Job Recruitment Website - Social security inquiry - Can I fill my teeth with social security?
Can I fill my teeth with social security?
1. Is there medical insurance for filling teeth? Dental fillings are covered by medical insurance, but items such as dental implants, tooth cleaning and porcelain teeth cannot be paid by medical insurance.
2. Do I need to go to a designated hospital? Dental filling must be carried out in a designated hospital in order to enjoy medical insurance reimbursement.
3. Whether the items, materials and medicines involved in the filling process belong to the social security category: if the items, materials and medicines involved in the filling process belong to the social security category, they can enjoy reimbursement.
4. How to use the social security card: The existing amount in the social security card account can be transferred to pay medical expenses, but some drugs and medical services may not be able to use the social security card.
Included in medical insurance coverage are:
1, tooth filling (including basic materials and treatment fees);
2, tooth extraction;
3, the cost of treating periodontal disease, gingivitis and other dental diseases.
Items that cannot be reimbursed by medical insurance are:
1, dentures;
2. porcelain teeth;
3. dental implants;
4. Orthodontics.
Medical insurance reimbursement process:
1, registered for medical treatment;
2. If the hospital confirms that it meets the medical insurance conditions of single disease in oral clinic, fill in the notice of diagnosis and treatment;
3, patients with ID card and diagnosis and treatment notice to the hospital for inspection and filing, to receive a single disease format medical records, prepaid medical expenses;
4. After the processing is completed, the settlement shall be made with relevant vouchers;
5. The unit carries the above-mentioned relevant materials and goes through the reimbursement procedures at the designated window of the comprehensive service hall of medical insurance business of Shenzhen Medical Insurance Center.
To sum up: social security cards can be used for simultaneous treatment and tooth extraction, and braces, dental implants and cleaning cannot be reimbursed.
Legal basis:
Regulations of People's Republic of China (PRC) Municipality on Basic Medical Insurance for Urban Workers
Article 41
The provincial labor and social security administrative department shall, in accordance with the relevant provisions of the state, determine the basic medical insurance drug list in conjunction with the planning, economy, trade, finance, health administration and drug supervision and management departments. The provincial labor and social security administrative department shall, in accordance with the relevant provisions of the state, jointly with the planning, finance, health administration and drug supervision and management departments, determine the basic medical insurance diagnosis and treatment project directory, the scope of medical service facilities and payment standards.
The use of drugs, medical treatment projects and medical service facilities that are not included in the basic medical insurance coverage will not be paid by the overall fund.
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