Current location - Plastic Surgery and Aesthetics Network - Plastic surgery and medical aesthetics - Can the plastic surgery department of the hospital apply for medical insurance?
Can the plastic surgery department of the hospital apply for medical insurance?
Plastic surgery can't use medical insurance. Plastic surgery belongs to the category of cosmetic surgery and is not covered by medical insurance. Social medical insurance is a social insurance system established by the state and society according to certain laws and regulations to provide basic medical needs for workers within the scope of protection. The basic medical insurance fund consists of overall funds and individual accounts.

Plastic surgery can't use medical insurance. The expenses that can be reimbursed by medical insurance mainly include drug expenses, medical treatment project expenses and service facilities expenses.

1, basic medical drug expenses: the drug expenses that can be reimbursed by medical insurance include Class A and Class B;

2. Basic medical expenses: expenses of hemodialysis, bone marrow transplantation and other treatment items within the scope of basic medical insurance diagnosis and treatment items;

3. Expenses of basic medical service facilities: the expenses incurred by the insured in the necessary living service facilities used in the process of diagnosis, treatment and nursing in designated medical institutions.

Medical insurance reimbursement process:

1. The agent submits the reimbursement documents and other materials to the social security agency for acceptance;

2. After receiving the application materials, the accepting department shall review, settle accounts and pay;

3. If the social security agency approves the application, the applicant will be reimbursed after receiving the "Social Medical Insurance Medical Expense Reimbursement Form".

Legal basis:

Article 28 of the Social Insurance Law

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.