The scaling is not supported by medical insurance reimbursement, oral diseases only chronic pulpitis, chronic apical inflammation, chronic periodontitis can be reimbursed, and out-of-pocket expenses up to 55%.
Medicare exemptions
One, service items
1, registration fees, out-of-hospital consultation fees, medical records and other costs
2, consultation fees, examination and treatment of expedited fees, surcharge on the name of the surgery, high quality premiums, special nurses, and other special needs of the medical services
Two, non-disease treatment items
1, all kinds of beauty, fitness items and non-functionality, and the other items are the most important.
1, a variety of beauty, fitness and non-functional cosmetic and orthopedic surgery
2, a variety of weight loss, weight gain, height projects
3, a variety of health checkups
4, a variety of preventive, health care diagnostic and treatment programs
5, a variety of medical consultations, medical appraisal
3, diagnostic and therapeutic equipment and medical materials
1, the application of Positron emission tomography device (PEMT) (Positive Electron Transmission Tomography) Emission tomography device (PET), electron beam cT, ophthalmic excimer laser therapy and other large-scale medical equipment for examination, treatment programs
2, glasses, dentures, eye prostheses, prosthetic limbs, hearing aids and other rehabilitative devices
3, a variety of health care for their own use, massage, inspection and treatment equipment
4, the provincial price departments that can not be separately charged for the Disposable medical
Four, therapeutic project category
1, all kinds of organ or tissue transplantation of organ or tissue source
2, in addition to kidney, heart valves, cornea skin, blood vessels, bone, bone marrow transplantation of other organs or tissues
3, myopic orthopedic surgery
4, qigong therapy, music therapy, health care nutrition therapy, magnetic therapy and other complementary therapeutic projects
5. Other
1. Various infertility (pregnancy) and sexual dysfunction treatment programs
2. Various scientific research and clinically verified treatment programs
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Expanded InformationMedicare Reimbursement
A. Settlement of Inpatient Hospitalization and Outpatient Treatment for Special Diseases Procedures
Specified medical institutions will submit the cost statement of patients discharged from hospitals in the previous month, hospitalization statement and relevant information to the medical insurance agency before the 10th day of each month, and the medical insurance agency will review and approve the statement as the basis for the monthly advance appropriation and year-end final account. The medical insurance agency makes monthly advance allocation of the coordinated expenses for hospitalization and outpatient treatment of special diseases in the previous month
Participants who are recognized as suffering from special diseases should go to a designated medical institution designated by the department of animal protection for medical treatment and purchase of medicines, and the incurred medical expenses are directly recorded in the account and settled instantly
Two, the settlement procedure for emergency treatment
Participants who are hospitalized in non-designated medical institutions or off-site medical institutions within the city due to emergency treatment should go to the medical institutions and off-site medical institutions within the city for hospitalization and settlement. The medical expenses incurred for hospitalization in medical institutions in the city or in other places shall be advanced by the individual or the unit, and after the emergency rescue is completed, the participant shall go through the reimbursement procedures in accordance with the regulations by presenting the hospital's emergency medical records, examination and laboratory report slips, invoices, and a detailed list of medical charges, etc. to the medical insurance agency.
Third, settlement procedures for relocated workers
1. Their units will designate 1-2 designated medical institutions in their place of residence and report them to the medical insurance agency for record
2. The medical expenses incurred by a staff member resettled in a foreign country who falls ill and attends a designated medical institution in his place of residence will be advanced by himself or his unit, and the medical expenses will be paid by the unit with the insured person's medical certificate and medical records, valid bills, duplicate prescription, list of hospitalization expenses, etc. on a specified date. The hospitalization expense list will be settled by the social medical insurance agency on the specified date
Fourth, referral and transfer settlement
1. If the insured person is referred to other medical institutions for diagnosis and treatment due to the limitations of the designated medical institutions or due to specialized diseases, he or she is required to fill in the approval form for referral and transfer. By the attending physician to put forward the reasons for referral and transfer, the section chief to put forward the referral and transfer opinions, the medical insurance office of the medical institution audit, the signature of the director in charge, reported to the Municipal Medical Insurance Center for approval before transfer
2, referral and transfer of hospitals, in principle, first in the city and then out of the city, the first in the province and then out of the province. Intra-city referrals and transfers are to be made between designated medical institutions. Out-of-town referrals and transfers must be made by a designated medical institution at or above the third level in the city
3. Medical expenses incurred by a participant after a referral or transfer to a hospital shall be paid in cash by the individual or the organization first, and after the completion of medical treatment, the participant or his/her agent shall reimburse the hospitalization expenses that belong to the scope of payment of the integrated fund to the medical insurance office with the referral and transfer approval form, medical records, certificates, prescriptions, and valid documents. Baidu Encyclopedia-Medicare