I scope of dental reimbursement for basic medical insurance for urban and rural residents
The basic medical insurance for urban and rural residents mainly covers some basic and necessary dental treatment items. These projects usually include the treatment of common oral diseases, such as tooth extraction and filling of dental caries, diagnosis and treatment of periodontal diseases, etc. These treatments are of great significance for maintaining the oral health of the insured and preventing the deterioration of the disease.
Second, the differences between different regions and policies.
It should be noted that the specific provisions of medical insurance policies in different regions are different, so the scope and proportion of dental reimbursement will be different. In some areas, the scope and proportion of dental reimbursement can be appropriately adjusted according to the local economic situation and medical resources. In addition, the policy may change in different years, so the insured should always pay attention to the local medical insurance policy dynamics.
Third, reimbursement for high-end dental projects.
Some high-end dental projects, such as oral beauty and orthodontics, may not be in the basic medical insurance coverage for urban and rural residents because of their high cost and unnecessary medical services. The insured needs to bear all or part of his own expenses when carrying out this treatment.
Fourth, make rational use of medical insurance resources.
In order to make better use of medical insurance resources, when the insured needs dental treatment, he should first understand the local medical insurance policy and make clear which items can be reimbursed and what is the reimbursement ratio. At the same time, we should choose the appropriate treatment plan according to our oral health and economic ability.
To sum up:
The basic medical insurance for urban and rural residents can reimburse dentistry, but the specific scope and proportion of reimbursement will vary according to different regions and policies. Insured persons should understand the local medical insurance policies and make rational use of medical insurance resources according to their own conditions, so as to reduce the economic burden and maintain oral health.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 28 provides that:
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.
Opinions on integrating the basic medical insurance system for urban and rural residents
It is pointed out that the integrated basic medical insurance system for urban and rural residents should cover all urban and rural residents except those who should participate in the basic medical insurance for employees. The insurance coverage includes: rural and urban non-employed residents (including primary and secondary school students and preschool children), all kinds of full-time college students, people who have obtained local residence permits and other personnel stipulated by the state, province and city.