Current location - Trademark Inquiry Complete Network - Tian Tian Fund - Can children’s dental fillings be reimbursed with their medical insurance card?
Can children’s dental fillings be reimbursed with their medical insurance card?

Dental fillings for children can be reimbursed by medical insurance.

What is included in the scope of medical insurance is mainly the basic materials needed for filling teeth, treatment fees, tooth extraction, treatment of periodontal disease, gingivitis and other dental diseases.

Items that cannot be reimbursed by medical insurance include dentures, porcelain teeth, dental implants, and orthodontics.

However, it should be noted that treatment must be done at the dental department of a designated hospital to enjoy reimbursement from medical insurance.

The main uses of the medical insurance card are: 1. For reimbursement. When you go to the hospital to see a doctor, whether outpatient or inpatient, if you reach the medical insurance deductible and are within the scope of medical insurance reimbursement, you can use the medical insurance card for reimbursement; 2. For purchasing medicines

, insured persons can use the medical insurance card to pay when buying medicines in designated pharmacies; 3. used for medical treatment, when insured persons are sick, they can use the medical insurance card and medical insurance manual to register and seek treatment at designated hospitals.

Medical insurance reimbursement processing materials include prescriptions, total list of expenses, discharge diagnosis certificates, medical insurance cards, outpatient and emergency medical records, discharge summaries, copies of inpatient medical records, and invoices.

Dental insurance coverage: The main dental insurance coverage includes: 1. Filling of teeth (including basic materials and treatment fees); 2. Extraction of teeth; 3. The cost of treating periodontal disease, gingivitis and other dental diseases.

The items that cannot be reimbursed by medical insurance are: 1. Dental dentures 2. Porcelain teeth 3. Teeth scaling 4. Orthodontics 5. Dental implants Legal basis: Article 23 of the Social Insurance Law of the People's Republic of China Employees should

To participate in the basic medical insurance for employees, the employer and the employee shall jointly pay the basic medical insurance premiums in accordance with national regulations.

Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer, and other people with flexible employment can participate in the basic medical insurance for employees, and individuals must pay the basic medical insurance premiums in accordance with national regulations.

Article 2 of the "Social Insurance Law of the People's Republic of China" The state establishes basic pension insurance, basic medical insurance, work-related injury insurance, unemployment insurance, maternity insurance and other social insurance systems to protect citizens in the event of old age, illness, work-related injury, unemployment, maternity, etc.

The right to obtain material assistance from the state and society in accordance with the law under other circumstances.

Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical insurance and basic medical insurance for urban residents shall be implemented in accordance with national regulations.

Article 28 Medical expenses that comply with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue expenses shall be paid from the basic medical insurance fund in accordance with national regulations.