Can hysteromyoma be reimbursed by medical insurance?

Medical insurance for uterine fibroids can be reimbursed.

If hysteromyoma needs surgical treatment, the expenses can be reimbursed whether it is medical insurance or rural cooperative medical care. Because hysteromyoma is a benign gynecological tumor and a common gynecological disease. Therefore, the treatment of gynecological diseases or medical treatment or surgical treatment, the vast majority are reimbursable. Before the operation, further consultation is recommended to find out what the compensation ratio is. In addition, the cost of outpatient examination before hysteromyoma surgery can also be compensated.

Medical insurance reimbursement process in different places:

1, medical treatment in different places needs to be approved by relevant departments first. The examination and approval place for resettlement in different places is the county medical insurance center where the insured unit or street social security is located. After applying for the relevant approval form, fill in the relevant contents. Take the relevant documents to the medical insurance department of a different hospital and stamp them. Then return the relevant approval form to the applicant for approval;

2. The time limit for examination and approval in different places is generally one year, that is, from the date of handling to the date of the second year. You can't change it within a year. If the approval period has passed, the parties who are still in different places need to go to the relevant departments for re-approval. For the parties in different places, it is essential to choose a different hospital. The regulations on how many hospitals patients can choose in different regions are different. Generally, you can choose two or three;

3. It is essential for people who seek medical treatment in different places to meet reimbursement in different places. Relevant personnel need to go to outpatient department and hospital to issue receipts, lists, prescriptions, details, medical insurance manuals and case diagnosis certificates. The more detailed, the better. At the same time, don't forget to issue the registration certificate of the hospital where you go to see a doctor, so that employers, social security offices and district and county medical insurance centers can make statistical summary and audit settlement;

4. For the medical expenses incurred by the parties in designated hospitals in different places, mail the relevant reimbursement documents back to the original city for reimbursement, or ask family members to help with reimbursement in the original city. Issues such as reimbursement standards will still be in accordance with the regulations of the city, and relevant funds can be collected by family members or related accounts can be set up.

To sum up, the cost of hysteromyoma surgery, whether it is medical insurance or rural cooperative medical care, should be reimbursed. Uterine myoma is a gynecological disease. Whether it is medication or surgery, as long as the drugs used are included in medical insurance, they can be reimbursed. Patients should consult the local medical insurance office before operation to understand the reimbursement ratio and process. Reason.

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.

"Trial Measures for Maternity Insurance for Enterprise Employees" Article 6

The examination fee, delivery fee, operation fee, hospitalization fee and medicine fee for the birth of female employees shall be paid by the maternity insurance fund. Medical service fees and medicine fees, including self-funded drugs and nutritional drugs, which exceed the prescribed amount shall be borne by the employees themselves. After the female workers are discharged from the hospital, the medical expenses for diseases caused by childbirth shall be paid by the maternity insurance fund, and the medical expenses for other diseases shall be handled in accordance with the provisions of medical insurance benefits. After the expiration of maternity leave, if a female employee needs rest and treatment due to illness, it shall be handled in accordance with the relevant provisions on sick leave and medical insurance benefits.