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Is the plastic surgery medical insurance reimbursed?
Is the plastic surgery medical insurance reimbursed?

Medical insurance can reimburse some items of plastic surgery department, but not all items can be reimbursed.

The scope of medical insurance reimbursement usually includes disease treatment and surgical expenses. And plastic surgery projects are generally classified as cosmetic or plastic surgery, and these projects are often not covered by medical insurance reimbursement. However, the specific reimbursement needs to be determined according to the medical insurance policies and specific hospital regulations in different regions.

For example, some special plastic surgery, such as cleft lip repair and toe deformity correction, may be included in the scope of medical insurance reimbursement in some areas. In addition, some hospitals will cooperate with specific insurance companies to provide insurance products for plastic surgery projects, which may cover some or all plastic surgery projects.

When choosing hospitals and surgical projects, it is recommended to consult local medical insurance institutions or relevant departments of hospitals to understand specific policies, regulations and reimbursement scope. At the same time, we should also choose regular hospitals and qualified doctors for surgery to ensure safety and effectiveness.

To sum up:

Medical insurance can reimburse some items of plastic surgery department, but not all items can be reimbursed. The specific scope of reimbursement needs to be determined according to the medical insurance policies and hospital regulations in different regions. When choosing hospitals and surgical projects, it is recommended to consult local medical insurance institutions or relevant departments of hospitals to understand specific policies and reimbursement scope, and choose regular hospitals and qualified doctors for surgery.

Legal basis:

Article 28 of the Social Insurance Law of People's Republic of China (PRC) stipulates: "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."

"Regulations on the Supervision and Administration of the Use of Medical Insurance Funds in People's Republic of China (PRC)" stipulates: "Insured persons shall enjoy medical insurance benefits in accordance with regulations and shall not enjoy them repeatedly. Insured persons have the right to complain and report to the medical security department and the supervision and management department. "