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Filling with a health insurance card cannot be reimbursed with a medical insurance card, but the cost of the filling can be paid for with the personal account on the medical insurance card.
According to Article 25 of the Measures for Basic Medical Insurance for Employees in Zhengzhou City, the overall planning is mainly used to pay for inpatient medical expenses, outpatient medical expenses for prescribed diseases and outpatient medical expenses for serious diseases. The personal account is mainly used to pay for general outpatient medical expenses, drug purchase expenses and inpatient medical expenses, etc., and when the balance of the personal account is insufficient to pay, the excess part shall be borne by the individual. Co-ordination and personal accounts are accounted for separately, and they must not be misappropriated from each other.
Article 26 The principal and interest of a personal account shall be owned by the individual and may be carried forward and inherited, but no cash shall be withdrawn or diverted for other purposes.
Article 27 When the work unit of the insured person changes, the balance of the personal account can be transferred with it. If the conditions for transfer are not met, it may be sent to the person in a lump sum. In the event of the death of the insured person, the basic medical insurance relationship shall be terminated, and the balance of his personal account shall be transferred to the legal heirs in a lump sum.
If there is no legal heir, the funds in the personal account shall be transferred to the overall planning**.
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Hello, dental filling is a basic subject, which is within the scope of reimbursement of medical insurance, and you have to go to a regular public hospital by swiping your medical insurance card. Suggestions: Filling, also known as filling, is a method of tooth decay, which can be swiped in medical institutions that can swipe the medical insurance card, but if special filling materials are used, some material fees may not be reimbursed by medical insurance.
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Tooth extraction can be covered by medical insurance, but not because the materials for tooth filling are some cheap and some are very expensive.
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It can be reimbursed, but it needs to be reimbursed in the designated medical institutions, and the designated medical institutions shall report the expense statement, hospitalization statement and relevant information of the discharged patients in the previous month to the medical insurance agency before the 10th of each month, and the medical insurance agency shall review and approve it as the basis for monthly advance allocation and year-end accounts;
The medical insurance agency pre-allocates the overall expenses of the previous month's inpatient and special disease outpatient clinics** every month;
Insured persons who have been identified as suffering from special diseases shall go to a designated medical institution designated by the labor and social security department to seek medical treatment and purchase medicines, and the medical expenses incurred shall be directly billed and settled immediately.
Emergency settlement procedures: insured personnel due to emergency rescue to the city's non-designated medical institutions and non-local medical institutions hospitalized**, the medical expenses incurred, first paid by the individual or unit, after the end of the emergency rescue, with the hospital emergency medical records, examinations, laboratory reports, invoices, detailed medical charges to the medical insurance agency according to the provisions of the reimbursement procedures.
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In the medical insurance, dental fillings can be reimbursed, but dental care for aesthetic purposes, such as dental prostheses, is counted as cosmetic and not reimbursed. The filling medical insurance can only provide medical insurance services for some of them, and the key is to see whether the items, materials and drugs involved in the process of filling the teeth belong to the scope of medical insurance. Fillings can be reimbursed with a health insurance card.
I would like to remind you that you can be reimbursed for dental pain, filling, tooth extraction, etc. in regular hospitals, but you can't be reimbursed for aesthetic dental care such as dental implants.
Filling is a relatively simple operation, when the tooth decay or other lesions, wedge defect caused by brushing or trauma caused by tooth cavity caused by tooth cavity, when the cavity does not involve the nerves, by using a high-speed mobile phone to remove some of the decayed tissues in the cavity. Prepare a relatively regular cavity shape, have a round and blunt surface, apply adhesive, and then use resin materials or glass ionic materials to fill the cavity. It is a simple filling that can restore the tooth to a good shape, to be able to restore its aesthetics, and to have good function.
For more questions about dental fillings, it is recommended to consult Guizhou Dehan Stomatological Hospital. German and Korean dental innovation and application of experiential business model, with the business school, APP** as the core carrier, fully combined with the invitation experience of different industry customers, channel customers, and natural customers, has formed a unique operation model, after years of practice and optimization, has formed a very complete set of operation system. Dehan Dental not only provides customers with warm medical services and scientific management, but also pays more attention to the embodiment of social responsibility, which has been highly recognized by the country, patients, society, peers and employees, and has become a pioneer in the Asian oral health industry.
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Dentistry is mainly covered by medical insurance:
1. Filling (including basic materials, ** fee);
2. Tooth extraction; 3. **Expenses incurred in periodontal disease, gingivitis and other dental diseases.
And the items that cannot be reimbursed by medical insurance are:
1. Dental prosthesis; 2. porcelain teeth;
3. Teeth cleaning; 4. Orthodontics;
5. Dental implants.
Tooth extractions, fillings, etc. are covered by medical insurance. However, dental prostheses and scaling are not covered by medical insurance. If it is of the nature of **, such as tooth extraction is covered by medical insurance, tooth fitting is not.
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Dental fillings can be reimbursed for medical insurance, and it may be necessary to obtain various receipts from the dental department and dental repairs, that is, invoices for the cost of dental fillings to the relevant departments for insurance.
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Teeth** can take the medical insurance card to the designated medical institutions**, go to the stomatology**, and the medical expenses generated by the filling belong to the medical insurance ** payment scope, and you can pay directly with the medical insurance card.
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Yes, you can use your health insurance card at a dental clinic, and it is recommended to choose a large dental clinic with proper qualifications, and a dental clinic in a large hospital can also be used.
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For conventional fillings, including the basic materials and ** fees within the scope of medical insurance, they can go through the medical insurance reimbursement procedure. However, it should be noted that the stomatology department of the designated hospital must be in order to enjoy the reimbursement of medical insurance. **If the project is within the scope of medical insurance reimbursement, you need to go to the designated medical institution with your social security card, and the settlement can be implemented.
Article 28 of the Social Insurance Law.
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be paid from the basic medical insurance in accordance with national regulations.
Article 29.
The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance fund and the medical institutions and drug business units.
The administrative department of social insurance and the administrative department of health for the blind shall establish a system for the settlement of medical expenses for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance benefits by those who are insured and bored.
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Filling teeth is covered by medical insurance, and the general reimbursement ratio is about 50%. Dental expenses, surgical costs, and dental expenses are mainly included in the scope of medical insurance, such as dental fillings, root canals, tooth extractions, fillings, periodontal teeth, and gingivitis.
Article 28 of the Social Insurance Law of the People's Republic of China in line with the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and medical expenses for emergency and rescue shall be paid from the basic medical insurance in accordance with national regulations. Article 29 of the Social Insurance Law of the People's Republic of China The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institutions and drug business units. The administrative department of social insurance and the administrative department of health shall establish a system for the settlement of medical expenses for medical treatment in other places to facilitate the insured persons to enjoy basic medical insurance benefits.
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If there is no money in the medical insurance card, the outpatient clinic can still be reimbursed. If the medical insurance card is out of money, it generally means that the personal account of the medical insurance card is out of money, so this does not affect the reimbursement of the medical insurance card, but the medical insurance personal account cannot be used to pay for the medical expenses related to the cover key. The medical insurance card includes an individual account and a pooled account, and the two accounts do not affect each other and assume different functions.
Article 29 of the Social Insurance Law.
The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institution and the drug business unit.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses for medical treatment in other places to facilitate the insured to enjoy basic medical insurance benefits.
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