Wisdom teeth extraction is covered by medical insurance.
The examination items that can be reimbursed by the medical insurance card are as follows:
1. Application of χ-ray computed tomography device and stereotactic radiation device;
2. Heart and Angiography x-ray machine;
3. MRI device;
4. Single photon emission computer scanning device;
5. Color Inspection and medical projects carried out by large medical equipment such as Doppler instruments and medical linear accelerators.
The treatment items that can be reimbursed by the medical insurance card are as follows:
1. Extracorporeal vibration lithotripsy, hyperbaric oxygen therapy, medical linear accelerator therapy, intensive care and rescue CCU, ICU ward Treatment;
2. Kidney transplantation, heart valve transplantation, corneal transplantation, skin transplantation, blood vessel transplantation, bone transplantation, bone marrow transplantation, islet transplantation;
3. Cardiac pacemaker, Replacement and installation of artificial organs in the body such as artificial joints, intraocular lens, artificial larynx, artificial hip joint, cardiac bypass surgery, cardiac catheter balloon dilation;
4. Hemodialysis, peritoneal dialysis;
5. Cardiac laser drilling, anti-tumor cell immunotherapy, interventional therapy and fast neutron therapy projects.
The medical insurance reimbursement process is as follows:
1. The hospitalization medical expenses shall be paid by the individual first. After discharge, the medical insurance card, ID card, outpatient medical records, discharge summary, and total expense list will be paid ( Detailed list of expenses), disease diagnosis certificate, valid bills (original invoice), medical orders, a copy of the first page of the medical record, a certificate issued by the school, transfer certificate is also required for transfer, and relevant certificates issued by the college for trauma treatment, etc., to The window of the Medical Department of the Service Hall of the Municipal Medical Insurance Management Center handles review and reimbursement. When seeking medical treatment in different hospitals, you must provide materials from different hospitals; if you stay in the same hospital for different periods of time (before expenses are written off, such as if you are admitted to the same hospital for treatment after being discharged), you must also provide materials for hospitalization at different periods;
2. To activate the credit card settlement function, the student or the student’s guardian or client must present the student’s ID card, “Provincial Social Security Card”, hospitalization medical record, disease diagnosis certificate, and certificate issued by the college within three days of hospitalization. Please go to the medical department window of the service hall of the Municipal Medical Insurance Center to apply for the certificate;
3. Treatment of expenses for admission to non-designated medical institutions due to emergency rescue: Within 3-5 working days of the emergency, first contact us by phone or Entrust others to register and file with the Municipal Medical Insurance Management Center through the Student Medical Insurance Management Center of our hospital with a written report, and the medical expenses will be paid in advance by myself; when reimbursing, go to the Municipal Medical Insurance Center according to the above reimbursement materials (go to a non-medical insurance designated hospital or Clinic treatment will not be reimbursed).
To sum up, wisdom teeth extraction is within the scope of tooth extraction and is one of the oral treatment items, so it complies with the medical insurance reimbursement policy. However, according to the medical insurance regulations, the medical insurance reimbursement ratios for current employees and retirees are different. , so the specific reimbursement ratio must be based on relevant medical insurance regulations. When wisdom teeth need to be removed, you can consult the medical insurance office of the local hospital.
Legal basis:
Article 28 of the "Social Insurance Law of the People's Republic of China"
Comply with the basic medical insurance drug catalog, diagnosis and treatment items, Standards of medical service facilities and medical expenses for emergency and rescue services shall be paid from the basic medical insurance fund in accordance with national regulations.
Article 29
The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit .
The social insurance administrative department and the health administrative department should establish a medical expense settlement system for medical treatment in other places to facilitate insured persons to enjoy basic medical insurance benefits.