1. College students' medical insurance belongs to residents' medical insurance, and some dental projects have been included in the scope of medical insurance reimbursement;
2. For example, the expenses of filling teeth, extracting teeth, treating periodontal diseases and gingivitis can be reimbursed by college students' medical insurance;
3, but if it is medical beauty, such as tooth washing, tooth implantation, orthodontics and so on. This kind of medical insurance is not reimbursed. When college students use medical insurance to go to a designated medical institution to see a dentist, they can first ask the doctor whether the item can be reimbursed, and the doctor will generally tell the patient which items can be reimbursed.
Whether college students can get the reimbursement of dental insurance depends on the situation:
1. If the client wants to see a dentist, he can take the medical insurance card to register at the designated medical institution in the insured area and go to the stomatology department to see a dentist. The medical expenses incurred by filling teeth are paid by the medical insurance fund and can be reimbursed;
2. However, dental implants and dental implants belong to the scope of medical beauty and cannot be reimbursed; Medical insurance only covers outpatient expenses and hospitalization expenses, and tooth washing is not covered. Even if you find tooth decay when you go to the dental clinic to wash your teeth, the treatment at that time cannot be reimbursed.
The scope of residents' medical insurance reimbursement includes general outpatient reimbursement, serious illness reimbursement and special outpatient reimbursement; The scope of medical insurance reimbursement for employees is divided into overall account and individual account. The overall account can reimburse hospitalization medical expenses and special outpatient medical expenses. Personal account can directly pay for the purchase of drugs in general outpatient clinics and designated pharmacies, and the individual pays for the hospitalization expenses.
The following materials shall be prepared for student medical insurance reimbursement:
1, medical expense payment voucher or charge invoice issued by the hospital, hospital diagnosis certificate, student ID card, insurance certificate, etc. ;
2. Then bring the above information to the school finance department to fill in the claim application and entrust the insurance payment procedures. After the insurance company closes the case, it will transfer the compensation amount to the school account, and then the students will receive the insurance money from the financial department by providing the student ID card;
3. Students can enjoy additional insurance for hospitalization, outpatient service and accidental injury after taking out medical insurance.
Precautions for student medical insurance reimbursement:
1, need to go to a designated hospital or medical institution for medical treatment;
2. Medical expenses incurred due to chronic diseases shall not be reimbursed;
3. The medical expenses for hospitalization or treatment during the winter and summer vacation or during the day off will not be reimbursed.
Legal basis:
Article 28 of People's Republic of China (PRC) Social Insurance Law
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.
Article 30
The following medical expenses are not included in the payment scope of the basic medical insurance fund:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(three) shall be borne by public health;
(4) Go abroad for medical treatment.
Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.