How to reimburse for hemorrhoid surgery, hemorrhoid surgery reimbursement process

Hemorrhoids. Surgery is included in the scope of reimbursement in the national medical insurance.

Generally speaking, if you are a rural cooperative medical care, the reimbursement ratio is relatively low, about 60%-70%, and if it is employee medical insurance, the reimbursement ratio is about 80%-85%. Then there was a self-pay segment before the reimbursement, and now the self-pay segment is generally like we are now a county-level city.

For reimbursement, the minimum payment section is 800 yuan, and the specific local hospital will be based on the local area. The medical insurance policy is written off on a pro-rata basis.

Hemorrhoids surgery can be reimbursed by medical insurance, but hemorrhoids surgery is generally hospitalized patients, who can enjoy medical insurance reimbursement, and outpatient surgeries generally cannot be reimbursed by medical insurance. Now hemorrhoids surgery is recommended to be hospitalized**, because there will be some pain more or less after surgery, especially for more sensitive patients, who are particularly sensitive to pain, and the pain will be particularly severe after the postoperative stool, which will lead to many complications, such as constipation, edema of the wound, if you go home, it will be difficult to deal with yourself, and you will be infused in the hospital to prevent infection and pain, which can greatly relieve the pain of hemorrhoids surgery. In addition, you can enjoy medical insurance reimbursement during hospitalization.

Hemorrhoids surgery is reimbursed by the medical insurance policy, and it is a minor operation that does not cost much.

Hemorrhoids surgery is covered by medical insurance and can be reimbursed. The designated medical institutions shall settle the medical expenses of patients in the previous month before the 10th of each month, and the insured persons can go to the institutions under the medical package to go through the reimbursement procedures.

Hemorrhoidal surgery is covered by medical insurance and can be reimbursed for hospitalization with medical insurance.

Settlement procedures for inpatient and special disease outpatient**:

1. Before the 10th of each month, the designated medical institutions shall report the cost statement, hospitalization statement and relevant information of the discharged patients in the previous month to the medical insurance agency, and the medical insurance agency shall review and approve it as the basis for monthly pre-allocation and year-end accounts.

2. The medical insurance agency pre-allocates the co-ordination fee of the previous month's hospitalization and special disease outpatient clinics** every month.

3. Insured persons who have been identified as suffering from special diseases should go to a designated medical institution designated by the labor and social security department to seek medical treatment and purchase medicines, and the medical expenses incurred shall be directly billed and settled immediately.

4. Emergency settlement procedures: Insured persons due to emergency rescue to the city's non-designated medical institutions and non-designated medical institutions hospitalized ** starvation, the medical expenses incurred shall be paid in advance by the person or unit who is staring at the limbs, and after the end of the emergency rescue, the medical insurance agency shall go through the reimbursement procedures according to the provisions of the hospital emergency medical records, examinations, laboratory reports, invoices, and detailed medical charge lists.

The medical insurance reimbursement for hemorrhoids surgery can be 50%-90%, the reimbursement ratio of resident medical insurance is 50%-60%, the reimbursement ratio of employee medical insurance is 70%-80%, and the reimbursement ratio of provincial medical insurance is more than 90%. The reimbursement ratio has a direct relationship with the drugs and consumables used in hospitalization, and the drugs and consumables that belong to self-paid items cannot be reimbursed by social insurance.

Social Insurance Act

Article 28.

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be paid from the basic medical insurance in accordance with national regulations.

Social Insurance Act

Article 29.

The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institution and the drug business unit. The administrative department of social insurance and the administrative department of health shall establish a system for the settlement of medical expenses for medical treatment in other places to facilitate the insured persons to enjoy basic medical insurance benefits.

1. If the insured has hemorrhoids surgery and meets the conditions for compensation, he can first be reimbursed by medical insurance and reported to the medical insurance department for reimbursement of the part within the scope of medical insurance;

2. If you have medical insurance, you can contact the insurance company to report the case after the medical insurance is reimbursed;

3. The applicant submits relevant supporting materials to the insurance company, such as diagnosis certificates, expense invoices, etc.;

4. The insurance company will investigate the materials and carry out the investigation of the claim;

5. After the two parties reach an agreement through negotiation, the insurance company will pay the insurance money as agreed.

The reimbursement process for hemorrhoid surgery may vary depending on the region and the health insurance policy, and the following steps are generally required:

1.Seek medical attention: First, you need to go to the hospital, and the doctor will confirm that the condition needs surgery**.

2.Reimbursement vouchers: Before the surgery, you need to ask the hospital for invoices, receipts and other reimbursement vouchers for the rough basis of the surgical fee.

4.Review and reimbursement: The medical insurance department or social security center will review the application and confirm the reimbursement amount of the surgical expenses.

5.Reimbursement refund: After the review is passed, the medical insurance department or social security center will return the reimbursement amount to the patient or pay it directly to the hospital.

It should be noted that different regions and medical insurance policies may have different regulations on the reimbursement of hemorrhoid surgery, and the specific reimbursement process and standards need to be operated according to local policies and regulations. <>

Hello dear to you, how to reimburse for hemorrhoids surgery, medical insurance is as follows<>

<> hemorrhoid surgery reimbursement process is usually as follows:1The patient first went to the local hospital to confirm the condition and underwent surgery to destroy the hemorrhoids**.

2.**After completion, the patient should bring the relevant surgical certificate, medical records, medical insurance card and other materials to the local social security center for medical insurance reimbursement for hemorrhoids surgery. 3.

After receiving the materials submitted by the patient, the center will review and reimburse the patient. During the review, the social security center will check the patient's medical insurance eligibility, medical status, surgical items and expenses and other information to ensure that the reimbursement conditions are met. 4.

After the review is approved, the social security center will directly transfer the medical insurance fee to the patient's medical insurance account, and the patient can pay directly through the medical insurance card. It should be noted that the medical insurance reimbursement standards and procedures may be different in different regions, and the specific reimbursement process needs to be subject to the local social security center.

Step 2: On the medical insurance voucher page, click Pay for reimbursement. Step 3: On the Payment Reimbursement page, click Go to Reimbursement to reimburse for hemorrhoidal surgery.

Step 3: On the Payment Reimbursement page, click Reimbursement to reimburse for hemorrhoids surgery.

Ordinary hemorrhoids surgery medical insurance can be reimbursed, but it is generally reimbursed quietly when hospitalized, outpatient is not reimbursed, and the reimbursement has a certain ratio compared with the bend of the tour, but some medical devices may not be reimbursed, or the reimbursement ratio of the person who started the trouble is low, so be sure to ask clearly. Medical insurance policies vary depending on the natural geographical location, so it is recommended to consult the anorectal department of the local regular hospital.