1, registered for medical treatment

2. Wait for the hospital to confirm that you can fill in the notice if you meet the relevant medical insurance conditions for dental clinics.

3. Patients with ID cards, medical notices and other materials to the hospital for review and filing, and receive medical records for diagnosis and treatment in advance.

4. After the processing is completed, the settlement shall be made with relevant documents.

5. Finally, the unit shall go to the local medical insurance business processing center for reimbursement with the above information.

It should be noted that the premise of medical insurance reimbursement is that the medical insurance is within the reimbursement payment time stipulated by the local government, and the hospital needs to be a designated hospital or clinic stipulated by medical insurance. For out-of-range drugs, generally, imported materials cannot be reimbursed.

The scope of medical insurance reimbursement includes: tooth filling, tooth extraction, and the expenses caused by dental diseases such as periodontitis.

The scope of medical insurance reimbursement is: dental implants, porcelain teeth and dental implants, and orthodontics.

The main reason why it can't be reimbursed is that the cost of materials, such as porcelain teeth and dental implants, is usually approved by the price department and belongs to special service fees, so these are not reimbursed by medical insurance. However, if you are going to have your teeth extracted and cleaned, you can still use the balance of your medical insurance card over the years, although your medical insurance cannot be reimbursed.

What is the proportion of medical insurance reimbursement?

If you are an on-the-job employee, you can generally reimburse 50% of the medical expenses above 2,000 yuan if you go to a hospital outpatient or emergency department, and 70% if you are a retiree under 70 years old.

If it is hospitalization expenses, whether employees or retirees use medical insurance for the first time within one year, the deductible is 1300 yuan, and if they are hospitalized later, the expenses will be calculated according to 50% of the deductible, and the maximum hospitalization expenses that medical insurance can pay within one year is 70,000 yuan.

Therefore, before filling your teeth, you can ask yourself whether you can use medical insurance for reimbursement and try to go to a designated hospital for treatment.

I hope the above content can help you. If in doubt, please consult a professional lawyer.

Legal basis:

Article 23 of the Social Insurance Law

Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations.

Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.