Proportion of reimbursement for filling teeth in Guangzhou medical insurance

Tooth extraction can be reimbursed, generally at least 50%. If the cost of tooth extraction is paid by the medical insurance fund, you can pay by swiping the medical insurance card. If you have dental care and beauty, such as dental implants, it is not covered by the medical insurance fund and cannot be paid by medical insurance card. The outpatient reimbursement cost of medical insurance is less, and periodontitis is generally 70% within the scope of medical insurance reimbursement. About 30% is self-funded. The difference between medical insurance drugs and non-medical insurance drugs, reimbursement deductible line is also different according to hospital level. Generally, Class A drugs can enjoy full coverage, while Class C drugs need to bear all the expenses, while Class B drugs will be charged 80% and bear 20% of the expenses. Within a settlement year, the per capita medical expenses of urban residents are less than 654.38+10,000 yuan, and the threshold for tertiary hospitals is 500 yuan, with the reimbursement ratio of 50%. The qifubiaozhun for secondary hospitals is 300 yuan, and the reimbursement rate is 55%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 60%.

legal ground

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.