Can medical insurance for tophi surgery be reimbursed?

First, can the medical insurance for surgery be reimbursed?

The medical insurance for surgery can be reimbursed, and the basic medical insurance bears part of the cost of diagnosis and treatment projects.

(a) diagnosis and treatment equipment and medical materials

1, using X-ray computed tomography (CT), stereotactic radiotherapy device (γ knife, χ knife), cardiac and angiographic X-ray machine (including digital subtraction equipment), magnetic resonance imaging device (MEI), single photon emission computerized scanning device (SPECT), color Doppler instrument, medical linear accelerator and other large medical equipment.

2. Extracorporeal shock wave lithotripsy and hyperbaric oxygen therapy;

3. Pacemakers, artificial joints, intraocular lenses, vascular stents, etc. replace artificial organs in vivo and place materials in vivo;

4, the provisions of the provincial price department can be charged separately for disposable medical materials.

(2) Treatment items

1, hemodialysis, peritoneal dialysis;

2. Transplantation of kidney, heart valve, cornea, skin, blood vessels, bone and bone marrow;

3. Cardiac laser drilling, anti-tumor cellular immunotherapy and fast neutron therapy projects.

Hearing AIDS and other rehabilitation equipment;

3, all kinds of self-use health care, massage, rehabilitation and treatment equipment.

(3) Treatment items

1, the organ source or tissue source of various organ transplants or tissue transplants;

2. Transplantation of organs or tissues other than kidneys, heart valves, corneas, skin, blood vessels, bones and bone marrow;

3. Orthopedic surgery for myopia;

4, Qigong therapy, music therapy, health nutrition therapy, magnetic therapy and other auxiliary treatment projects.

(4) Others

1, various infertility (pregnancy) and sexual dysfunction diagnosis and treatment projects;

2, all kinds of scientific research, clinical verification of diagnosis and treatment projects.

Two, the basic insurance will not pay the cost of the scope of the diagnosis and treatment project.

(1) service items

1, registration fee, out-of-hospital consultation fee, medical record fee, etc.

2. Special medical services such as visiting fees, urgent fees for examination and treatment (except for emergency), surcharge for roll call operation, high quality and good price, and special care by oneself.

(2) Non-disease treatment projects

1, various beauty (life beauty, medical beauty) bodybuilding projects and disorderly non-functional plastic surgery, orthopedic surgery, etc. ;

2. Various weight loss, weight gain and height increase projects;

3. Various health checks;

4, all kinds of prevention and health care projects;

(2) Non-disease treatment projects

1, various beauty (life beauty, medical beauty) bodybuilding projects and disorderly non-functional plastic surgery, orthopedic surgery, etc. ;

2. Various weight loss, weight gain and height increase projects;

3. Various health checks;

4, all kinds of prevention and health care projects; 5, tooth deformity, dental porcelain;

6, all kinds of medical consultation (excluding psychiatric consultation), medical appraisal.

(3) Diagnostic equipment and medical materials.

1, a project for examination and treatment with large medical equipment such as positron emission tomography, electron beam CT and ophthalmic excimer laser therapeutic apparatus;

2, glasses, dentures, artificial eyes, artificial limbs, hearing AIDS and other rehabilitation equipment;

3, all kinds of self-use health care, massage, rehabilitation and treatment equipment.

(4) Treatment items

1, the organ source or tissue source of various organ transplants or tissue transplants;

2. Transplantation of organs or tissues other than kidneys, heart valves, corneas, skin, blood vessels, bones and bone marrow;

3. Orthopedic surgery for myopia;

4, Qigong therapy, music therapy, health nutrition therapy, magnetic therapy and other auxiliary treatment projects.

(5) Others

1, various infertility (pregnancy) and sexual dysfunction diagnosis and treatment projects;

2, all kinds of scientific research, clinical verification of diagnosis and treatment projects.

The above are the items that can and cannot be reimbursed by medical insurance. When dealing with relevant situations, the parties concerned shall deal with them in strict accordance with the above conditions. If it is within the scope of reimbursement, you can handle it with the medical insurance department. If it is not reimbursed, the relevant departments cannot accept the relevant matters.