The situation of swiping the medical insurance card for orthodontic treatment is as follows:
1. If the orthodontic treatment is caused by oral disease or deformity, it may be regarded as a medical behavior and the medical insurance card can be swiped. ;
2. If it is cosmetic tooth correction, you generally cannot swipe your medical insurance card.
The coverage of medical insurance is as follows:
1. Personal medical expenses covered by medical insurance: hospitalization within the insurance year, including home bed and outpatient special diseases. Personal expenses within the scope of the medical insurance catalog are compliant. Medical expenses. The insured amount is 1 million yuan, the deductible is 20,000 yuan, the reimbursement rate is 80%, and the reimbursement rate for going to the city for medical treatment on your own is 30%;
2. Compensation for personal out-of-pocket expenses outside medical insurance: Medical insurance catalogue Out-of-scope individuals bear eligible medical expenses. The insured amount is 1 million yuan, the deductible is 20,000 yuan, the reimbursement rate is 60%, and the reimbursement rate for going to the city for medical treatment on your own is 30%;
3. Compensation for self-paid drugs for malignant tumors: the insured person undergoes cancer surgery For the treatment of similar diseases, 90% of the total amount of self-paid drugs for designated malignant tumors used within the insurance year and that meet the corresponding indications is more than 10,000 yuan and less than 300,000 yuan, and those who have suffered from malignant tumors before the first insurance are reimbursed at 60%;
4. Compensation for ultra-high medical expenses: The accumulated compliant medical expenses within the scope of the medical insurance catalog after being compensated by basic medical insurance, critical illness insurance and commercial medical insurance in the insurance year exceed 80,000 yuan, 25 For portions within 10,000 yuan, 90% will be reimbursed. The portion above 250,000 yuan and within 1 million yuan will be 100% reimbursed;
5. Compensation for high personal medical expenses in general outpatient clinics: Foshan designated medical institutions or referral registration, long-term stay within the insurance year High medical expenses personally borne by ordinary outpatients incurred by medical institutions in the place of registration during the validity period of the registration year for insured persons registered in other places. The insured amount is 100,000 yuan, the deductible is 20,000 yuan, and the reimbursement ratio is 60%;
6. No claim settlement preferential treatment for continuous insured persons, 28 kinds of severe and critical illness insurance, 10,000 yuan insured amount, 121 Rare disease insurance with a sum insured of RMB 10,000.
To sum up, whether dental correction can be used to apply for a medical insurance card varies from region to region. If the orthodontic treatment is caused by oral disease or deformity, it may be regarded as a medical behavior and the medical insurance card can be swiped. However, if it is cosmetic tooth correction, you generally cannot swipe your medical insurance card. Specific medical insurance policies and standards vary from region to region, and you need to understand the local medical insurance policies and standards before undergoing orthodontic treatment.
Legal basis:
Article 27 of the "Social Insurance Law of the People's Republic of China"
Individuals who participate in the basic medical insurance for employees must meet the statutory If the accumulated contributions at retirement age reach the number of years prescribed by the state, they will no longer pay basic medical insurance premiums after retirement and enjoy basic medical insurance benefits in accordance with the provisions of the state; if they have not reached the number of years prescribed by the state, they can pay premiums up to the number of years prescribed by the state.