Guangzhou Medical Insurance Dental Reimbursement Scope

Guangzhou Medical Insurance Dental Reimbursement Scope:

1, root canal therapy, tooth extraction, periodontal disease treatment;

2, gingivitis, tooth filling (including basic materials and treatment costs) and other treatment costs. Dental implants are not included in the scope of reimbursement, and ordinary porcelain and pure titanium porcelain are more expensive and will not be included in the scope of medical insurance reimbursement;

3. In the case of dental reimbursement, medical insurance can only reimburse outpatient and hospitalization expenses, and it is necessary to go to a designated medical institution for treatment, such as the stomatology department of a designated hospital or a designated dental clinic. If you don't see a dentist in a designated or designated institution, even if you meet the medical insurance reimbursement project, medical insurance will not be reimbursed.

The medical insurance reimbursement process is as follows:

1. Prepare the discharge summary, invoice and medication list issued by the hospital;

2. My ID card, medical insurance card and medical certificate issued by the company (official seal of the company is required). If the company is not insured, the medical certificate issued by the company is not required;

3. Take the above information to the local medical insurance office.

Legal basis:

Article 29 of People's Republic of China (PRC) Social Insurance Law

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.

Article 7

The administrative department of social insurance in the State Council is responsible for the national social insurance management, and other relevant departments in the State Council are responsible for the relevant social insurance work within their respective functions and duties.

The social insurance administrative department of the local people's government at or above the county level shall be responsible for the social insurance management within its administrative area, and other relevant departments of the local people's government at or above the county level shall be responsible for the relevant social insurance work within their respective functions and duties.