You can't use medical insurance cards for orthodontics. Orthodontics belongs to the category of plastic surgery. Although it is handled in stomatology, it is not within the scope of medical insurance reimbursement. Orthodontics needs to be paid at your own expense. Whether it is traditional orthodontics, invisible orthodontics or surgical orthodontics, you need to pay for it at your own expense.

First, the basic insurance does not pay the cost of the scope of medical treatment projects.

(1) service items

1, registration fee, out-of-hospital consultation fee, medical record fee, etc.

2. Special medical services such as visiting fees, urgent fees for examination and treatment (except for emergency), surcharge for name calling operation, high quality and good price, and special care by oneself.

(2) Non-disease treatment projects

1, various beauty (life beauty, medical beauty) bodybuilding projects and disorderly non-functional plastic surgery, orthopedic surgery, etc. ;

2. Various weight loss, weight gain and height increase projects;

3. Various health checks;

4, all kinds of prevention and health care projects;

(3) Diagnostic equipment and medical materials.

1, a project for examination and treatment with large medical equipment such as positron emission tomography, electron beam CT and ophthalmic excimer laser therapeutic apparatus;

2, glasses, dentures, artificial eyes, artificial limbs, hearing AIDS and other rehabilitation equipment;

3, all kinds of self-use health care, massage, rehabilitation and treatment equipment.

(4) Treatment items

1, the organ source or tissue source of various organ transplants or tissue transplants;

2. Transplantation of organs or tissues other than kidneys, heart valves, corneas, skin, blood vessels, bones and bone marrow;

3. Orthopedic surgery for myopia;

4, Qigong therapy, music therapy, health nutrition therapy, magnetic therapy and other auxiliary treatment projects.

(5) Others

1, various infertility (pregnancy) and sexual dysfunction diagnosis and treatment projects;

2, all kinds of scientific research, clinical verification of diagnosis and treatment projects;

Extended data

For all participants, the reimbursement process is as follows:

(a) participating farmers to "new rural cooperative medical certificate" in the designated institutions for outpatient treatment, by the designated medical institutions according to the "new rural cooperative medical certificate" family outpatient account existing amount directly reduce medical expenses, the excess paid by participating farmers. Designated medical institutions shall settle accounts with agricultural medical institutions in a timely manner.

(two) participating farmers in the city, county and township designated medical institutions for hospitalization, directly subsidized by the designated medical institutions. Audit the medical expenses incurred by designated medical institutions, and prepay the subsidy amount according to the standards stipulated in the implementation measures.

Participating farmers in the provincial designated medical institutions and non-designated medical institutions hospitalization, compensation by the township agricultural cooperative medical institutions. Hospitalization medical expenses, one-time less than 2000 yuan (including 2000 yuan), by the township (town) agricultural medical reimbursement, hospitalization data by the township (town) agricultural medical examination and approval before reimbursement.

(1) When applying for compensation, I need to bring my ID card, household registration book, new rural cooperative medical certificate (the original copies of these three certificates are kept below), valid hospitalization invoice of medical institution, discharge summary (or medical record), expense list and referral certificate.

(II) The participating farmers suffering from outpatient serious illness (chronic disease) shall go to the township (town) Agricultural Medical Office with their ID card, household registration book, new rural cooperative medical system, outpatient invoice and list, outpatient medical records, inspection report, and outpatient serious illness (chronic disease) certificate from a second-class hospital or a specialized hospital.

(III) For participating farmers who have participated in commercial insurance and students who have participated in student medical insurance, when both commercial insurance compensation and new rural cooperative medical system compensation are required after discharge, participating farmers should first submit the original hospitalization invoice and a copy of the invoice to the Agricultural Institute or the designated medical institution at the county level for compensation, and then pay the original hospitalization invoice to the commercial insurance company. Copies of invoices shall be kept by county-level agricultural medical institutions or designated medical institutions, but trauma patients can only be reimbursed by the original (except students).

(4) The hospitalization expenses shall be settled within a limited time, and the compensation and settlement procedures can be handled at any time within three months after discharge. Those who spend more than three months are deemed to have given up compensation on their own (migrant workers may delay until the end of the year). The amount of compensation payable by the Agricultural Medical Institute according to the standards stipulated in the Implementation Measures shall be paid to the participating farmers within 10 working days.

Baidu encyclopedia-medical insurance

Baidu encyclopedia-medical insurance reimbursement scope