Can Jiangsu Shirmei Plastic and Cosmetic Hospital reimburse medical insurance?

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Can Jiangsu Shirmei Plastic and Cosmetic Hospital reimburse medical insurance?

Jiangsu Shilmei Plastic and Cosmetic Hospital is a professional plastic and aesthetic hospital located in Jiangsu Province. Many people want to know whether the hospital can reimburse expenses through medical insurance when performing plastic surgery. The following will elaborate on whether the medical insurance can be reimbursed by Jiangsu Shirmei Plastic and Cosmetic Hospital from four aspects.

Coverage of medical insurance policy

The coverage of medical insurance policy is the key to determine whether plastic surgery expenses can be reimbursed. According to the current medical insurance policy, under normal circumstances, the cost of plastic surgery is not reimbursed by the medical insurance. Because plastic surgery is mostly out of personal beauty needs, not necessary to treat diseases. However, in some special cases, if the plastic surgery is due to dysfunction caused by disease or trauma, it may be recognized as medical expenses by the medical insurance department for reimbursement.

However, Jiangsu Shilmei Plastic and Cosmetic Hospital is not a public hospital, but a private hospital. Therefore, whether its surgical expenses can be reimbursed for medical insurance needs further investigation.

Cooperation between hospitals and medical insurance

Some private hospitals have signed cooperation agreements with medical insurance institutions, which can include part of the operation costs into the medical insurance scope to facilitate the reimbursement of patients. However, according to the query of relevant media and official website, at present, there is no information about the cooperation relationship between Jiangsu Shirmei Plastic and Cosmetic Hospital and medical insurance institutions, so it is impossible to confirm whether its surgical expenses can be reimbursed for medical insurance.

Personal medical insurance policy

In addition to whether the hospital has a cooperative relationship with the medical insurance institution, the individual medical insurance policy is also one of the factors that determine whether the surgical expenses can be reimbursed. According to the current medical insurance policy in China, the personal medical insurance generally only includes the medical expenses required for the treatment of diseases, not including the cost of cosmetic surgery. Therefore, if an individual has only basic medical insurance, the cost of plastic surgery is not reimbursable.

However, some individuals may purchase commercial medical insurance. In this case, the scope of personal medical insurance may be broader, including a certain degree of plastic surgery expense reimbursement. However, whether reimbursement can be made depends on the terms of the individual medical insurance contract or the insurance company.

epilogue

To sum up, at present, there is no exact evidence to show that the operation expenses of Jiangsu Shilmei Plastic and Cosmetic Hospital can be reimbursed for medical insurance. In general, the cost of plastic surgery is not reimbursed by medical insurance. However, if the plastic surgery is due to dysfunction caused by disease or trauma, and individuals have purchased commercial medical insurance, they may be reimbursed to a certain extent. In order to ensure the reimbursement of surgical expenses, it is recommended to consult the medical insurance department or insurance company before plastic surgery to understand the personal medical insurance policy and whether the hospital has a cooperative relationship with medical insurance institutions.