New policy on the scope of dental reimbursement in medical insurance

The latest New Deal on the scope of dental reimbursement for medical insurance stipulates that basic medical insurance will reimburse 19 kinds of oral diseases, and the reimbursement ratio will be 30%-50%.

2002112 The National Health Insurance Bureau and state administration of traditional chinese medicine jointly issued the Opinions on Expanding the Pilot of the Structural Reform of the Supply Side of Oral Diseases, which clarified the latest new policy on the scope of dental reimbursement for medical insurance. This policy reimburses the basic medical insurance 19 kinds of oral diseases, including a series of common oral diseases such as dental caries, periodontitis and oral ulcer. The proportion of reimbursement is 30%-50%, and the specific proportion is determined by the localities themselves. In addition, the policy also stipulates the annual reimbursement limit for outpatients with the same disease. The introduction of this new policy will effectively reduce the burden on patients and promote the supply-side structural reform of oral disease treatment. At present, there are still many restrictions on dental reimbursement in medical insurance, and patients should pay attention to the time of seeing a doctor, hospitals and other factors. For example, some high-end oral treatment, beauty repair and other projects are still not covered by medical insurance reimbursement.

What does the New Deal mean to the people? The latest medical insurance oral reimbursement policy is to make more restrictive adjustments to the previous medical insurance policy, so that patients can get more oral disease treatment reimbursement through medical insurance. For individuals, this means reducing the financial burden of seeing a doctor, and receiving oral treatment in time to improve oral health. For the whole society and country, the introduction of this policy will promote supply-side structural reform and promote more just, high-quality and sustainable medical services.

The latest new policy on the scope of oral medical insurance reimbursement has had an important impact on patient reimbursement and hospital operation, which not only benefits residents, but also helps to promote the construction of high-quality, efficient and sustainable oral medical services. At the same time, while enjoying medical insurance benefits, we should also abide by the regulations, use drugs rationally, and do a good job in daily maintenance of oral health.

Legal basis:

People's Republic of China (PRC) Social Insurance Law Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance to protect citizens' right to get material help from the state and society in the event of old age, illness, industrial injury, unemployment and maternity.