1, medical expenses for eye surgery such as cataract, glaucoma, fundus disease and pterygium can be reimbursed through medical insurance;

2. Medical expenses for non-therapeutic operations such as myopia surgery, strabismus surgery and orbital plastic surgery are not covered by medical insurance reimbursement;

3. The reimbursement rate of intraocular lens implantation varies from region to region. For specific information, please log in to official website, the local Human Resources and Social Security Bureau;

4. Medical insurance reimbursement also includes medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue.

Items and scope of medical insurance reimbursement:

1. Outpatient expenses: including basic outpatient expenses such as registration fees and medical treatment fees;

2. Drug expenses: the drugs in the medical insurance catalogue are covered, and some self-funded drugs are not reimbursed;

3. Examination expenses: routine examination items, such as vision examination and fundus examination;

4. Surgical expenses: such as laser treatment, intraocular injection and other medical operations;

5. Medical device expenses: reimbursement of medical device use expenses in the medical insurance catalogue;

6. Special material expenses: within the prescribed scope, the expenses of special materials used shall be reimbursed;

7. Outpatient operation expenses: Some minor outpatient operations may also be included in the scope of medical insurance reimbursement.

To sum up, the scope of medical insurance reimbursement for eye clinics includes medical expenses for eye surgery such as cataract, glaucoma, fundus diseases and pterygium. The reimbursement rate of intraocular lens implantation surgery varies from region to region. The medical expenses of non-therapeutic surgery are not included in the scope of medical insurance reimbursement, but also include the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 28

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.