Dongguan dental hospital can use medical insurance

Dongguan Dental Hospital can use medical insurance.

The extraction of teeth is a surgical treatment in stomatology, which belongs to the scope of surgery and is covered by medical insurance. However, tooth extraction is basically an outpatient operation, and for most residents' health insurance and new rural cooperative, outpatient surgical fees are generally not reimbursed. However, if the balance on the card is sufficient, it is possible to transfer the balance for tooth extraction.

Additionally, if the tooth is ambulatory and needs to be hospitalized and extracted under general anesthesia, it can be reimbursed by the medical insurance. The percentage of reimbursement is directly related to the level of the hospital, secondary hospitals are relatively high, may be around 70%, in the tertiary hospital is around 50%.

Dental outpatient medical insurance reimbursement process:

1, the participants will be reimbursed for all the information required documents to the relevant local departments;

2, waiting for the social security agencies to deal with it, or can be directly in the hospital reimbursement, that is, in the hospitalization procedures, to the hospital to issue the new rural medical card to participate directly in the reimbursement can be.

Dental health insurance reimbursement ratio:

Dental health insurance reimbursement can only be part of the part, will not be reimbursed in full, if it is the cost of hospitalization, in-service and retired employees in a year for the first time to use the payment of the starting standard of 1,300, the second time and then hospitalization, according to the standard of the starting standard of 50 percent of the calculation, a year inside the health insurance to be able to pay the highest The first time you use it, it pays 1,300.

The reimbursement rate for township health centers and community health service institutions cannot be less than 80 percent, for institutions above the county level cannot be less than 70 percent, and for municipal hospitals cannot be less than 60 percent.

In summary, generally speaking, dental treatment and other items can be used in the social security insurance reimbursement, such as tooth extraction, accidental dental care, dental integration treatment and other items, but cosmetic items can not use the health insurance reimbursement.

Legal basis:

The People's Republic of China Social Insurance Law

Article 28

In line with the basic medical insurance drug catalog, diagnostic and therapeutic items, medical service facility standards, as well as emergency and rescue medical expenses, in accordance with state regulations from the basic medical insurance fund.

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.