Can hysteroscopy be reimbursed by medical insurance?

Hysteroscopic surgery can be reimbursed by medical insurance.

Hysteroscopy is required due to illness, which belongs to the scope of national medical insurance, and can be reimbursed whether it is outpatient or inpatient. There is a difference between outpatient surgery and hospitalization. It is suggested that you consult a doctor in the gynecological clinic when you go for the examination, which is more accurate and avoids the possibility of paying at your own expense. The expenses incurred during hysteroscopy and hospitalization can also be reimbursed through medical insurance. If it is the new rural cooperative medical system or residents' medical insurance, it is recommended to be hospitalized for examination and treatment. If you work in a foreign country and continue to pay according to the local medical insurance reimbursement standard, you can also enjoy reimbursement.

The use process of medical insurance card is generally as follows:

1. Handling medical insurance cards: holders of social security cards or electronic medical insurance cards can handle medical insurance cards at local social security or medical insurance management institutions. When handling, you need to provide ID card, social security card or medical insurance electronic card and other documents, pay a certain card handling fee, and then wait for the medical insurance card to be completed;

2. Inquire about medical insurance information before seeing a doctor: You can inquire about your own medical insurance information before seeing a doctor, including personal basic information, medical insurance type, reimbursement ratio, balance, etc. Inquire about the terminal and medical insurance APP through the medical insurance card.

3. Holding a card for medical treatment: When a cardholder goes to a medical institution for medical treatment, he/she needs to show his/her medical insurance card. Medical institutions will read the information on the medical insurance card through the medical insurance card reader to determine whether the card is valid and can be used. When seeking medical treatment, it should be noted that the medical insurance card can only be used within the prescribed medical institutions and medical services, otherwise it will not be reimbursed;

4. Medical insurance settlement: After the medical treatment is completed, the medical institution records the medical expenses in the electronic settlement system, and uploads the medical information to the medical insurance center through the medical insurance card reader for cost settlement. The medical insurance center calculates the expenses that should be reimbursed according to the medical insurance policy and individual payment, and credits the reimbursed expenses into the cardholder's medical insurance account;

5. Medical insurance account management: Cardholders can query their medical insurance account balance, historical reimbursement records and other information through the medical insurance APP and the medical insurance card query terminal, and manage and query the medical insurance account.

To sum up, the use process of medical insurance cards in different regions may be different, and the specific use process and policies can be consulted with local medical insurance management institutions or relevant departments. In addition, when using medical insurance cards, cardholders should abide by medical insurance policies and regulations, pay attention to the choice of medical treatment, and avoid violations and medical fraud.

Legal basis:

Article 23 of People's Republic of China (PRC) Social Insurance Law

Employees should participate in the basic medical insurance for employees, and employers and employees should jointly pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.