Can Hangzhou Qier Oral Out patient Department reimburse medical insurance?
As a professional dental clinic, Hangzhou Qier Oral Clinic provides comprehensive oral health services for patients. For many patients, a key issue is whether outpatient expenses can be reimbursed through medical insurance. The following is a detailed description of whether Hangzhou Qier Oral Clinic can reimburse medical insurance from the aspects of medical insurance fixed-point, reimbursement scope, reimbursement proportion and self funded items.
1、 Medical insurance designated point
Hangzhou Qier Oral Clinic, as a well-known oral clinic in Hangzhou, is one of the designated medical institutions of Hangzhou medical insurance. This means that the outpatient department is qualified to accept medical insurance patients and provide medical insurance reimbursement services. Patients can visit the clinic through the medical insurance card and enjoy the corresponding medical insurance benefits.
Therefore, if you are a medical insurance participant in Hangzhou, you can choose Hangzhou Qier Oral Clinic for treatment and enjoy the relevant reimbursement policies of medical insurance.
2、 Reimbursement scope
According to the relevant policies and regulations of the National Medical Insurance Bureau, medical insurance mainly covers the following items in oral diagnosis and treatment:
1. Correction of dentition irregularity: including traditional braces correction, invisible correction, orthodontic surgery, etc.
2. Tooth repair: including filling, inlaying, tooth repair, etc.
3. Periodontal disease treatment: including treatment of periodontitis, alveolar abscess, etc.
4. Tooth extraction and surgical treatment: including wisdom tooth extraction, alveolar protrusion repair and other surgical treatments.
In the above items, the proportion and amount of medical insurance reimbursement will vary according to the specific situation. The patient needs to consult with the doctor of Hangzhou Qier Oral Out patient Department to understand the reimbursement proportion and limit and other details.
3、 Reimbursement proportion
The medical insurance in Hangzhou also has certain regulations on the reimbursement ratio of different oral diagnosis and treatment items. Generally speaking, the reimbursement rate of medical insurance is about 50%, and some special treatment items may have a higher reimbursement rate. The specific reimbursement proportion can be found out by consulting the doctor of the outpatient department or the relevant medical insurance department.
It should be noted that the individual self paid part of the medical insurance outpatient expenses, such as the part outside the overall planning section or the expense of self paid items, is not reimbursable. Therefore, when seeing a doctor, the patient should know in advance which items are included in the scope of medical insurance and the costs to be borne by individuals.
4、 Self funded projects
In addition to the diagnosis and treatment items within the scope of medical insurance, Hangzhou Qier Oral Clinic also provides some self funded items. For example, implant teeth, porcelain fused to metal teeth, cosmetic restoration and other items are not covered by the medical insurance reimbursement. Patients can choose whether to carry out these self funded projects according to their own needs.
It should be noted that when carrying out self funded projects, patients should fully communicate with doctors and understand the cost, efficacy and follow-up maintenance. In addition, you can also ask your doctor if there are other applicable medical insurance items.
Summary
To sum up, as a designated medical institution in Hangzhou, Hangzhou Qier Oral Clinic can be reimbursed for medical insurance. When patients choose to see a doctor, they can understand the scope of medical insurance reimbursement, reimbursement proportion and items that need to be paid by themselves according to their own conditions and the doctor's suggestions. By making rational use of the medical insurance policy, patients can enjoy oral health services and obtain certain expense reimbursement.
