1, the insured can register at the designated medical institution in the insured area with the medical insurance card and go to the stomatology department to see the dentist. The medical expenses incurred by filling teeth are paid by the medical insurance fund and can be reimbursed. However, dental implants and dental implants belong to the scope of medical beauty and cannot be reimbursed;
2. 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.
Pay attention to the following points when using medical insurance for tooth cleaning reimbursement:
1. Choose a designated medical institution with cooperative medical insurance to clean your teeth and ensure that your expenses can be reimbursed.
2. Consult the medical insurance institution or the financial department of the hospital before seeing a doctor to find out the reimbursement ratio and out-of-pocket expenses of the tooth cleaning project.
3. When seeing a doctor, show the doctor a valid medical insurance card and personal ID card to ensure that your expenses can be settled and reimbursed normally.
To sum up, the reimbursement scope of residents' medical insurance 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.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 28
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.