If the patient has six fingers and goes to the hospital for a six-finger amputation, it will not be reimbursed. Because the amputation of the sixth finger belongs to the category of plastic surgery, it is not within the scope of medical reimbursement, so you can consult the local medical insurance center before the operation, which can reduce some unnecessary troubles after the operation. You must also consult in detail before the operation, so that you can know whether you will be reimbursed.

Medical insurance coverage:

1, drug reimbursement for basic medical insurance

Our country now divides drugs into three categories: A, B and C, among which A drugs are within the scope of medical insurance, so medical insurance can only reimburse A drugs, and B and C drugs cannot be reimbursed;

2. Reimbursement of basic medical service facilities

This reimbursement scope mainly refers to bed fees, first-aid bed fees, consulting fees, etc. Expenses incurred by the insured in the process of diagnosis, treatment and nursing in designated medical insurance institutions;

3, the basic medical insurance treatment project reimbursement

It must be a safe and effective diagnosis and treatment, and the charging standard shall be determined by the price department. Need to be treated in a designated medical institution.

To sum up, if the patient has six fingers, surgical removal of the sixth finger is not reimbursable. Because this kind of surgery belongs to plastic surgery, and plastic surgery is not covered by medical insurance reimbursement. Therefore, patients are advised to consult with the local medical insurance center before this operation.

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.

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.