You can get medical insurance for dental treatment.
The standards for the scope of dental reimbursement under medical insurance are as follows:
1. Comply with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses, from the basic level in accordance with national regulations. Paid from the medical insurance fund.
According to the "Social Insurance Law of the People's Republic of China", the medical insurance card must comply with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses. Paid from the basic medical insurance fund.
2. For drugs, they are divided into medical insurance drugs and non-medical insurance drugs. Medical insurance drugs have a national medical insurance drug catalog. Provincial departments can add some drugs to the national medical insurance drug catalog, but they cannot Reduce the catalog section of countries. Although the national medical insurance drug catalog has been expanded, there are still non-medical insurance drugs outside the catalog that cannot be purchased with a medical insurance card, such as some nutritional drugs and health care drugs.
The specific method of using medical insurance is as follows:
1. Under normal circumstances, when you need to be hospitalized for illness, you can take your medical insurance card and medical records to your designated hospital, and you can use your medical insurance Card settlement. In other words, you pay the self-pay part yourself, and reimburse part of the medical insurance center and hospital settlement;
2. There are three conditions for holding a social security card for medical treatment:
(1) The social security card must be presented when registering card, cash payment for personal out-of-pocket expenses, and the hospital will issue a bill for the insured person; (2) When going to the clinic to see a doctor, you must take the initiative to show your social security card to the doctor;
(3) When paying, the social security card and payment receipt must be handed over to the settlement personnel.
3. There are geographical restrictions on the use of medical insurance cards. The medical insurance card can be used when insured employees seek medical treatment and purchase medicines at designated hospitals and pharmacies, and can also be used by swiping the card at POS machines with the password, but cannot withdraw cash or make transfers. Scope of medical insurance hospitalization reimbursement. Only limited to hospitalization due to illness and some accidents in designated hospitals. Self-paid drugs cannot be reimbursed, Class B drugs are reimbursed 80%, bed fees are limited, and some examination fees and diagnosis and treatment fees cannot be reimbursed according to regulations. The money in the medical insurance card can be used to buy over-the-counter medicines at designated places.
The specific standards for the use of medical insurance cards are as follows:
1. Comply with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses, in accordance with national regulations. Paid from the basic medical insurance fund.
According to the "Social Insurance Law of the People's Republic of China", the medical insurance card must comply with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses. Paid from the basic medical insurance fund.
2. For drugs, they are divided into medical insurance drugs and non-medical insurance drugs. Medical insurance drugs have a national medical insurance drug catalog. Provincial departments can add some drugs to the national medical insurance drug catalog, but they cannot Reduce the catalog section of countries. Although the national medical insurance drug catalog has been expanded, there are still non-medical insurance drugs outside the catalog that cannot be purchased with a medical insurance card, such as some nutritional drugs and health care drugs.
Conditions for paying for medical insurance:
1. Under normal circumstances, when you are sick and need to be hospitalized, you can take your medical insurance card and medical records to your designated hospital, and you can use your medical insurance card to settle the bill. That is to say, you pay the self-pay part yourself, and reimburse part of the medical insurance center and hospital settlement;
2. If you transfer from your own designated hospital to a secondary or tertiary hospital, use the medical insurance card to settle the payment;
< p>3. If the condition is critical and you are hospitalized in a hospital other than your own designated hospital for rescue, you should go to the Municipal Medical Insurance Center within 5 days to apply for identification of the emergency rescue disease. Once it is determined that the emergency rescue disease is an emergency rescue disease, you can use your medical insurance card to settle the bill at the rescue hospital;4. If the patient is transferred to other places for treatment, the transfer procedures must be completed with the consent of the hospital and the medical insurance center. Expenses incurred in other places will be settled at one's own expense first. After diagnosis and treatment, all the information will be prepared and reimbursed by the community labor and social security workstation;
5. For those who have been diagnosed with special diseases such as cancer, uremia, or organ transplantation, the hospitalization will be the same as above. Pay with medical insurance card. When taking medicines for outpatient treatment, you still use your medical insurance card and settle the bills at your own expense first. The bills you settle by yourself will be reimbursed by the community labor and social security workstation within this year;
6. There is a special situation where phacoemulsification and intraocular lens for cataract are needed. For placement, choosing a capable hospital may not necessarily be your designated hospital. There is no need to be hospitalized, it is a direct outpatient surgery, and the medical insurance card is still used. The individual pays for it first, and after the diagnosis and treatment is completed, it will be reimbursed through the community labor and social security work station.
To sum up, the scope of use of the medical insurance card is that when insured employees go to designated hospitals and pharmacies to purchase medicines, they can swipe the card on the POS machine with the password, but they cannot withdraw cash or make transfers. Medical insurance card There are geographical restrictions on its use. The medical insurance card can be used by insured employees when seeking medical treatment and purchasing medicines at designated hospitals and pharmacies. It can also be used by swiping the card at the POS machine with the password, but it cannot be used to withdraw cash or make transfers.
Legal basis:
Article 24 of the "Social Insurance Law of the People's Republic of China"
The state establishes and improves a new rural cooperative medical system.
The management measures for the new rural cooperative medical system shall be stipulated by the State Council.
Article 25
The state shall establish and improve the basic medical insurance system for urban residents.
The basic medical insurance for urban residents combines individual contributions and government subsidies. The government subsidizes the required personal contributions for people who enjoy the minimum living security, disabled people who have lost the ability to work, elderly people over 60 years old and minors from low-income families.
Article 26
The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with national regulations.
Article 27
If an individual who participates in the basic medical insurance for employees reaches the statutory retirement age and has paid cumulative contributions for the number of years specified by the state, he will no longer pay basic medical insurance premiums after retirement. Enjoy basic medical insurance benefits in accordance with national regulations; those who have not reached the nationally prescribed years can pay premiums up to the nationally prescribed years.
Article 28
Medical expenses that comply with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue expenses shall be deducted from the basic medical insurance fund in accordance with national regulations. Pay.