What is the scope of reimbursement for Changsha dental insurance

Changsha oral health insurance reimbursement scope is as follows:

1, for the ambulatory blocked teeth, often referred to as blocked wisdom teeth, if you need to remove the wisdom teeth can be reimbursed by social security;

2, dental caries or worm teeth, you can do the relevant fillings;

3, periodontitis, you can do the periodontal basic treatment;

4, oral tooth stumps Extraction is also available for social security reimbursement;

5, endodontics or apical periapical inflammation, you can do the appropriate root canal treatment;

6, cryptic fissure and other dead pulp tooth is also available for social security reimbursement.

Medicare card can be reimbursed for the following treatment programs:

1, extracorporeal vibration wave lithotripsy, hyperbaric oxygen therapy, medical linear gas pedal treatment, intensive care and rescue CCU, ICU ward treatment;

2, kidney transplantation, heart valve transplants, corneal transplants, skin transplants, vascular transplants, bone transplants, bone marrow transplants, pancreatic islet transplants;

3, pacemaker, artificial joints, artificial crystals, artificial larynx, artificial hip joints and other in vivo artificial organ replacement and installation, cardiac bypass surgery, cardiac catheterization balloon dilatation;

4, hemodialysis, peritoneal dialysis;

5, cardiac laser perforation, anti-tumor cellular immunotherapy, interventional therapy, and fast neutron therapy programs.

Medicare reimbursement process is as follows:

1. Inpatient medical expenses will be advanced by the individual first, and then after discharge from the hospital, the individual will be reimbursed with the medical insurance card, ID card, outpatient medical record, discharge summary, total list of expenses (itemized list of expenses), diagnosis certificate of diseases, valid bills (original invoices), medical advice, copy of the first page of the medical case, certificate issued by the school, and the certificate of transfer for transferring to other hospitals, or the certificate issued by the college for the treatment of traumatic injuries. The relevant certificates issued by the college are also required to go to the window of the Medical Section in the service hall of the Municipal Health Insurance Management Center for review and reimbursement. In different hospitals, to provide materials from different hospitals; in the same hospital by hospitalization at different times (before the expenses are not written off, such as discharged into the same hospital for treatment), but also to provide the same different period of hospitalization materials;

2, the opening of the credit card settlement function mode, the student himself or her guardian, the entrusted person hospitalized for three days with the student's own ID card, the "Provincial Social Security Card", Hospitalization medical records, diagnostic certificates of diseases, the college issued a certificate to the city health insurance center service hall medical department window for processing;

3, due to emergency rescue in non-designated medical institutions to deal with the costs: in the event of an emergency within 3-5 working days, the first contact by phone or entrusted to another person to hold a written report to the city through the student health insurance management center of the medical insurance management center registration record. Management Center for the record, the medical expenses by the first advance payment; reimbursement of reimbursement according to the above reimbursement materials to the Municipal Medical Insurance Center for reimbursement (to non-medical insurance designated hospitals or clinics for treatment, will not be able to reimbursement).

Summary of the above, for dental treatment can be used for social security reimbursement, but for cosmetic dental restorations can not be used to reimburse the medical insurance, similar to dental implants, orthodontics, scaling, veneers and other items.

Legal basis:

Article 28 of the Social Insurance Law of the People's Republic of China

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 salvage medical expenses, shall be paid from the basic medical insurance fund in accordance with state regulations.