Can dental implants get medical insurance in 2023?

In 2023, dental implants will not be covered by medical insurance.

Some oral and dental treatments belong to the scope of medical insurance, such as tooth extraction and filling (excluding imported materials) can be included in the scope of medical insurance; Dental implants and tooth washing are not in medical insurance coverage. The medical expenses arising from the examination and treatment in the dental clinic are paid by the personal account of the social security card.

Dentistry is mainly included in medical insurance coverage as follows:

1, tooth filling (including basic materials and treatment fees);

2, tooth extraction;

3, the cost of treating periodontal disease, gingivitis and other dental diseases.

The items that cannot be reimbursed by medical insurance are as follows:

1, dentures;

2. porcelain teeth;

3. Wash your teeth;

4. Orthodontics;

5, whitening teeth;

6, dental implants malt dental implants, orthodontics.

The reasons why medical insurance cannot be used for reimbursement are as follows:

1, because the materials needed for these operations are often approved by special departments, which belong to special service fees and are not covered by medical insurance reimbursement;

2. Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by disease risks. The medical insurance fund is established through the contributions of employers and individuals. After the insured person has medical expenses, the medical insurance institution will give him some economic compensation.

To sum up, dental implants belong to cosmetic teeth, which are not covered by oral treatment and will not be included in medical insurance. You can't use medical insurance to make porcelain teeth or all-ceramic teeth. If you are doing tooth filling or tooth extraction, which is covered by medical insurance and can be included in medical insurance, then you can use a medical insurance card.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Article 29

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.