Teeth straightening is not allowed to use the medical insurance card, teeth straightening belongs to the category of cosmetic beauty, although it is dealt with in the stomatology department, but it does not belong to the category of medical insurance, not in the medical insurance reimbursement, teeth straightening is required to pay out of pocket. Whether it is traditional orthodontics, invisible orthodontics or surgical orthodontics, you need to pay out of pocket.
I, basic insurance does not pay the cost of the scope of treatment items
(a) the service category
1, registration fees, out-of-hospital consultation fees, medical records, such as the cost of books;
2, visit fees, examination and treatment of expedited fees (except for emergencies), naming the surgical surcharges, high-quality and premium fees, self-requested special nurses fees and other special needs of the medical services.
(2) non-disease treatment program category
1, a variety of cosmetic (cosmetic life, medical cosmetology) fitness program and messy non-functional cosmetic surgery, orthopedic surgery, etc.;
2, a variety of weight loss, gain weight, increase in height project;
3, a variety of health checkups;
4, a variety of preventive, health care treatment program;
(C) diagnostic and therapeutic equipment and medical materials
1, the application of positron emission tomography device, electron beam CT, ophthalmic excimer laser treatment instrument and other large-scale medical equipment for the examination and treatment of the project;
2, eyeglasses, dental prostheses, eye prostheses, prosthetic limbs, hearing aids, and other rehabilitation appliances;
3, all kinds of health care for their own use, massage, examination, rehabilitation and treatment of the device.
(4) therapeutic items category
1, all kinds of organ transplantation or tissue transplantation of organ source or tissue source;
2, in addition to kidney, heart valves, cornea, skin, blood vessels, bone, bone marrow transplantation other organs or tissue transplantation;
3, myopic eye orthopaedics;
4, qigong therapy, music therapy, health care of the nutritional therapy, magnetic therapy and other complementary treatment programs.
(5) Other
1, various infertility (pregnancy), sexual dysfunction treatment programs;
2, various scientific research, clinically verified treatment programs;
Expanded
Wherever a participant is enrolled in the program, the process of reimbursement is as follows:
(1) A participant farmer with a The new rural cooperative card in the outpatient treatment of fixed-point institutions, the fixed-point medical institutions according to the "new rural cooperative card" family outpatient account clinic account of the existing amount of direct medical fee waiver, exceeding the part of the farmers by the participant to pay out of pocket. The fixed-point medical institutions should settle the bill with the Farmers' Medical Institute in a timely manner.
(2) participating farmers in the city, county, township designated medical institutions hospitalization, by the designated medical institutions for direct subsidies. The fixed-point medical institutions will audit the medical expenses incurred by them and advance the amount of subsidy payable according to the standards stipulated in the implementation measures.
Participating farmers hospitalized in provincial fixed-point medical institutions and non-fixed-point medical institutions are compensated by the township agricultural medical institutions. Their hospitalization medical expenses for a lump sum of less than 2,000 yuan (including 2,000 yuan) will be reviewed and reimbursed by the township (township) Agricultural Medical Office, while those above 2,000 yuan or those who have doubts about the hospitalization information will be reviewed by the township (township) Agricultural Medical Office and then submitted to the county Agricultural Medical Bureau for review and approval before reimbursement is made.
(1) When applying for reimbursement, you need to bring your ID card, hukou book, New Farmers' Cooperative Card (the original of these three certificates will be copied and stored in the bottom after the audit), valid hospitalization invoices of the medical institutions, hospital discharge summaries (or medical records), cost lists and referral certificates.
(2) Participating farmers suffering from outpatient major diseases (chronic diseases) at the prescribed time (generally in July and December each year), need to bring their ID cards, household registration, "New Farmers' Cooperative License", outpatient invoices and lists, outpatient medical records, inspection reports, outpatient major diseases (chronic diseases) of hospitals of second class or above, or specialized hospitals to the township (township) Farmers' Medical Office to apply for the certificate.
(3) For farmers who have participated in commercial insurance and school students who have participated in student medical insurance, when they need both commercial insurance and NNH compensation after discharge from the hospital, the farmers should submit the original hospitalization invoice and a copy of the invoice to the Farmers' Medical Office or the county-level designated medical institutions for checking and reimbursement, and then submit the original hospitalization invoice to the commercial insurer for reimbursement. The copy of the invoice will be kept by the Farmers' Medical Institute or the county-level designated medical institution, but only the original can be reimbursed for trauma patients (except for students).
(4) Hospitalization expenses are subject to a time-limit settlement system. Reimbursement and settlement procedures can be carried out at any time within three months after discharge from the hospital, and those exceeding three months are regarded as forfeiting reimbursement on their own (those who are out of the country for work can be delayed until the end of the year). The amount to be compensated by the Agricultural Medical Institute in accordance with the standards stipulated in the implementation measures will be paid to the participating farmers within 10 working days.
Baidu Encyclopedia - Medical Insurance
Baidu Encyclopedia - Medical Insurance Reimbursement Scope