Oral implantation into the medical insurance, Bayannur people concerned about these questions have answers

Recently, Bayannaoer City, oral implant medical services into the medical insurance payment scope of the news has become the focus of public attention, many people with dental implants need to understand the specifics of the situation, and subsequently produced some doubts. The reporter interviewed Bayannaoer City, public medical institutions, private medical institutions, medical security bureau, to answer the public questions. The centralized band purchasing makes dental implants consumables costs lower

The reporter learned that the current cost of dental implants can be roughly divided into medical services and consumables costs. On the standardization and integration of oral implant medical service project price notice", Bayannaoer City, three-level public medical institutions, a single conventional dental implants, the whole process of medical service project price control target of up to 3540 yuan, including dental implants, diagnostic fees, biochemical examination fees, imaging fees, implant implantation fees, crown placement fees, scanning and design modeling fees, anesthesia fees, drug fees. In other words, 3540 RMB is the maximum price of the regulation target of the dental implant medical service program, and the pricing of the three-tier public medical institutions in Bayannur City cannot exceed this price. Therefore, on the basis of the medical services program, plus the cost of consumables is the final cost of planting a tooth.

In this regard, the reporter consulted with Wang Zhen, president of the Brothers Dental Hospital. Wang Zhen introduced the past high cost of dental costs, mainly because of the high cost of supplies, and now centralized volume purchasing of consumables, consumables fees will be significantly reduced. In this way, through the medical service program into the scope of payment of medical insurance, the supplies for the centralized procurement, so that the overall cost of dental implants to reduce the overall cost of the real benefit to the patient.

The price of medical services in a number of institutions is much cheaper than before

Over the past few days, the reporter visited the public health care institutions, private health care institutions to understand that the price of dental implant medical services is now much cheaper than before.

Xue Min, deputy director of the city hospital stomatology department, said: "The city hospital's oral implant medical service program price is set at 3540 yuan. After being included in the scope of payment of medical insurance, the original price of implant implantation fee, for example, is 3,000 yuan, and now it has been reduced by half, only 1,500 yuan."

Zhang Wenjun, president of Jiayu Stomatological Hospital, introduced to the reporter: "The policy of incorporating oral implant medical service projects into medical insurance was implemented on January 1, and the price of the whole process of dental implant medical service projects in our hospital was finally set at 2,980 yuan. In addition, dental implant consumables fee will use the collection price, employee health insurance personal account balance of the public can pay 100 percent."

Linhe Haozheng oral cavity responsible person said: "The price of our medical services project has not yet been determined, such as the collector price of consumables is set, and then pricing of medical services project, should not exceed 3000 yuan at most."

Wang Zhen, president of Brothers Stomatological Hospital, revealed that these days there has been no dental implant surgery, mainly because the cost of consumables for dental implants does not have a clear guide price. At present, the hospital has referred to public medical institutions and government guide price, the price of medical services is set at 3200 yuan.

Citizens can be reimbursed in

dental implant medical institutions

The reporter learned from the Municipal Bureau of Medical Security, Bayannur City, oral implant medical services have been included in the payment scope of the outpatient health insurance co-ordination, according to the existing employee health insurance policy,*** there are two ways of reimbursement:

First, in the opening of the outpatient co-ordination of the fixed-point medical institutions to reach the starting line of 1,000 yuan can be reimbursed by a part of the co-ordination fund money. a portion of the money from the co-ordination fund for reimbursement. For expenses covered by the policy above the starting line, the third-level fixed-point medical institutions pay 60%, the second-level and following fixed-point medical institutions pay 65%, and retired workers increase by 5%. The annual maximum payment limit is 4,000 yuan for active employees and 5,000 yuan for retired employees. The remaining expenses to be paid will then be reimbursed from the personal account, and those without a balance in the personal account will be paid in cash.

Secondly, in non-outpatient coordinated designated medical institutions, i.e. private medical institutions carrying out oral implantation business, 100 percent reimbursement is made using the balance in the personal account.