First, understand the medical insurance policy
First of all, we should understand the medical insurance policy in our region, including whether the dental filling project is included in the scope of medical insurance, the reimbursement ratio, the limit and so on. This information can be obtained by consulting official website of the local medical insurance department or consulting the staff of relevant departments.
Second, distinguish between treatment items and cost types.
Dental filling involves different treatment items and cost types such as examination fee, material fee and treatment fee. When medical insurance is reimbursed, these expenses may have different reimbursement ratios and limits. Therefore, before seeking medical treatment, it is best to consult a doctor or medical institution about the classification and reimbursement of various expenses.
Third, prepare relevant documents and materials.
When seeking medical treatment, you need to bring valid medical insurance vouchers and related materials so that medical institutions can settle expenses and apply for reimbursement. These documents and materials may include medical insurance cards, identity cards, medical records, etc.
Fourth, submit an application for reimbursement
After the medical treatment, you need to submit an application for reimbursement to the medical institution. Medical institutions will calculate and apply for expenses that meet the reimbursement conditions according to the medical insurance policy. Individuals need to provide necessary documents and materials according to the requirements of medical institutions to confirm the reimbursement amount.
Verb (short for verb) accepts compensation.
The medical insurance department will directly pay the reimbursement to the medical institution or individual medical insurance account after the audit. Individuals can check the balance of medical insurance accounts or consult medical institutions to understand the reimbursement.
To sum up:
The amount that can be reimbursed for filling teeth varies according to many factors, including medical insurance policy, treatment items, cost types and personal medical insurance accounts. In order to obtain more accurate reimbursement information, it is suggested to know the local medical insurance policy in advance, consult doctors or medical institutions, and clarify the classification and reimbursement of various expenses. In the process of medical treatment, prepare relevant documents and materials, submit reimbursement applications as required, and pay attention to the collection of reimbursement funds.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 28 provides that:
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 provides that:
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.