Can Nantong Kangmei Beauty Hospital reimburse medical insurance
Nantong Kangmei Beauty Hospital, as a professional beauty medical institution, has attracted much attention. Many people hope to enjoy the reimbursement of medical insurance. Next, we will introduce whether Nantong Kangmei Beauty Hospital can reimburse medical insurance from many aspects.
1. Coverage of medical insurance policies for beauty projects
First of all, to know whether Nantong Kangmei Beauty Hospital can reimburse medical insurance, we need to know the coverage of medical insurance policies on beauty projects. According to the medical insurance policy issued by the National Health Commission, the current medical insurance system in China mainly covers the treatment of clinical diseases, that is, disease oriented medical services. Beauty items are generally non essential medical items, so they are generally not included in the reimbursement scope of medical insurance.
In addition, according to the provisions of the Medical Insurance Drug Catalogue (2019 Edition), some specific beauty items may be included in the medical insurance scope, such as facial reconstruction surgery and compound fracture repair surgery caused by congenital malformation or trauma. To determine whether medical insurance can be reimbursed, you need to consult the medical insurance department of the hospital or inquire in the medical insurance directory.
2. Whether the hospital has signed a contract with the medical insurance
Secondly, whether Nantong Kangmei Beauty Hospital can reimburse medical insurance depends on whether the hospital has cooperated with medical insurance, that is, whether it has signed a contract with medical insurance. Generally speaking, only after the hospital signs a contract with the medical insurance can part of the medical expenses be included in the scope of the medical insurance and reimbursed by the medical insurance. If Nantong Kangmei Beauty Hospital signs a contract with the medical insurance and reaches a cooperation agreement, some projects may be included in the medical insurance scope and enjoy the reimbursement treatment of medical insurance.
In order to facilitate patient consultation and reimbursement, some hospitals will publish information on whether to sign a contract with medical insurance in the official website or medical insurance window in the hospital. If there is no relevant published information, you can consult the customer service staff or receptionist of the hospital to find out whether Nantong Kangmei Beauty Hospital has signed a contract with medical insurance.
3. Proportion of self expense and medical insurance reimbursement
Even if Nantong Kangmei Beauty Hospital signs a contract with the medical insurance and can reimburse part of the medical expenses, patients usually have to bear part of their own expenses. According to the medical insurance policy, medical insurance can only be reimbursed according to the specified self payment ratio, and generally cannot be reimbursed in full. Therefore, when carrying out beauty projects, patients need to understand the proportion of self expense and reimbursement according to the medical insurance policy, and make economic preparations.
In addition, the self expense and reimbursement ratio of the medical insurance policy for different regions and hospitals will also be different. Therefore, when choosing a hospital, patients should consider the reimbursement ratio and personal economic ability comprehensively to select a suitable hospital.
4. Specific operation process of medical insurance reimbursement
Finally, to enjoy the reimbursement treatment of medical insurance, patients also need to understand the specific operation process of medical insurance reimbursement. Generally speaking, patients need to pre declare reimbursement to the medical insurance department in advance before going to hospital, and then perform surgery or treatment. After discharge, patients need to prepare relevant reimbursement materials, such as medical records and invoices issued by doctors, and then submit them to the medical insurance department for review and reimbursement.
The medical insurance departments in different regions may have different requirements for reimbursement materials. Patients need to understand the relevant requirements and processes in advance to avoid affecting the application for reimbursement.
Summary
To sum up, Nantong Kangmei Beauty Hospital generally cannot reimburse medical insurance because medical insurance policies generally only cover medical services for disease treatment. However, whether the medical insurance can be reimbursed or not needs to be determined in strict accordance with the medical insurance policy and the relevant provisions of the hospital. Therefore, when choosing Nantong Kangmei Beauty Hospital for beauty projects, patients should consult the medical insurance department of the hospital in advance to understand the relevant policies and operating procedures so as to make better decisions.
