Specialized hospitals: Changsha City Hospital of Traditional Chinese Medicine (Changsha City Eighth Hospital) Xingsha headquarters and other additions to the Changsha City Health Insurance outpatient treatment of oral diseases as the outpatient settlement of the designated hospitals.
The hospital formally launched this new policy in early January 2013. Changsha urban workers who live and work in Xingsha, as long as they meet the conditions for single-disease lump-sum treatment of oral diseases such as endodontitis, periodontitis, etc., they will be able to receive a full settlement of the outpatient treatment of oral diseases by presenting their ID card, the "Changsha Urban Employees' Health Insurance" certificate, and the "Changsha Urban Workers' Health Insurance" certificate. If you come to the outpatient clinic of the stomatology department of the hospital with your ID card and the Changsha Urban Workers' Basic Medical Insurance Handbook, you will be able to enjoy the single-disease lump-sum policy.
Three types of dental diseases that can be reimbursed:
Of these, the outpatient lump sum treatment for oral diseases applies to the diagnosis and treatment of endodontics, periapical disease-root canal therapy, periodontitis-basic periodontal therapy, and ambulatory blocked teeth-removal. Active employees are only responsible for only 20% of the inclusive fee, while retirees are responsible for 15% of the inclusive fee.
Legal basis:
Social Insurance Law of the People's Republic of China
Article 2
The State establishes a social insurance system for basic old-age pension insurance, basic medical insurance, work-related injury insurance, unemployment insurance, maternity insurance, etc., and guarantees the right of citizens to receive material assistance from the State and society in accordance with the law, in the event of old age, sickness, work-related injury, unemployment and childbirth. rights.
Article 26
The standards of treatment for basic medical insurance for workers, new rural cooperative medical care and basic medical insurance for urban residents shall be carried out in accordance with the provisions of the State.
Article 28
Medical expenses that conform to the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical service facilities, as well as those for emergencies and salvages, shall be paid out of the basic medical insurance fund in accordance with the state regulations.