Specifically, the following points need to be noted:
1, the extraction of teeth in the medical insurance designated medical institutions, and the hospital needs to have the appropriate dental diagnostic and treatment equipment and qualifications;
2, the patient needs to be outpatient or hospitalization reimbursement, reimbursement rate and reimbursement limit according to the different regions and medical insurance policy varies. Generally, the reimbursement rate is between 50% and 90%, and the reimbursement limit is also subject to certain restrictions;
3. The patient needs to provide the certificate of tooth extraction issued by the doctor, hospitalization certificate (if hospitalization is required for tooth extraction), the list of expenses and other related materials for reimbursement by the medical insurance.
The process of reimbursement of urban health insurance is as follows:
1. Confirm the type of health insurance. Urban workers' medical insurance is divided into basic medical insurance and large medical insurance, different types of medical insurance reimbursement rate and reimbursement scope are different, you need to know in advance;
2, medical consultation and obtain the list of medical expenses. You need to provide your health insurance card when you visit a hospital or clinic, and obtain medical records and a list of medical expenses when you settle your bill;
3. Submit a claim for reimbursement. Patients with a medical insurance card can submit a reimbursement application at the medical insurance window of the hospital or clinic, or apply for reimbursement online through electronic channels. When applying for reimbursement, you need to fill in the relevant information and submit medical records, medical expense lists and other information;
4. Review of reimbursement applications. The MPS will review the reimbursement application and verify the authenticity and legality of the list of medical expenses and medical records;
5. Reimbursement settlement. The MPS will pay the hospital or clinic the medical insurance fee after the audit, and the patient only needs to pay the personal part of the fee. After the reimbursement settlement, the patient can get the reimbursement vouchers, such as reimbursement vouchers and invoices, at the hospital or clinic.
In summary, the transfer of health insurance card balance requires the provision of personal identification and other relevant documents, so the operation needs to ensure the authenticity and security of personal information and documents, to avoid disclosure of personal information and financial data.
Legal basis:
Article 28 of the Social Insurance Law of the People's Republic of China
Medical expenses that are in line with the basic medical insurance drug catalog, diagnostic and treatment items, standards of medical service facilities, as well as those for emergency and rescue, shall be paid out of the basic medical insurance fund in accordance with state regulations.
Article 29
The portion of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be settled directly by the social insurance administration organization with the medical institutions and drug business units.