Hemorrhoids are also a disease of human body, and sometimes there will be serious complications, which require hospitalization. This situation can generally be paid by medical insurance, because its treatment is different from plastic surgery, because of its own demand for beauty, but the disease afflicts patients and must be treated.
However, in many cases, patients with mild symptoms do not need to be hospitalized, and outpatient local anesthesia can be used for hemorrhoids surgery, which requires outpatient medical insurance fees; If hemorrhoids are serious, they need hospitalization surgery, which will be paid by hospitalization medical insurance. However, hospitalization in the international department of some private hospitals or public hospitals may not enjoy medical insurance benefits. Therefore, hemorrhoids surgery can generally use medical insurance, and the specific situation requires specific consultation from the hospital.
Reimbursement ratio:
1, outpatient and emergency medical expenses: the medical expenses of employees that meet the basic medical insurance coverage in one year exceed 2,000 yuan;
2. Settlement ratio: 50% of the part of the dispatched personnel above 2,000 yuan will be reimbursed during the contract period, and 50% will be paid by the individual; Within one year, the maximum amount of accumulated reimbursement for outpatient and emergency services of dispatched personnel is 20,000 yuan;
3. The insured shall properly keep the medical documents (including receipts and prescriptions for large amounts) in the outpatient department of the designated hospital. ), as a medical expense reimbursement certificate;
4. Outpatient treatment of three kinds of special diseases: when the insured person needs to take anti-rejection drugs after radiotherapy and chemotherapy of malignant tumor, renal dialysis and renal transplantation, the second-and third-level designated hospitals where the insured person is treated will issue the Certificate of Disease Diagnosis, fill in the Application and Approval Form for Special Diseases of Medical Insurance, and report it to the district medical insurance center for approval and filing; Outpatient treatment and drug collection for these three special diseases are limited to designated hospitals that have approved treatment, and cannot be purchased in designated retail pharmacies. The medical expenses incurred meet the prescribed scope of outpatient special diseases, with reference to hospitalization settlement;
5. Hospitalization.
To sum up, hemorrhoids surgery belongs to the category of social medical insurance reimbursement, which can be reimbursed through medical insurance. Employees who have paid enough medical insurance for 20 years can enjoy the medical insurance reimbursement policy of the retirement country; The medical insurance policies in different regions are different, and the local social security department needs to be consulted for specific conditions.
Legal basis:
Article 28 of People's Republic of China (PRC) 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.