Can hysteroscopy reimburse medical insurance?

Hysteroscopy can reimburse medical insurance.

Hysteroscopic surgery can be reimbursed by medical insurance, and the scope of medical insurance reimbursement includes hospitalization expenses and general outpatient medical expenses within the policy. Hysteroscopic surgery is mainly used for diagnosis and treatment, such as detecting abnormal uterine bleeding, unblocking fallopian tube obstruction, and removing endometrial polyps. Patients generally recover quickly after surgery, but they need to be hospitalized for at least three days, and the medical expenses incurred during this period can be reimbursed by medical insurance.

Medical insurance reimbursement for hysteroscopic surgery expenses can go through the following steps:

First of all, you need to consult a doctor or the financial department of the hospital before the operation to understand the medical insurance policies and requirements. Secondly, ensure that the surgical project is within the scope of medical insurance, and the details of the expenses prescribed by the doctor meet the requirements of medical insurance. Then sort out relevant invoices, expense details, medical records issued by doctors and other materials. Next, go to the local social security bureau or medical insurance office to submit the application form and the required materials. Finally, wait patiently for the audit and reimbursement results of the medical insurance department.

To sum up, the insured person needs to go to a designated medical institution for medical treatment and medicine purchase, which meets the scope of protection and payment standards before being paid by the fund. The social medical co-ordination fund pays the expenses above Qifubiaozhun and below the maximum payment limit. 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.

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.