Traditional Culture Encyclopedia - Almanac inquiry - Can dentistry be reimbursed by medical insurance card?

Can dentistry be reimbursed by medical insurance card?

Dental insurance can be reimbursed. The insured person can register with the designated medical institution in the insured place with the medical insurance card and go to the stomatology department to see the dentist. The medical expenses incurred by filling teeth are paid by the medical insurance fund and can be reimbursed. However, dental implants and dental implants belong to the scope of medical beauty and cannot be reimbursed.

National medical reimbursement regulations:

(1) Department of Stomatology, only the treatment expenses such as dental treatment expenses and operation expenses are reimbursed.

(2) Dentures are not covered by reimbursement. Because the water content of dental inlay is too high, for example, if you insert ordinary porcelain and reimburse pure titanium porcelain, the difference between these two kinds of teeth is several thousand. Therefore, it is not within the scope of reimbursement.

1, medical insurance only covers outpatient and hospitalization expenses, not tooth cleaning. Even if you find tooth decay when you go to the dental clinic to wash your teeth, the treatment at that time can't be reimbursed.

You must go to the dentist in the hospital before you can enjoy medical insurance. Tooth extraction in general non-medical insurance designated dental clinics cannot be reimbursed.

3, treatment of pulpitis, periapical periodontitis can also enjoy medical insurance reimbursement, and also require medical insurance designated hospitals.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Twenty-eighth 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 from the basic medical insurance fund in accordance with state regulations.

Twenty-ninth insured medical expenses that should be paid by the basic medical insurance fund shall be directly settled by social insurance agencies and 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.