Medical insurance reimbursement of plastic surgery department of Shanghai Oriental Hospital
Shanghai Oriental Hospital is a comprehensive hospital, and its plastic surgery is one of the key departments of the hospital. So the question is, can the plastic surgery department of Shanghai Oriental Hospital reimburse medical insurance? The medical insurance reimbursement of the department is introduced from four aspects.
Medical insurance coverage
First of all, we need to understand the medical insurance coverage of plastic surgery in Shanghai Oriental Hospital. According to relevant policies and regulations, medical insurance generally only reimburses necessary medical expenses, that is, the expenses required for disease diagnosis and treatment. For plastic surgery, the medical insurance will review according to the severity of the disease and the necessity of treatment. Some plastic operations, such as correcting congenital malformations, can usually be reimbursed by medical insurance. However, some cosmetic operations, such as breast augmentation, nose augmentation and other cosmetic operations, often cannot be included in the scope of medical insurance.
In practice, the plastic surgery department of Shanghai Oriental Hospital will apply for reimbursement to the medical insurance department according to the patient's specific condition and the requirements of the medical insurance policy. The medical insurance department will carefully review the reimbursement application of each patient according to the relevant review standards, and finally decide whether to reimburse.
Reimbursement after self expense
For some plastic surgery projects of Shanghai Oriental Hospital, even if they are not covered by the medical insurance, patients can still choose to operate at their own expense before reimbursement of medical insurance. This operation mode is often selected by patients, especially for some necessary plastic surgery.
Patients can choose to operate in the plastic surgery department of Shanghai Oriental Hospital, and pay the corresponding operation fees according to the hospital regulations. After that, patients can collect relevant invoices, medical records and other surgical related documents, and apply for reimbursement according to the requirements of the medical insurance department. The medical insurance department will review and verify, and finally decide whether to reimburse. Compared with direct reimbursement, the way of reimbursement after self expense can make patients more convenient and quick to operate and enjoy the benefits of medical insurance reimbursement.
Reimbursement proportion
The proportion of medical insurance reimbursement is one of the issues that patients are generally concerned about. For plastic surgery of Shanghai Oriental Hospital, the proportion of medical insurance reimbursement is generally determined according to the specific operation items, treatment plans and severity of the disease.
Taking the correction of congenital malformations as an example, medical insurance can often reimburse a high proportion of expenses, or even full reimbursement. For some cosmetic operations, the medical insurance usually does not reimburse or only partially reimburses the expenses. Therefore, before choosing the plastic surgery department of Shanghai Oriental Hospital for surgery, patients should be clear about their own surgical purpose and medical insurance reimbursement ratio, and be prepared financially to avoid economic pressure on themselves.
Summary
To sum up, the medical insurance reimbursement of plastic surgery department of Shanghai Oriental Hospital can be assessed according to the severity of the disease, the necessity of treatment, the operation items and other factors. Some necessary plastic surgery can usually be reimbursed by the medical insurance, while some purely cosmetic surgery can not be included in the medical insurance.
For patients, they can choose to perform surgery at their own expense before reimbursement of medical insurance. The reimbursement proportion is generally determined according to the operation items and the severity of the disease. Therefore, before plastic surgery, patients should understand the medical insurance policy and the relevant provisions of the hospital in detail, and make wise decisions.
Finally, we would like to emphasize that everyone's specific situation may be different, and the medical insurance policy will be adjusted according to different regions and time. Therefore, when performing plastic surgery, patients should consult the medical insurance department of the hospital to obtain the latest medical insurance policy and reimbursement information, so as to avoid unnecessary financial burden due to misunderstanding.
