Whether Harbin Benshan Oral Clinic can reimburse medical insurance
Harbin Benshan Oral Outpatient Department is a specialized dental hospital located in the center of Harbin, providing treatment of various oral diseases and oral health management services. Many people pay attention to medical expenses when they go to see a doctor, especially whether they can use medical insurance for reimbursement. The following is a detailed introduction of whether Harbin Benshan Oral Clinic can reimburse medical insurance from four aspects: medical insurance fixed-point, medical service items, expense reimbursement ratio and operation process.
1、 Medical insurance designated point
Harbin Benshan Oral Clinic is one of the designated medical institutions for social insurance in Harbin. As the designated point of medical insurance, the outpatient department can provide medical services for patients who participate in medical insurance and accept direct settlement from medical insurance. When patients go to see doctors, they can enjoy medical insurance reimbursement by carrying valid medical insurance cards and copies of ID cards.
As the designated point of medical insurance, Harbin Benshan Oral Out patient Department has a cooperation agreement with the relevant departments of medical insurance, and the medical services provided are also in line with the medical insurance regulations.
2、 Medical service items
Harbin Benshan Oral Clinic provides patients with treatment of various oral diseases and oral health management services. Common oral diseases include caries, periodontitis, oral ulcer, etc. The outpatient department is equipped with advanced dental equipment and technology to provide various oral treatment and restoration services such as tooth cleaning, implant teeth, porcelain fused to metal teeth, etc. These services are within the scope of medical insurance and meet the requirements of medical insurance.
At the same time, Harbin Benshan Oral Clinic also provides preventive oral health care services, including routine oral examination, oral cleaning and guidance on oral disease prevention and treatment. Although these services are not within the scope of disease treatment, there are also corresponding reimbursement provisions in the medical insurance policy.
3、 Expense reimbursement proportion
According to the medical insurance policy of Harbin, the insured can enjoy a certain reimbursement ratio for medical expenses incurred in Harbin Benshan Oral Clinic. The specific reimbursement proportion varies according to the adjustment of medical insurance policy and individual insurance participation. Generally, the reimbursement rate of disease treatment items is high, which can generally reach 60% - 90%; The reimbursement rate of preventive oral health services is generally low, generally 30% - 50%.
The insured personnel shall keep the medical expense bills according to the requirements of the medical insurance policy documents, and submit them to the medical insurance department for reimbursement according to the specified process and time. The medical insurance department will reimburse the expenses according to the specified proportion.
4、 Operation process
When the insured goes to Harbin Benshan Oral Clinic for medical treatment, they can apply for reimbursement of medical insurance expenses through the following steps:
1. Fill in the personal information form at the front desk of the outpatient department, and provide copies of valid medical insurance cards and ID cards.
2. The doctor conducts preliminary examination and diagnosis, formulates treatment plan and informs the cost.
3. The patient shall be treated according to the doctor's suggestions and provide the medical insurance card to the front desk staff at the time of settlement.
4. After the treatment, the staff shall provide the expense detail form, and the patient shall pay the personal part of the expenses.
5. Keep the expense detail form, invoice and copy of medical insurance card together.
6. According to the medical insurance policy, submit the expense detail form, invoice and copy of medical insurance card to the medical insurance department for expense reimbursement application on time.
Summary
Harbin Benshan Oral Clinic is one of the designated medical institutions for social insurance in Harbin. The insured can provide oral treatment and oral health management services through this clinic, and enjoy reimbursement of medical insurance expenses. The dental service items provided by the outpatient department meet the medical insurance regulations, and the expense reimbursement ratio varies according to the policy and individual insurance participation. The insured personnel shall submit the expense reimbursement application according to the specified operation process and time when they seek medical treatment. Therefore, Harbin Benshan Oral Clinic can reimburse medical insurance.
