Can the plastic surgery outpatient department of Xiamen Siminglan apply for reimbursement of medical insurance?

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Introduction to medical insurance reimbursement of Xiamen Siminglan Plastic Surgery Outpatient Department

Xiamen Siminglan Plastic Surgery Outpatient Department is a regular plastic surgery hospital located in Siming District, Xiamen, with first-class plastic surgery experts and advanced equipment. Many people are concerned about the reimbursement of medical expenses before deciding to carry out plastic surgery. The following details the medical insurance reimbursement of Xiamen Siminglan Plastic Surgery Outpatient Department from four aspects: medical insurance fixed-point, medical insurance reimbursement proportion, special circumstances and self funded items.

Medical insurance designated point

As a regular plastic surgery hospital, Xiamen Siminglan Plastic Surgery Outpatient Department is a designated medical insurance unit. This means that all patients who receive medical treatment in the outpatient department can enjoy the relevant policies and benefits of medical insurance on the premise of medical insurance qualification. Therefore, the plastic surgery expenses of the outpatient department can be reimbursed according to the reimbursement standard of medical insurance.

It should be noted that the reimbursement scope and proportion of medical insurance are limited. The reimbursement proportion of medical insurance will be introduced in detail below.

Proportion of medical insurance reimbursement

According to the medical insurance policy of Xiamen, plastic surgery expenses can be reimbursed in a certain proportion. Generally, 50% to 70% of plastic surgery expenses can be reimbursed by medical insurance. The specific proportion shall be determined according to the patient's condition and operation items.

It should be reminded that some plastic surgery items may not be covered by medical insurance, such as cosmetic surgery. In this case, the patient needs to pay for the operation at his own expense. Therefore, before plastic surgery, patients should consult their doctors to find out whether the surgery items are within the scope of medical insurance and the specific proportion of medical insurance reimbursement.

Special circumstances and self funded projects

Although Xiamen Siminglan Plastic Surgery Clinic is a designated medical insurance unit, it does not mean that all plastic surgery expenses can be reimbursed. According to the medical insurance policy, the plastic surgery expenses in the following cases are not reimbursable:

1. Non disease plastic surgery expenses, such as pure cosmetic surgery;
2. The purpose of the operation is to pursue extraordinary beauty, rather than the cost of the operation to treat functional problems;
3. The part of medical expenses exceeding the limit of medical expenses stipulated by the medical insurance.

For the above cases, patients need to pay for the surgery at their own expense.

Summary

To sum up, Xiamen Siminglan Plastic Surgery Outpatient Department is the designated unit of medical insurance, and the reimbursement proportion of plastic surgery expenses is generally 50% to 70%. However, not all plastic surgery expenses can be reimbursed. In special cases, plastic surgery expenses and voluntary cosmetic surgery expenses are not reimbursable, and patients need to pay at their own expense. Therefore, before plastic surgery, the patient should consult the doctor in advance and understand the specific medical insurance reimbursement situation.

Xiamen Siminglan Plastic Surgery Outpatient Department is committed to providing patients with high-quality plastic medical services, and will also try its best to help patients consult medical insurance related issues and help them make reasonable medical expense planning.