Pelvic floor muscle repair can be reimbursed by medical insurance for about 50%-90%. The details are as follows:
1. Pelvic floor muscle repair refers to related treatment for pelvic floor muscle relaxation, prolapse and other problems, which can be completed by surgical or non-surgical treatment. At present, medical insurance in most regions has included pelvic floor muscle repair within the scope of reimbursement;
2. The specific reimbursement ratio varies from region to region, generally around 50%-90%, but it requires Meet relevant conditions. You need to consult your local medical insurance agency to understand specific reimbursement conditions and requirements.
Scope of medical insurance reimbursement:
1. The insurance liability for hospitalization medical expenses within the scope of medical insurance is within the medical insurance directory that is still borne by the individual after being reimbursed by basic medical insurance, critical illness insurance, medical assistance, etc. Part of the cost will be paid within the agreed insurance coverage. 1 million insured amount, 15,000 yuan deductible, reimbursement ratio 80%, continuous insurance reimbursement ratio increased to 85%;
2. Insurance liability for hospitalization medical expenses outside the scope of medical insurance, through basic medical insurance, serious illness For the expenses outside the medical insurance catalog that are still borne by the individual after insurance, medical assistance, etc. are reimbursed, the payment responsibility shall be within the scope of the agreed insurance liability. 1 million insured amount, 18,000 yuan deductible, reimbursement ratio 60%, continuous insurance reimbursement ratio increased to 65%;
3. Insurance liability for specific high-cost outpatient drugs, in designated hospitals and designated pharmacies The part of the drug expenses paid by the individual shall be borne by the individual and shall bear the responsibility for payment within the scope of the agreed insurance liability. 700,000 insured amount, 26 kinds of drugs, and designated rare disease outpatient drugs/inpatient medical insurance. The insurance liability is 20,000 yuan deductible, and the compensation ratio is 80%;
4. Designated rare disease outpatient clinics Insurance liability for drug/hospital medical insurance expenses. For drug expenses incurred in designated hospitals and designated pharmacies, the individual shall be responsible for payment within the scope of the agreed insurance liability. The insured amount is 300,000 yuan, 12 kinds of drugs, and the insurance liability for specific high-cost outpatient drugs is 20,000 yuan deductible, and the reimbursement rate is 70%.
To sum up, the price of rectus abdominis separation repair and pelvic floor muscle repair is not very high and is within the acceptable range of most people, and if it is a relatively mild rectus abdominis separation As well as pelvic floor muscle relaxation, it can be restored by doing exercises such as yoga, without the need to go to the hospital or postpartum care center.
Legal basis:
Article 2 of the "Insurance Law of the People's Republic of China"
The term "insurance" as mentioned in this law refers to the insurance policy stipulated in the contract by the policy holder. , pay the insurance premium to the insurance company, and the insurance company shall bear the liability for compensation for property losses caused by the occurrence of the accident that may occur as stipulated in the contract, or when the insured dies, becomes disabled, becomes ill, or reaches the age or age specified in the contract. A commercial insurance act that assumes responsibility for paying insurance benefits within certain time limits and other conditions.
Article 3
This Law shall apply to insurance activities conducted within the territory of the People’s Republic of China.
Article 5
The parties involved in insurance activities shall abide by the principle of good faith in exercising their rights and performing their obligations.