In general, most treatments involving prosthodontics, orthodontics, cosmetic dentistry and orthognathics are not reimbursed by health insurance. The reimbursement of medical insurance for dentistry is generally for some of the necessary oral surgery, oral surgery, tooth extraction and dentistry of some dental treatment of these generally can be reimbursed, the specific can also consult the local medical insurance office. Medical insurance is generally referred to as basic medical insurance, which is a social insurance system established to compensate workers for the economic losses caused by the risk of illness. Through the employer and individual contributions, the establishment of a medical insurance fund, the insured person is sick, medical expenses incurred by the medical insurance organization to give some economic compensation.
What are the items included in the medical insurance reimbursement
The classification of medical insurance reimbursement and the items included in it are as follows:
1, general medical insurance. It mainly includes outpatient costs, medical costs, examination costs and so on.
2. Hospitalization insurance. It mainly covers daily hospitalization fee, cost of utilizing hospital equipment, surgery cost, medicine cost and so on.
3. Surgical insurance. Provides for all expenses incurred due to necessary surgery required by the patient.
4. Comprehensive medical insurance. Its cost coverage includes all costs of medical treatment and hospitalization and surgery, etc.
5, special disease insurance. Certain special diseases often bring the patient a catastrophic cost payment, the average resident family can hardly afford. Examples include cancer and heart disease. Provide coverage for policyholders of major diseases, can be a single, such as malignant tumors, or even malignant tumors in a certain number of cancers.
I hope the above can help you, if you have other questions please consult a professional lawyer.
Legal basis: "Chinese People's **** and State Social Insurance Law"
Article 12 of the employer shall pay the basic pension insurance premiums in accordance with the state regulations of the proportion of the total wages of the employees of the unit, credited to the basic pension insurance co-ordination fund.
Employees shall pay basic pension insurance premiums in accordance with the proportion of their own wages prescribed by the State and credited to their individual accounts.
Individual industrial and commercial households without employees, part-time workers who do not participate in basic pension insurance with their employers, and other flexibly employed persons who participate in basic pension insurance shall pay basic pension insurance premiums in accordance with the state regulations, which shall be credited to the Basic Pension Insurance Coordination Fund and to their individual accounts respectively.
Article 23 Employees shall participate in basic medical insurance for employees, and the employer and employees shall pay basic medical insurance premiums in accordance with state regulations***.
Individual industrial and commercial households without employees, part-time workers who do not participate in the basic medical insurance of employees in their employing units, and other flexibly employed persons may participate in the basic medical insurance of employees, and individuals shall pay the basic medical insurance premiums in accordance with the state regulations.
Article 35 Employers shall pay work-related injury insurance premiums in accordance with the total wages of their employees at the rate determined by the social insurance agency.
Article 44 Employees shall participate in unemployment insurance, and the employing unit and the employees shall pay the unemployment insurance premiums together in accordance with the state regulations***.
Article 53 Employees shall participate in maternity insurance, and the employer shall pay maternity insurance premiums in accordance with state regulations, and employees shall not pay maternity insurance premiums.