Can medical insurance reimburse the cost of seeing a dentist in the hospital?

If it is social security, it can be reimbursed within a certain range.

1, which has been included in the scope of medical insurance, mainly covers the expenses of tooth filling (basic materials and treatment fees), tooth extraction, treatment of periodontal disease, gingivitis, root canal treatment and other dental diseases. The extraction of common wisdom teeth belongs to the scope of medical insurance card reimbursement and can be paid by medical insurance fund;

2. The non-reimbursable scope is usually the category of tooth restoration and whitening, such as tooth inlay, porcelain restoration, orthodontics, tooth implantation, tooth whitening and so on. In China's medical field, it is listed as a medical beauty repair project, which can only be reimbursed at its own expense, but not by medical insurance. The cost of dental implants is mainly the cost of materials, such as porcelain teeth and dental implants. These expenses are usually approved by the price department and belong to special service expenses, which cannot be reimbursed by medical insurance.

3. The medical expenses incurred by the dental clinic examination and treatment shall be paid by the personal account of the social security card. If the patient is admitted to hospital due to illness and meets the hospitalization standard, other expenses can be settled according to the provisions of medical insurance, except that the denture (denture) expenses cannot be paid by the medical insurance pooling fund.

What materials do employees need for medical insurance reimbursement?

1, ID card. One of the materials needed for medical insurance reimbursement is the identity documents of the recovered patients who need to reimburse medical expenses. That is to say, ID cards, non-commissioned officers' cards, military officers' cards and other documents are generally used to prove the identity of patients, and ID cards generally need originals and photocopies. It is recommended to prepare the original and copy according to the requirements of the hospital.

2. Household registration book. The second information needed for medical insurance reimbursement is the household registration certificate for reimbursement of medical expenses. This information is generally unnecessary, and if the patient has an identity document, it is not needed. However, if the patient does not have proper identity documents, he must bring the household registration book. For example, if a child does not have an ID card, he/she has to use the household registration book as an ID card.

3. Medical records. The third information needed for medical insurance reimbursement is the need for medical records. That is, the patient's medical records, generally including medical records, illness certificates, discharge illness certificates, discharge summary, etc. These materials are usually copied in the hospital when leaving the hospital.

4. Medical insurance card. The fourth information needed for medical insurance reimbursement is the medical insurance card. This is also one of the important materials for medical insurance reimbursement. You must swipe your medical insurance card when you leave the hospital. Now in many places, you can swipe your card directly when you leave the hospital, and then settle the expenses directly.

5. Proof of charge. The fifth information needed for medical insurance reimbursement is the charging voucher. Charge voucher is an invoice or bill for all expenses incurred in the hospital, which will be issued by the hospital every time payment is made. If you pay online, you can take the payment voucher and go directly to the charging window to change the invoice.

6. Payment list. The sixth information needed for medical insurance reimbursement is the bill of payment. The so-called payment list refers to the detailed list of every expense spent in the hospital, and there is a detailed list of where and what money was spent, which is also the material directly issued by the hospital when leaving the hospital.

I hope the above content can help you. Please consult a professional lawyer if you have any other questions.

Legal basis: Article 72 of People's Republic of China (PRC) Social Insurance Law.

Set up social insurance agencies in the overall planning area. According to the needs of the work, with the approval of the local social insurance administrative department and the organization management organ, the social insurance agency may set up branches and service outlets in this overall planning area. The personnel expenses of social insurance agencies and the basic operating expenses and management expenses incurred in handling social insurance shall be guaranteed by the finance at the same level in accordance with state regulations.