards.
Generally, only beauty items provided by medical institutions with hospital qualifications and relevant certifications can be reimbursed by medical insurance. Therefore, from the perspective of hospital qualification, Changchun Yimei Plastic and Cosmetic Clinic is difficult to be included in the medical insurance reimbursement directory.
Project Reimbursability
The medical insurance policy stipulates the scope of medical items that can be reimbursed, and there are specific reimbursement standards for different diseases and operations. Plastic and cosmetic surgery is generally considered as a voluntary act and an unnecessary medical act. Therefore, the reimbursement standard is usually not included in the medical insurance category.
Although plastic surgery cannot be reimbursed through medical insurance, some plastic surgery hospitals provide installment payment, credit loans and other ways to alleviate the economic pressure of consumers in order to create a better consumption environment.
Medical insurance reimbursement process
For diseases and operations that meet the medical insurance reimbursement conditions, patients can submit an application for reimbursement to the local social security bureau. Generally, relevant medical certificates, hospitalization certificates, expense invoices and other materials need to be provided. After review, the Social Security Bureau will make reimbursement according to individual payment and medical policy.
However, because plastic surgery is generally not within the scope of medical insurance reimbursement, the medical insurance reimbursement process is not applicable to the project of Changchun Yimei Plastic and Cosmetic Clinic.
Summary
From the four aspects of medical insurance policy, hospital qualification, project reimbursability and medical insurance reimbursement process, the projects of Changchun Yimei Plastic and Cosmetic Clinic cannot be reimbursed through medical insurance. Plastic and cosmetic surgery mainly belongs to the category of cosmetology and is unnecessary medical behavior, so its costs are not included in the scope of medical insurance policy. Consumers who are interested in plastic surgery should bear the relevant costs.
