Can Beijing Contemporary Medical Beauty Agency reimburse medical insurance?
As the capital of China and an international metropolis, Beijing has a large number of medical beauty institutions. However, many people often have a puzzle when choosing medical beauty institutions: can Beijing Contemporary Medical Beauty Institutions reimburse medical insurance? The following will be discussed in detail from four aspects: medical insurance policy, qualification of medical beauty institutions, designated hospitals for medical insurance and designated individual doctors.
Medical insurance policy
At present, the medical insurance policy has certain restrictions on the reimbursement of medical beauty. According to the regulations, the medical insurance fund is mainly used for medical expenses of treating diseases and injuries, and the expenses for non medical needs such as cosmetic surgery are generally not reimbursed. Therefore, most conventional medical beauty items, such as facial anti-aging and skin whitening, cannot be reimbursed through medical insurance.
However, for some medical beauty projects, such as reconstructive surgery and trauma repair in cosmetic surgery, if they are identified as medical needs and have certain Reimbursement Standards for Medical Beauty Projects, they can be reimbursed through medical insurance. However, this requires medical beauty institutions to meet a series of conditions and be reviewed by the Social Security Bureau.
Therefore, in general, most medical beauty items are not reimbursed in the medical insurance policy, and only some items with medical needs can be reimbursed through medical insurance.
Qualification of medical beauty institutions
In Beijing, medical institutions engaged in medical beauty business need to have corresponding qualifications. According to the Regulations on the Administration of Medical Institutions, medical institutions should have corresponding clinical departments and equipment, as well as corresponding professional and technical personnel. Only medical beauty institutions with these conditions are qualified to provide medical beauty services.
For these qualified medical beauty institutions, if their medical beauty projects are recognized as medical needs and have passed the review of the Social Security Bureau, they can choose to sign medical service contracts and reimburse the expenses to the social security institutions. However, it should be noted that the specific reimbursement standard and amount should also be determined according to the specific medical insurance policy.
Therefore, for those legal, standardized and qualified medical beauty institutions, medical insurance can be reimbursed under the condition of complying with the medical insurance policy.
Designated hospitals for medical insurance
The designated hospitals for medical insurance refer to the medical institutions that can provide medical insurance services for the insured as determined by the Social Security Bureau. For the insured using medical insurance, the medical institution must be the designated hospital of medical insurance, otherwise the expenses will not be reimbursed through medical insurance.
In Beijing, all districts and counties have designated medical insurance designated hospitals, which are generally general hospitals or specialized hospitals. For some large medical beauty institutions, if they can become designated hospitals for medical insurance, the insured can be reimbursed through medical insurance when they carry out medical beauty projects in the institutions.
Therefore, for medical beauty institutions that have become designated hospitals for medical insurance, the insured can be reimbursed through medical insurance.
Individual designated doctor
The individual designated doctor refers to the doctor who provides special medical services for the insured in the designated hospital of medical insurance. These doctors usually have rich clinical experience and professional skills, and are recognized and authorized by the Social Security Bureau to provide special medical services.
For some medical beauty institutions, they may hire some individual designated doctors with special medical service authorization to provide more professional and personalized medical beauty services. In this case, if the insured chooses an individual designated doctor to carry out the medical beauty project in the medical beauty agency, it can be reimbursed through the medical insurance.
Therefore, the individual designated doctor is also an important factor in whether the insured can reimburse medical beauty expenses through medical insurance.
Summary
In general, whether Beijing contemporary medical beauty institutions can reimburse medical insurance is a complex problem. Medical insurance policy, qualification of medical beauty institutions, designated hospitals for medical insurance and designated individual doctors are several important factors that affect whether the insured can reimburse medical beauty expenses through medical insurance.
Under the restriction of medical insurance policy, most medical beauty items are not reimbursed. Only a legal, standardized and qualified medical beauty agency with projects identified as medical needs and approved by the Social Security Bureau can reimburse medical insurance.
At the same time, when the insured carries out the medical beauty project, the selected institution must be the designated hospital of medical insurance, and the individual designated doctor can be selected to provide services before reimbursement through medical insurance.
