Job Recruitment Website - Social security inquiry - Can I be reimbursed for tooth washing?
Can I be reimbursed for tooth washing?
The scope of use of social security cards varies from place to place. At present, people go to the hospital to see oral diseases, and the expenses that have been included in the scope of medical insurance are mainly the expenses of filling teeth (including basic materials and treatment fees), cleaning teeth and treating periodontal diseases, gingivitis and other dental diseases.
The relatively high cost of dental implants is mainly the cost of materials, such as porcelain teeth and dental implants, which are usually approved by the price department and belong to special service fees, and cannot be reimbursed by medical insurance. However, if citizens go to implant their teeth and wash their teeth, they can use the balance of the medical insurance card over the years to pay.
How to use the dental cleaning medical insurance card
1, general outpatient card, the insured person can use the password on the POS card to buy medicine in designated hospitals and pharmacies, but can't withdraw gold coins or transfer money. Urban residents' medical insurance cards can usually buy medicines at designated pharmacies. Can I use medical cards to pay for some medicines at pharmacies?
2, hospitalization credit card, designated medical institutions must show their medical insurance card and my ID card (household registration book) when they enter the hospital, and be reimbursed on the spot according to the policy proportion when they leave the hospital.
It should be reminded that people who participate in medical insurance should go to local designated medical insurance hospitals, and not all hospitals can use urban residents' medical insurance cards.
Legal basis: People's Republic of China (PRC) Social Insurance Law.
Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.
Thirtieth the following medical expenses are not included in the basic medical insurance fund payment scope:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(three) shall be borne by public health;
(4) Go abroad for medical treatment.
Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.
Thirty-first social insurance agencies may, according to the needs of management services, sign service agreements with medical institutions and pharmaceutical business units to standardize medical service behavior.
Medical institutions shall provide reasonable and necessary medical services for the insured.
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