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What are the regulations for Zhongshan Ophthalmology Reimbursement in Guangzhou?

Regulations of Zhongshan Ophthalmology Department on Reimbursement to Guangzhou

As one of the important cities in China's economic development, Guangzhou has a national leading medical level and a perfect medical system. As an important medical field, ophthalmology reimbursement regulations are one of the focuses for Guangzhou citizens. The following will elaborate on the regulations of Zhongshan Ophthalmology Department in Guangzhou from four aspects: social insurance reimbursement, medical insurance payment, medical fixed-point and restricted items.

 What are the regulations for Zhongshan Ophthalmology Reimbursement in Guangzhou?

1、 Social insurance reimbursement

Guangzhou citizens can realize the reimbursement of ophthalmic medical expenses by participating in social medical insurance. According to the social medical insurance regulations of Guangzhou, the items that can be reimbursed for ophthalmology include common glasses, contact lenses, lenses, corneal contact lenses, etc. The specific reimbursement proportion depends on the social security policy. You can consult relevant personnel at the outpatient payment office of the hospital and check the individual social security reimbursement proportion and reimbursement scope.

For some patients who have accurately diagnosed ophthalmic diseases, they can choose a designated hospital within the specified range to see a doctor based on the medical record and medical insurance card issued by the doctor, and reimburse the ophthalmic related expenses according to the specified proportion. Please take all relevant certificates and materials such as medical insurance card, ID card and outpatient number with you to facilitate reimbursement by the hospital.

It should be noted that the social security policy of Guangzhou will be modified and adjusted from time to time. It is recommended to pay attention to the latest policy information of the official media or the outpatient department of the hospital to ensure accurate reimbursement information.

2、 Medical insurance payment

Guangzhou medical insurance payment refers to the payment of ophthalmic treatment fees by the insured in Guangzhou directly through the medical insurance card within a specific scope. The scope of payment for ophthalmic treatment by Guangzhou medical insurance mainly includes acute conjunctivitis, simple keratitis, ocular surface diseases, as well as ocular trauma and enucleation. For the specific payment scope and payment proportion, please consult the relevant department of the hospital for accurate information.

For medical insurance payment, it should be noted that before ophthalmic treatment, it is necessary to apply to the hospital reimbursement department for expense settlement through medical insurance payment, and provide relevant personal certificates and medical certification materials.

3、 Medical fixed-point

Guangzhou medical insurance stipulates that some hospitals and clinics can conduct ophthalmic diagnosis and treatment and reimbursement as medical fixers. As one of the key medical institutions in Guangzhou, Zhongshan Ophthalmology has advanced medical equipment and a professional team of doctors. It is good at treating various ophthalmic diseases and is one of the first choices for Guangzhou citizens to seek medical treatment.

If you choose to visit Zhongshan Ophthalmology Department, Guangzhou citizens can enjoy convenient reimbursement and high-quality ophthalmic treatment services. Before medical treatment, check the proportion of individual social insurance reimbursement and the scope of medical insurance payment, and learn about the medical insurance policy and the medical fixed-point information related to Zhongshan Ophthalmology in advance, as well as the needs for medical treatment, so as to avoid troubles and unnecessary troubles in the process of medical treatment.

4、 Restricted items

Guangzhou social security has some restrictions on the reimbursement of ophthalmic treatment expenses and medical insurance payment. Some plastic surgery, myopia surgery (such as laser myopia surgery) and other non disease treatment items are generally not included in the reimbursement scope. The use of over-the-counter drugs such as eye drops and eye washes is not covered by the medical insurance.

Before ophthalmic treatment, it is recommended to know the relevant policies and regulations of social insurance and medical insurance in advance to avoid unnecessary expenses.

Summary

The reimbursement regulations of Guangzhou Zhongshan Ophthalmology Department mainly cover four aspects: social insurance reimbursement, medical insurance payment, medical fixed-point and restricted items. The insured can reimburse the ophthalmic expenses through social medical insurance, and directly use the medical insurance card to pay the expenses. As one of the key medical institutions in Guangzhou, Zhongshan Ophthalmology provides high-quality ophthalmic diagnosis and treatment services, and enjoys convenient reimbursement and payment processes. However, it should be noted that the social insurance and medical insurance policies will be adjusted from time to time. It is recommended to pay attention to the latest policy information of the official media or the outpatient department of the hospital to ensure accurate reimbursement information.

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