Job Recruitment Website - Social security inquiry - Can hospital tooth cleaning be reimbursed?
Can hospital tooth cleaning be reimbursed?
Tooth washing belongs to beauty care and is not covered by medical insurance reimbursement. Patients need to wash their teeth at their own expense. When patients need to treat dental diseases, periodontitis and gingivitis, they can be reimbursed.
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.
Medical insurance card reimbursement is divided into the following ways:
1. Medical insurance reimbursement for drug purchase: the insured can purchase drugs at designated medical institutions and retail pharmacies with medical insurance cards, and their medical expenses can be settled directly with the cards. When purchasing drugs, they are not included in the overall social planning, and all of them are paid by personal accounts. Personal account funds run out, you can pay in cash;
2. Outpatient medical insurance reimbursement: bring relevant reimbursement materials to the relevant departments of the local social security center to apply for it. Upon examination, if the information is complete and meets the requirements, it can be handled immediately.
To sum up, the scope of reimbursement of medical insurance refers to the scope of reimbursement of drugs, diagnosis and treatment management, drug list, diagnosis and treatment items and medical service facilities in order to protect the basic medical needs of the insured.
Legal basis:
Article 28 of People's Republic of China (PRC) Social Insurance Law
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 25
The state establishes and improves the basic medical insurance system for urban residents.
The basic medical insurance for urban residents combines individual contributions with government subsidies.
People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.
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