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How much can you get reimbursed for 2000 dollars for wisdom teeth extraction
The cost of wisdom teeth extraction is covered by health insurance, and according to the prescribed reimbursement rate, if the total cost is $2,000, the first deduction is $100 for the deductible range, and the remaining cost is reimbursed at 85%. Therefore, the amount that can be reimbursed is (2000-100)*85% = $1,615. The reimbursement rates are different for active and retired employees, where active employees are reimbursed at 50% and retired employees are reimbursed between 75% and 80%. So the exact amount that can be reimbursed is still based on an individual's health care policy.
Social security reimbursement scope and proportion:
1, reimbursement conditions: according to the local social security policy, the insured person in the provisions of the medical institutions for treatment, and the cost of social security payment range;
2, reimbursement rate: different regions and different types of social security, reimbursement rate may be different, usually urban workers basic medical insurance reimbursement rate is higher;
3, the starting line: some areas have a starting line, that is, personal medical expenses need to exceed a certain amount before reimbursement;
4, the ceiling: social security reimbursement limit exists in the ceiling line, more than the ceiling amount of the portion of the reimbursement will not be reimbursed;
5, out-of-pocket expenses: social security usually does not include out-of-pocket expenses such as medicines and high-level hospital room differentials;
6 The reimbursement process: The reimbursement process may include steps such as submitting relevant medical bills and filling out a reimbursement application.
In summary, the amount of $2,000 that can be reimbursed for wisdom teeth extraction is based on an individual's health care policy, which is generally around $1,615, but the exact amount will vary depending on whether the employee is active or retired.
Legal basis:
The People's Republic of China*** and the State Social Insurance Law
Article 28
Medical expenses in line with the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical services and facilities, as well as emergency and rescue, shall be paid from the basic medical insurance fund in accordance with state regulations.
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