1, only the treatment expenses such as dental treatment expenses and operation expenses are reimbursed.
At present, the national medical reimbursement regulations, if it is a therapeutic dental disease, it belongs to the scope of medical insurance reimbursement. What has been included in the scope of medical insurance is mainly the cost of filling teeth (including basic materials and treatment fees), the cost of tooth extraction and the treatment cost of periodontal disease, gingivitis and other dental diseases.
2. Dental implants and medical beauty are not reimbursed.
The relatively high cost of dental implants is mainly the cost of materials, such as porcelain teeth and dental implants. These expenses are usually approved by the price department and belong to special service expenses, which cannot be reimbursed by medical insurance.
If it is in the field of tooth restoration and whitening, such as porcelain restoration, orthodontics, tooth implantation, tooth whitening and so on. In the medical field of our country, it is classified as medical cosmetic repair, so these cannot be reimbursed by medical insurance card.
Operation &; Medical insurance coverage of hospitalization expenses.
1, whether dental hospitalization is covered by medical insurance reimbursement.
If the patient is admitted to the hospital due to illness and meets the hospitalization standard, other expenses can be settled according to the provisions of medical insurance, except that the denture expenses cannot be paid by the medical insurance pooling fund.
2. Does dental surgery belong to oral medical insurance coverage?
As above, dental treatments such as tooth extraction and filling are covered by medical insurance. For dental clinics in hospitals, the reimbursement rate of medical insurance is1above 800 yuan, 50%.
Matters needing attention in oral medical insurance
1. Medical insurance only covers outpatient and hospitalization expenses. Different regions have different policies on whether tooth washing is insured or not. If your local laws and regulations stipulate that tooth washing is not reimbursable, even if you find tooth decay when you go to the dental clinic to wash your teeth, the treatment at that time is not reimbursable.
2. You must go to the stomatology department of the hospital to see a dentist in order to enjoy medical insurance. Tooth extraction in general non-medical insurance designated dental clinics is not reimbursable.
3. The treatment of pulpitis and periapical periodontitis can also be reimbursed by medical insurance, and it is also required to go to a designated hospital for medical insurance.
4. For dental implants and plastic surgery, although it is not covered by medical insurance reimbursement, many cities can use the account balance of medical insurance cards over the years to pay. For details, please call the local human resources department at 12333.