Tooth washing belongs to beauty, which is not covered by medical insurance and cannot be reimbursed by medical insurance. Dental cleaning, dental implants and plastic surgery are not covered by medical insurance. Tooth washing caused by dental diseases can be reimbursed.
Scope of application of medical insurance card:
1, which is used to purchase medicines: when the insured purchases medicines at designated pharmacies, they can pay with the medical insurance card;
2. Reimbursement: If you go to the hospital for medical treatment, whether it is outpatient or hospitalization, you can use the medical insurance card to reimburse if you reach the medical insurance deductible line and are within the scope of medical insurance reimbursement;
3. Medical expenses: When the participants are sick, they can register with the designated hospital with the medical insurance card and medical insurance manual.
Medical insurance reimbursement process:
1, diagnosed and treated in the designated medical insurance hospital.
Every city will have designated hospitals for medical insurance. Only when you are treated in a designated medical insurance hospital can you be reimbursed by medical insurance. Therefore, if you want to use medical insurance, you must go to the designated hospital for medical insurance and go through the relevant registration procedures;
2. Prepare discharge information
Prepare discharge materials in advance when you leave the hospital, such as disease diagnosis, discharge records, medical records, etc. Usually talk to the doctor during treatment. If we need these materials, the doctor will help us prepare them. You'd better make a copy of these materials after you get them. One is submitted to the medical insurance reimbursement office, and the other is reserved for use;
3. Discharge settlement
Take the hospitalization list and invoice to the hospital for settlement. After that, you can take the relevant information to the medical insurance reimbursement department for reimbursement review;
4. Wait for the expense reimbursement to arrive.
A receipt will be received after the data is handed over, and the reimbursement amount will be received within 15 days. You just have to wait patiently.
To sum up, if you are doing root canal therapy for teeth in your mouth. If you are doing tooth filling or tooth extraction, you can use a medical insurance card for these items.
Legal basis:
Article 2 of People's Republic of China (PRC) Social Insurance Law
The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.
Article 28
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 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.