Orthodontics can brush medical insurance card

Orthodontic treatment is not covered by the health insurance card.

Orthodontics is a non-disease treatment program, not covered by medical insurance.

Medicare reimbursement categories and proof of class materials:

1, transfer to foreign medical treatment: must be transferred to foreign medical preparation procedures, such as emergency, should be transferred to the hospital within seven days of the additional procedures;

2, relocation, work in a different place: the requirements of the foreign residence, work in more than half a year, and must be prepared for the preparation of formalities beforehand;

3, business trips, visits, tourism and other short-term travel during the medical expenses: ① acute illness: reimbursement of proof of business trip, proof of family visits, travel contracts, real-name air tickets, etc.; ② outpatient maintenance of chronic diseases: increase the provision of Xiamen diagnosis and treatment of medical records, diagnostic and therapeutic measures during the period of time out of the Xiamen can not be more than the original diagnostic and therapeutic measures in Xiamen;

4, childbirth in a different place: inpatient labor and delivery costs and reasonable prenatal and postpartum check-up costs;

5, Local and homogenized areas of social security system failure can not be real-time card settlement: invoice endorsement by the health care provider's fee office to prove and stamp;

6, social security card loss or damage, delay in card production: social security card management section of the back of the invoice stamp to confirm;

7, outpatient clinics in a single month, more than 20 times: the charge notes must be card settlement and show the number of registered visits, must be provided with the outpatient records;

7, outpatient clinics more than 20 times: charges must be settled and display the number of registered card, must provide outpatient records;< /p>

8, acute illness or rescue did not carry a social security card: outpatient or hospitalization medical records should be recorded in detail, clear enough to be recognized as an acute illness or rescue;

9, retired cadres outside the directory of the cost of medicines: need to provide "retired cadres outside the directory of the approval of medicines" and stamped with the hospital's official seal of the health care management department; the province of the two fee The health care objects of retired cadres hosted by the center must provide health care certificates;

10, the status of participation, change, change of participating units, the delay in the arrival of the local tax data: the local tax for the completion of the change procedures and the confirmation of the arrival of the account in the middle of the following month can be processed for reimbursement;

11, the newborn baby born with medical expenses: three months after birth should be timely for the participation of the insurance and payment of fees, the contributions can only be processed for reimbursement after payment of fees to the account. Reimbursement. Birth certificates must be provided; for newborns who are not named at the time of incurring the expenses, the names on the invoices, summary lists, discharge records and other reimbursement vouchers will be uniformly adopted as the mother's or father's name, followed by the words "son of" or "daughter of".

The dental reimbursement programs are as follows:

1. The programs that can be reimbursed by the medical insurance are mainly in the dental treatment category, including fillings, extractions, treatment of periodontal disease, gingivitis, and other dental diseases, such as medical expenses. Note: fillings involved in the process of the project, materials, drugs, if the scope of medical insurance, the fillings can be reimbursed by the medical insurance. Dentures, porcelain teeth, scaling, orthodontics, dental implants, etc., are usually not in the scope of reimbursement of medical insurance;

2, dental insurance can only be a part of the insurance coverage, the key is to look at the process of filling the teeth of the items involved in the process, the materials, medications, whether or not they are the scope of the medical insurance, if in the health care insurance Van Derby can be reimbursed by medical insurance filling the teeth of the medical insurance.

In summary, orthodontic surgery is not allowed to use the medical insurance card, because it is a cosmetic surgery program.

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 treatment items, medical service facility standards, as well as emergency and rescue, shall be paid from the basic medical insurance fund in accordance with state regulations.

Article 29

The portion of the medical expenses of insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance administration organization and the medical institutions and drug business units.

The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.