Requirements for reimbursement ratio of Xi'an ophthalmic medical insurance
Ophthalmic diseases are common in Xi'an and throughout the country, so the requirement for reimbursement ratio of ophthalmic medical insurance is particularly important. Next, we will elaborate on the requirements of Xi'an ophthalmology medical insurance reimbursement ratio from four aspects: hospital level, treatment items, medical insurance fixed-point and social insurance type.
1、 Requirements for hospital level
Hospitals in Xi'an are divided into different grades according to medical quality, equipment and service level. According to the latest regulations, only Grade III Grade A hospitals can provide treatment for eye diseases and enjoy a high proportion of medical insurance reimbursement. Therefore, if the patient sees a doctor in Xi'an, especially for complex ophthalmic diseases, it is recommended to choose a tertiary first-class hospital for diagnosis and treatment in order to obtain more medical insurance reimbursement.
Hospitals with high level of ophthalmic medical care in Xi'an include the Ophthalmology Department of the First Affiliated Hospital of Xi'an Jiaotong University, Shaanxi Provincial Ophthalmology Hospital, etc.
2、 Requirements for treatment items
The requirements for reimbursement ratio of Xi'an ophthalmic medical insurance are also related to treatment items. Generally, ophthalmic diseases are divided into two types: surgical and non-surgical treatment. For surgical treatment, the proportion of medical insurance reimbursement is relatively high, and you can enjoy more reimbursement amount; For non-surgical treatment, the reimbursement rate is relatively low.
For example, cataract surgery is a common ophthalmic surgery with a high proportion of medical insurance reimbursement; For non operative treatment of cataract, such as drug treatment or laser treatment, the reimbursement rate of medical insurance is relatively low.
3、 Requirements for medical insurance fixed-point
In Xi'an, only eye hospitals designated by medical insurance can obtain medical insurance reimbursement. This means that patients must select the ophthalmic hospital designated by medical insurance when they visit, otherwise they will not be able to enjoy medical insurance reimbursement.
The designated hospitals of Xi'an ophthalmic medical insurance include Shaanxi Provincial Eye Hospital and the Ophthalmology Department of the First Affiliated Hospital of Xi'an Jiaotong University. The patient should know whether the selected hospital is a designated medical insurance site before seeing the doctor, so as to avoid the subsequent unavailability of reimbursement.
4、 Requirements for social security type
There are different types of social insurance in Xi'an, such as basic medical insurance for urban employees and basic medical insurance for urban and rural residents. Different social insurance types have different requirements on the reimbursement ratio of ophthalmic medical insurance.
Generally speaking, the basic medical insurance for urban employees has a high proportion of medical insurance reimbursement for ophthalmology, and can reimburse more expenses. The reimbursement rate of basic medical insurance for urban and rural residents for ophthalmic medical insurance is relatively low, and the reimbursement amount is small. Therefore, for patients who want to enjoy a higher proportion of medical insurance reimbursement, it is recommended to choose basic medical insurance for urban employees.
summary
The requirements for the reimbursement ratio of Xi'an ophthalmic medical insurance involve many aspects, such as hospital level, treatment items, medical insurance fixed-point and social insurance type. It is suggested that patients should choose Grade III Grade A hospitals for diagnosis and treatment, especially for complex ophthalmic diseases. At the same time, surgical treatment can obtain a higher proportion of medical insurance reimbursement, while non surgical treatment has a relatively low proportion of reimbursement. Patients should also choose the ophthalmic hospital designated by medical insurance, and select the appropriate social insurance type according to their own conditions to obtain more medical insurance reimbursement.
In a word, patients should understand the requirements of Xi'an ophthalmic medical insurance reimbursement ratio in detail before going to hospital, and select hospitals and social insurance types according to the specific situation, so as to obtain more medical insurance reimbursement amount.
