Reimbursement of cataract surgery expenses. Among them, the price limit for artificial crystal emulsification knives is 300 yuan, the price limit for imported artificial crystal is 500 yuan, and the price limit for emulsification knives is 90 yuan. Individuals pay more than a portion of the cost.
1. Reimbursement scope:
Drug expenses: auxiliary examinations: electrocardiogram, X-ray, film, laboratory tests, physical therapy, acupuncture, CT, MRI, etc. The examination fee is reduced by 200 yuan; the operation fee (refer to national standards, if it exceeds 1,000 yuan, it will be reimbursed at 1,000 yuan).
Old people over 60 years old are hospitalized in Xingta Town Health Center. The treatment fee and nursing fee are 10 yuan per day, with a limit of 200 yuan.
2. Reimbursement ratio:
Urban health centers will reimburse 60%; second-level hospitals will reimburse 40%; third-level hospitals will reimburse 30%.
Extended information:
The reimbursement scope of urban medical insurance refers to all employers in urban areas, as follows:
1. Including enterprises (state-owned enterprises, collectives enterprises, foreign-invested enterprises, private enterprises, etc.);
2. Agencies, public institutions, social groups, non-enterprise private units and their employees must participate in basic medical insurance;
3 , Some towns and villages stipulate that township enterprises and their employees, and owners of urban individual economic organizations and their employees should be converted to basic medical insurance (the last one is based on different policies in different places) and can enjoy medical expense reimbursement.
The main reasons for urban medical expense reimbursement are hospital medical treatment, medication, hospitalization, surgery, etc. Medical insurance cards can be returned in accordance with relevant regulations. Urban medical insurance is relatively large in terms of specificity, project scale and coverage, but it is considered a major illness. Payments are limited in the event of an accident or accident.
Baidu Encyclopedia - Medical Insurance Reimbursement Scope
Baidu Encyclopedia - Cataract Surgery