Ophthalmology can be reimbursed. According to the relevant regulations of the medical insurance department, ophthalmology belongs to the scope of medical insurance reimbursement. Eye examination, treatment and prescription belong to the scope of medical insurance reimbursement, and the medical insurance department will reimburse it according to a certain proportion according to medical insurance regulations. Therefore, in order to see a doctor for the eyes, you need to use a medical insurance card. If you need medical insurance reimbursement, it will be reimbursed by the medical insurance department. If you are doing OCT, mydriasis, optometry, audition, corneal thickness, etc. Then outpatient medical insurance cannot be reimbursed.

Cataract, glaucoma, fundus diseases, pterygium, artificial eye table and other eye operations can be reimbursed. Different types of surgery can enjoy different insurance coverage. Cataract surgery expenses belong to the scope of medical insurance, which can be reimbursed by medical insurance and commercial medical insurance. Myopia surgery, strabismus surgery, orbital plastic surgery, etc. It does not belong to the treatment category, and medical insurance and commercial medical insurance are not reimbursed. Because myopia surgery is mainly corneal refractive surgery, including excimer laser and femtosecond laser, it belongs to the cosmetic treatment of myopia patients and does not belong to the scope of basic medical insurance reimbursement.

legal ground

Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities and emergency and rescue medical expenses standards, and shall be paid from the basic medical insurance fund in accordance with state regulations.

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.

Thirtieth the following medical expenses are not included in the basic medical insurance fund payment scope:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(three) shall be borne by public health;

(4) Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.