Can dental implants be reimbursed by health insurance

Dental implants are not fully reimbursable by Medicare.

Dental implants, as a means of dental restoration, are not currently covered by health insurance. According to the current health insurance policy, health insurance reimbursement mainly covers dental programs of a therapeutic nature, such as fillings, extractions, treatment of endodontitis or periodontitis. When these treatment items are carried out at designated medical institutions, patients can use their social security cards for medical insurance settlement. However, restorative and cosmetic dental items, such as porcelain teeth, dental implants, orthodontics, scaling and teeth whitening, are usually not covered by Medicare reimbursement. This is because these items are often considered non-essential medical services or are cosmetic in nature, and therefore, patients are required to pay out-of-pocket when receiving these services.

The conditions for reimbursement of dental implants by medical insurance:

1. Dental implants are usually not covered by medical insurance;

2. Medical insurance reimbursement usually covers only basic dental treatments such as fillings and extractions;

3. Dental implants are regarded as aesthetic cosmetic treatments, which are at your own expense, along with orthodontics;

4. Reimbursement for dental treatments needs to go to designated Dental implants cannot be reimbursed using this process.

In summary, dental implants, as a means of restoring teeth, are not currently covered by health insurance. Medicare reimbursement usually only covers dental procedures that are therapeutic in nature, whereas dental implants are considered cosmetic procedures and are self-paying, just like orthodontics. As a result, patients are required to pay out-of-pocket for dental implant services and cannot use their health insurance to settle their bills.

Legal basis:

The People's Republic of China Social Insurance Law

Article 28

Consistent with the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical services and facilities, as well as emergency and rescue medical expenses, in accordance with state regulations from the basic medical insurance fund.