Can Yingkou Kangyi Medical Beauty Clinic reimburse medical insurance?
Yingkou Kangyi Medical Beauty Clinic is a professional beauty clinic. Many people are concerned about whether it can reimburse medical insurance. The following will introduce whether Yingkou Kangyi Medical Beauty Clinic can reimburse medical insurance from four aspects.
1. Medical insurance policy
First, we need to understand the medical insurance policy. According to the national medical insurance policy, the medical insurance generally can only reimburse the necessary medical expenses, such as treatment of diseases, surgery expenses, etc., and needs to see a doctor in a designated hospital or medical institution. Beauty items are generally considered as voluntary cosmetic surgery and are not generally reimbursed by medical insurance.
However, according to the regulations of Yingkou Medical Insurance Bureau, if some beauty items are medically necessary and operated by doctors with corresponding professional qualifications, they can also be included in the scope of medical insurance reimbursement. Therefore, if the beauty items provided by Yingkou Kangyi Medical Beauty Clinic meet these requirements, they may be reimbursed for medical insurance.
2. Project classification
Secondly, we need to know the project classification of Yingkou Kangyi Medical Beauty Clinic. According to the definition of the World Health Organization, medical cosmetology can be divided into plastic surgery cosmetology and non-surgical cosmetology.
Plastic surgery and cosmetology include nose augmentation, breast augmentation, face reduction and other operations, which belong to the medical cosmetology. These operations are generally performed in the operating room by plastic surgeons. If these operations are necessary to repair malformations or improve physical functions, they may be included in the medical insurance reimbursement scope on the premise of complying with the medical insurance policy.
Non operative beauty includes laser hair removal, beauty injection, skin grinding and other non operative items, which are non operative items in medical beauty. These non-surgical items generally do not need to be carried out in the operating room, but are operated by the beauty doctor. These items are generally considered as voluntary cosmetic surgery, and medical insurance is generally not reimbursed.
3. Hospital qualification
In addition, we need to pay attention to the hospital qualification of Yingkou Kangyi Medical Beauty Clinic. According to the regulations of the National Health Commission, beauty and plastic surgery hospitals need to have corresponding qualifications and practice licenses. Only after obtaining the corresponding qualification and license can we legally operate the cosmetic surgery business.
If Yingkou Kangyi Medical Beauty Clinic has the qualification and license of a medical beauty hospital, it may be included in the medical insurance reimbursement scope when providing medical insurance reimbursement items, provided that the medical insurance policies are met.
4. Medical Guide
Finally, we need to check the medical guide of Yingkou Kangyi Medical Beauty Clinic. The medical guide usually lists the items and expenses that can be reimbursed for medical insurance. If the medical treatment guide of Yingkou Kangyi Medical Beauty Clinic clearly lists the items and expenses that can be reimbursed for medical insurance, it can be determined that medical insurance can be reimbursed under the condition of meeting the medical insurance policy and hospital requirements.
To sum up, whether Yingkou Kangyi Medical Beauty Clinic can reimburse medical insurance needs to be comprehensively judged from the aspects of medical insurance policy, project classification, hospital qualification and medical guidance. On the premise of complying with the medical insurance policy, if the project is medically necessary and operated by doctors with corresponding professional qualifications, and the hospital has the qualification and license of a beauty and plastic surgery hospital, and the medical treatment guide clearly lists the items and expenses that can be reimbursed for medical insurance, Yingkou Kangyi Medical Beauty Clinic is likely to reimburse for medical insurance.
