If the cost of tooth extraction is paid by the medical insurance fund, you can pay by swiping the medical insurance card. If you have dental care and beauty, such as dental implants, it is not covered by the medical insurance fund and cannot be paid by medical insurance card. The outpatient reimbursement cost of medical insurance is less, and periodontitis is generally 70% within the scope of medical insurance reimbursement. About 30% is self-funded.
The difference between medical insurance drugs and non-medical insurance drugs, reimbursement deductible line is also different according to hospital level. Generally, Class A drugs can enjoy full coverage, while Class C drugs need to bear all the expenses, while Class B drugs will be charged 80% and bear 20% of the expenses.
Within a settlement year, the per capita medical expenses of urban residents are less than 654.38+10,000 yuan, and the threshold for tertiary hospitals is 500 yuan, with the reimbursement ratio of 50%. The qifubiaozhun for secondary hospitals is 300 yuan, and the reimbursement rate is 55%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 60%.
Medical insurance tooth extraction reimbursement process:
1, registered for medical treatment;
2. If the hospital confirms that it meets the medical insurance conditions of single disease in oral clinic, fill in the notice of diagnosis and treatment;
3, patients with ID card and diagnosis and treatment notice to the hospital for inspection and filing, to receive a single disease format medical records, prepaid medical expenses;
4. After the processing is completed, the settlement shall be made with relevant vouchers;
5. The unit carries the above-mentioned relevant materials and goes through the reimbursement procedures at the designated window of the comprehensive service hall of medical insurance business of Guangzhou Medical Insurance Center.