Suggestion: strabismus is a congenital disease, and strabismus correction surgery belongs to plastic surgery, which is not within the scope of insurance claims, so the insurance company refuses to cover it! It belongs to corrective treatment, and strabismus surgery is not covered by medical insurance reimbursement. This is a self-financing project. Once it involves corrective surgery such as myopia and strabismus, there is no reimbursement function. So I have to pay for it myself. Weijie Xu-Doctor of Otolaryngology, People's Hospital of Hebei Province
At present, strabismus surgery does not belong to the scope of reimbursement of medical insurance and new rural cooperative medical system, and it is impossible to fully reimburse, but some drugs for surgery can be reimbursed, but generally more should be reimbursed for hospitalization. If you do outpatient surgery, the reimbursement fee will be less.
There are still differences in reimbursement standards in different regions, depending on the hospital.
The expenses of strabismus surgery mainly include examination expenses, anesthesia expenses, operation expenses and medicine expenses.
Examination fee: Before strabismus surgery, routine ophthalmological examination and general examination should be done, generally around 700 yuan. Some people find that they have other diseases and need to do special examinations such as orbital CT, so the cost will be more, about 1000 yuan.
Operation cost: the operation cost is mainly related to making one eye or two eyes, and has nothing to do with moving several muscles. The cost of monocular surgery is 2000~3000 yuan, and the cost of binocular surgery is doubled.
Of course, the cost of hospitals in different regions and hospitals of different levels is different, depending on the local hospital.
The correction of strabismus is a very complicated problem, including the correction of ametropia, the treatment of amblyopia, the training of binocular monocular function and the correction of eye position. Clinically, except for accommodative esotropia caused by hyperopia and excessive convergence, all kinds of strabismus can be corrected by wearing glasses, and other strabismus basically need surgical correction. Surgery is to adjust the strength of the external eye muscle and the position of the attachment point through surgery, so that the eye position tends to be normal. Congenital esotropia and up-and-down strabismus mostly need surgical treatment, and accommodative strabismus with large inclination usually needs surgical correction.
/kloc-Children under the age of 0/8, whether operated or not, should take medicine in time to enhance the overall nutrition of the eyes and improve their eyesight. It is recommended to take Le Jing Mingmu Nutrients twice a day, one pack each time, and take it with warm water. After taking it for a period of time, the child's vision will gradually improve, and strabismus will get better and better, and it will not recur. Strabismus surgery is not covered by medical insurance reimbursement, so you can't enjoy medical insurance reimbursement. The expenses of strabismus surgery mainly include: operation expenses, anesthesia expenses, guardianship expenses, materials expenses, hospitalization expenses, examination expenses, medicine expenses, etc. The cost is about 8,000-9,000 yuan (due to different conditions, different surgical methods are slightly different). Active medical actions, such as plastic surgery and orthopedic surgery, will not be reimbursed. In order to make your appearance conform to your own ideas, whether you look good or not does not affect your health, but if you feel bad, you have to have surgery. The role of insurance is to protect and protect one's health, and social security resources are all owned and scarce, so this kind of active medical treatment will not be reimbursed. Passive medical behavior: the patient was diagnosed in a public hospital above the second level, and the hospital required to treat the patient. This can be reimbursed. What can be reimbursed? Prefecture-level cities have a "social security drug reimbursement list", which can be seen clearly.
Hello, my answer to your question is that strabismus surgery is covered by medical insurance. As for whether some expenses related to surgery can be reimbursed, it depends on the specific regulations in different regions. General hospitalization and some drugs are definitely reimbursable. The specific hospital shall prevail. Whether strabismus can be operated requires detailed examination after optometry. At present, not all strabismus is suitable for surgery. For strabismus caused by general ametropia, it is suggested to correct ametropia first, and then see if surgery is needed. For ametropia under 18 years old, it is recommended to take Le Jing Vision Nutrients, two packs a day, without any side effects. Generally, you can see obvious changes in 7 days. After taking it for a period of time, ametropia can be corrected, strabismus will naturally improve, and surgery is not required.