Reimbursement of ophthalmic examination expenses by Guangzhou medical insurance
Ophthalmic examination is a common medical item, which is very important to ensure the health of the masses. In Guangzhou, Guangzhou medical insurance can reimburse the cost of ophthalmic examination, giving people more financial support. The following will elaborate on the reimbursement of ophthalmic examination expenses from the four aspects of medical insurance reimbursement proportion, restrictions, specific expenses and reimbursement process.
1、 Proportion of medical insurance reimbursement
According to the medical insurance policy of Guangzhou, the expenses of ophthalmic examination can be reimbursed by medical insurance. The specific reimbursement proportion is 80%, that is, 20% of the part is self paid, and 80% of the part is medical insurance reimbursement. This means that in ophthalmic examination, most expenses can be reimbursed by medical insurance to reduce personal burden.
It should be noted that before reimbursement, the patient needs to pay all the examination fees before reimbursement. This requires patients to keep relevant expense bills and reimbursement materials for smooth medical insurance reimbursement.
2、 Restrictions
Although Guangzhou Medical Insurance can reimburse the cost of ophthalmic examination, not all cases are eligible for reimbursement. Generally, medical insurance reimbursement is available in the following cases:
1. Persons eligible for medical insurance in Guangzhou, including urban residents and legal residents;
2. You must go to a hospital with medical insurance qualification for ophthalmic examination;
3. Ophthalmic examination must be within the scope of items in the medical insurance catalogue.
It should be emphasized that if your eye examination is beyond the scope of medical insurance, this part of expenses will not be reimbursed.
3、 Specific expenses
The specific cost of ophthalmic examination varies according to different items. The following is the approximate cost range of some common ophthalmic examinations:
1. Fundus examination: 100 yuan - 200 yuan;
2. Vision examination: 20 yuan - 50 yuan;
3. Optometry: 50 yuan - 100 yuan;
4. Intraocular pressure test: 30-80 yuan.
It should be noted that this is only an approximate cost range, and the specific cost will be affected by different hospitals, doctors and equipment. When choosing a hospital for ophthalmic examination, you can consult the hospital's expenses in advance to make a good budget.
4、 Reimbursement process
To successfully apply for medical insurance reimbursement of eye examination expenses, you need to complete the following steps:
1. Complete the ophthalmic examination in the hospital, and consult the doctor to obtain the bills and reimbursement materials of all relevant expenses;
2. Log in to the Guangzhou medical insurance website or use the medical insurance mobile APP, fill in the relevant information in the personal account and upload the bill materials;
3. Waiting for review. Generally, the review time is 5 working days;
4. After approval, the medical insurance department will directly transfer the reimbursement amount to your medical insurance account;
5. Use the medical insurance card to settle accounts at the designated medical insurance pharmacy or hospital, and write off the medical insurance reimbursement.
Summary
Guangzhou medical insurance can reimburse 80% of the ophthalmic examination expenses and 20% of the personal expenses. However, it should be noted that all expenses should be paid before reimbursement, and relevant restrictions should be met. The specific cost of ophthalmic examination varies according to different items, and you can consult in advance when choosing a hospital. The reimbursement process mainly includes obtaining expense bills in the hospital, filling in personal information and uploading materials, waiting for approval, and settling accounts after approval. Through the above measures, Guangzhou medical insurance can provide better support for the cost of ophthalmic examination for citizens.
