How to reimburse the hospital for filling teeth?

The reimbursement process for filling teeth in hospital is as follows:

1. Confirm reimbursement scope: During the treatment, you need to confirm whether your treatment items are within the scope of medical insurance reimbursement;

2. Collect reimbursement materials: collect relevant treatment records, drug receipts, medical expense lists and other relevant materials;

3. Go to the social security department for reimbursement: submit relevant materials for medical insurance reimbursement to the local social security department;

4. Pending review: The social security department will conduct relevant review and comparison to confirm the reimbursement ratio and reimbursement amount; Receive reimbursement: After approval, you can receive medical insurance reimbursement at the designated bank.

The scope of medical insurance reimbursement includes:

1, medical expenses during rescue;

2. Medical expenses during hospitalization;

3, surgical materials and AIDS;

4. Bed fee: according to local medical insurance standards. Except those who need to be admitted to ICU due to acute craniocerebral injury and complex visceral injury, they should be transferred to the general ward immediately after they are out of danger;

5. Rehabilitation physiotherapy fee: according to local medical insurance standards. In principle, there are no more than three kinds, and rehabilitation physiotherapy outside the scope of medical insurance will not be compensated;

6, dressing change and rehabilitation function guidance training: according to local medical insurance standards combined with disease needs;

7. Ambulance fee: calculated according to the standard approved by local health department and price department;

8. Other expenses: expenses that are not compensated according to regulations will not be compensated;

9. Continuing medical expenses: In order to close the case in advance, the insured can pay the necessary continuing medical expenses for the injured in the future in advance. Only when the discharge certificate or diagnosis certificate clearly indicates that the competent doctor needs to continue treatment, or the internal fixator is removed after half a year or one year, or the follow-up treatment expenses are reviewed or recorded regularly, and the compensation payment voucher provided by the insurance record for the follow-up expenses can be reviewed. According to the needs of the disease, obviously beyond the needs of the disease, the audit fee for continuing medical treatment will not be compensated.

The purposes of medical insurance are as follows:

1, seeing a doctor, hospitalized in a designated hospital. Medical expenses that do not belong to the scope of medical insurance reimbursement and need to be borne by individuals can be paid with medical insurance personal accounts. (excluding the cost of beauty, bodybuilding, non-functional cosmetic surgery, orthopedic surgery and various non-disease treatments such as weight loss, weight gain and height increase);

2. Vaccinate the second-class preventive immunization vaccine in designated medical institutions. Medical expenses such as cervical cancer /HPV vaccine and influenza vaccine can be paid by medical insurance personal account;

3. At the designated pharmacy. When purchasing drugs (quasi-brand drugs, Chinese herbal pieces), medical devices (food and drug supervision machinery word, drug supervision machinery word) and disinfection products (Xiao Weizi word), you can use the medical insurance personal account to pay.

To sum up, when you see a doctor in a designated hospital, you can show your medical insurance card to prove your insured identity and registration. Individuals do not need to pay first and then reimburse, but can directly settle the part of medical insurance reimbursement with medical insurance and hospitals. Only when the account is settled can the self-funded part be paid with the balance of the medical insurance card or cash. The scope of medical insurance reimbursement includes tooth filling, tooth extraction, and the expenses caused by dental diseases such as periodontitis.

Legal basis:

Article 26 of People's Republic of China (PRC) Social Insurance Law

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.

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, 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.