Can the new rural cooperative medical system be reimbursed for tooth washing?

You can't. Personal account of medical insurance card is also a part of medical insurance fund. According to the policy, the personal account of medical insurance card shall not be used to pay for tooth cleaning, whitening, orthodontics, dental implants and other expenses. The reimbursement of the new rural cooperative medical system can only reimburse the medical expenses incurred by the insured due to dental diseases. For example, tooth extraction is an outpatient operation to treat dental diseases, so it belongs to the scope of reimbursement of the new rural cooperative medical system. For example, if a tooth falls off unexpectedly, it must be treated, and it is also within the scope of reimbursement of the new rural cooperative medical system.

Medical insurance reimbursement process for dental fillings

1. The agent submits the reimbursement documents and other materials to the social security agency for acceptance;

2. After receiving the application materials, the accepting department shall review, settle accounts and pay;

3. If the social security agency approves the application, the applicant will be reimbursed after receiving the "Social Medical Insurance Medical Expense Reimbursement Form".

As can be seen from the above, the new rural cooperative medical system for tooth washing cannot be reimbursed.

Legal basis:

People's Republic of China (PRC) social insurance law

second

The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.

Article 26

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.

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.