The regulations on the use of medical insurance in stomatological hospitals are as follows: as long as the treatment items meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards, and medical expenses for emergency rescue, relevant expenses can be paid from the basic medical insurance fund in accordance with state regulations.
Service scope of stomatological hospital:
1, Oral examination and diagnosis: including routine oral examination, X-ray examination, CT examination, etc.
2. Dental treatment: including tooth decay treatment, pulp disease treatment and periodontal disease treatment. ;
3. Dental restoration: including bridging of missing teeth, implantation, denture installation, etc.
4, oral beauty: tooth whitening, correction, veneer and other beauty services;
5. Oral surgery: such as tooth extraction, alveolar bone surgery, and maxillofacial tumor surgery;
6. Oral health care for children: Oral prevention, treatment and health care services specifically for children.
To sum up, stomatological hospitals can use medical insurance, but cosmetic items such as dental implants and dental implants cannot be reimbursed. Outpatient medical insurance can reimburse dental treatment fees, surgery fees and other treatment expenses, and hospitalization can be settled according to regulations except denture fees.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 28
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.