Rural health insurance can be reimbursed for dental fillings, but whether it includes dental implants needs to be determined according to the local health insurance policy.
The reimbursement of dental expenses is strictly regulated, and only therapeutic dental treatments such as fillings, extractions, and treatment of periodontal disease can be reimbursed by the medical insurance.
Medical cosmetic procedures, such as orthodontics and teeth whitening, are not eligible for reimbursement.
The reimbursement process includes:
1. Use your ID card or social security card to go through the relevant procedures;
2. Submit medical documents such as a diagnosis certificate issued by a specialist;
3. Provide receipts for outpatient charges and a detailed list of expenses;
4. Provide the ID card of the person who will do the work on behalf of the patient.
When you are hospitalized, you will be required to pay a deposit in advance for medical fees, which will be refunded after you are discharged from the hospital.
Medical expenses without hospitalization registration will not be reimbursed.
If the hospitalization is due to an emergency and the hospitalization is not completed in time, it should be completed on the next day after the hospitalization.
Referral or transfer to another hospital is subject to relevant procedures, and the costs are first paid by the individual before reimbursement.
Medicare reimbursement scope:
1, basic medical insurance reimbursement program: covers common outpatient and inpatient treatment costs, including drugs, diagnosis and treatment costs, surgical fees, etc.;
2, special disease medical insurance reimbursement: for major diseases or special disease treatment costs, such as cancer, chronic kidney disease, etc.;
3, medical insurance drug list: Contains a list of medicines reimbursed by health insurance, divided into Category A and Category B, with the reimbursement rate for Category A being higher than that for Category B;
4. Scope of medical service facilities: Designated medical institutions, such as hospitals and clinics, and usually only treatments received at these institutions can be reimbursed;
5. Payment methods of health insurance: divided into a variety of payment methods such as per-item payments, per-category payments, and per-bed-days;
6. Individual out-of-pocket payment ratio: according to different medical services and medicines, patients need to bear a certain percentage of out-of-pocket payment.
In summary, the elderly dental insurance reimbursement needs to be based on the local health insurance policy to determine the rural health insurance fillings can be reimbursed, but whether or not it includes dental need to be determined according to the policy. Dental expenses reimbursement has strict regulations, only the therapeutic nature of the dental treatment available health insurance reimbursement, medical cosmetic program is not within the scope of reimbursement. The reimbursement process includes formalities, submission of medical information and a detailed list of expenses. Hospitalization requires an advance deposit, and expenses that are not registered are not covered. Referrals or transfers to other hospitals require an advance payment of expenses and then reimbursement.
Legal basis:
The Chinese People's **** and the State Social Insurance Law
Article 28
Medical expenses in line with the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical services and facilities, as well as emergency and rescue, shall be paid from the basic medical insurance fund in accordance with state regulations.