Can the dental clinic be reimbursed by medical insurance?

Dental clinics can be reimbursed by medical insurance, but dentistry only reimburses part of it.

Handled the basic medical insurance reimbursement policy:

1, medical insurance is divided into two accounts, personal account, and the money reflected in the medical insurance card can be used to buy medicines at designated pharmacies, pay outpatient expenses and pay the part of hospitalization expenses that the individual pays; The overall account is managed by the medical insurance center, and the expenses incurred by the insured who meet the local medical insurance reimbursement are paid by the overall account;

2. When seeing a doctor, show the medical insurance card to the designated hospital to prove the identity of the insured. At the time of checkout, the part paid by the individual is paid by medical insurance card or cash, and the part reimbursed by medical insurance is settled by medical insurance and hospital, and the individual does not need to pay first and then reimburse;

3. There is a deductible for hospitalization reimbursement, which means that you need to pay the deductible, and the part that exceeds the deductible can be reimbursed according to local medical insurance regulations. The reimbursement rate varies from place to place, about 75%.

Medical insurance reimbursement process:

1, the original ID card or social security card of this article;

2. Original disease diagnosis certificate issued by tertiary or secondary hospitals of designated medical institutions;

3, outpatient medical records, inspection, test results report and other original medical information;

4. Original receipt of outpatient charges of medical institutions with unified finance and taxation;

5. The detailed list of outpatient expenses printed by the hospital computer or the original payment of prescriptions issued by doctors;

6. Designated pharmacies: unified original invoices and computer-printed sales lists of taxable goods;

7. If acting as an agent, provide the original ID card of the agent.

To sum up, the medical expenses incurred in outpatient examination and treatment are paid by the social security card personal account. If the patient is admitted to the hospital due to illness and meets the hospitalization standard, other expenses can be settled according to medical insurance except that the denture expenses cannot be paid by the medical insurance pooling fund.

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.