Job Recruitment Website - Social security inquiry - Can I use the money in my medical insurance card to wash my teeth?
Can I use the money in my medical insurance card to wash my teeth?
Tooth washing is usually considered as a cosmetic project, so the medical insurance card is not reimbursed. According to the relevant regulations, only medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards can be paid through the basic medical insurance fund. For example, toothache treatment, tooth extraction, tooth filling and other items (excluding the use of imported materials) can be paid by medical insurance card, but tooth cleaning, tooth implantation and other items are not covered by medical insurance reimbursement. Therefore, when the insured washes his teeth, he needs to pay the relevant expenses at his own expense.
Restrictions on the scope of use of medical insurance cards:
1. medical service restrictions: medical insurance cards can usually only be used to pay for basic medical services and medicines, not all medical services;
2. Designated medical institutions: the use of medical insurance cards is often limited to designated medical institutions, and the services of institutions that are not included may not be paid by medical insurance;
3. Project restrictions: the items paid by the medical insurance card are restricted by policies, and some non-basic medical items may not be included in the payment scope;
4. Drug restriction: only drugs included in the medical insurance drug list can be paid by medical insurance card;
5. Audit system: the use of medical insurance cards needs to go through relevant audit procedures to ensure the rationality and necessity of expenses;
6. Annual limit: The use of the medical insurance card may be limited by the annual payment limit.
To sum up, tooth washing is not covered by medical insurance reimbursement, and the insured person needs to pay the relevant expenses at his own expense.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 28
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.
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