Can the first-class filling of Shenzhen medical insurance be reimbursed?

You can't. The first-class medical insurance in Shenzhen does not include the reimbursement scope of stomatology.

1. In Shenzhen, if you hold a social security card, your teeth can be reimbursed, but social security can only be sold in part.

2. The key depends on whether the items, materials and drugs involved in the filling process belong to the social security category. If the filling is in social security mode, it can be reimbursed by social security.

First, the reason:

1. Material aging

Most of the dental filling materials used clinically in Shenzhen Ai are resin materials, because they are beautiful and durable.

(1) However, with the increase of oral use time, resin materials will gradually age.

(2) In terms of color, it will change color, which will affect the appearance;

(3) In terms of performance, the strength will decrease, resulting in shedding and cracking.

(4) With the passage of time, the bonding strength between the material and the teeth will also decrease, resulting in micro-leakage at the edge of the material. If you don't pay attention to oral hygiene, you are prone to dental caries.

2. Oral hygiene

(1) If the teeth are not carefully cleaned after filling, food residues will stick to the surfaces of teeth and filling materials for a long time, and begin to corrode teeth, leading to secondary caries, which will lead to unstable and durable filling materials.

(2) On the contrary, if you pay attention to oral hygiene, even if the material is aging, it can still be used for a long time.

3. Data expansion

Some dental treatments belong to the medical insurance category, such as pain, tooth extraction, tooth filling and so on. (excluding imported materials) can be covered by medical insurance; Dental implants and tooth washing are not in medical insurance coverage. The medical expenses incurred by the dental clinic examination and treatment shall be paid by the social security card personal account funds; If the patient is admitted to the hospital due to illness and meets the hospitalization standard (except that the denture expenses cannot be paid by the medical insurance pooling fund), other expenses can be settled according to the medical insurance regulations.

Legal basis:

"Measures of Shenzhen Municipality on Social Medical Insurance" Article 49 The basic medical expenses and local supplementary medical expenses incurred by Class I insured persons of basic medical insurance in designated community health centers in this Municipality shall be paid by individual accounts, and 30% shall be paid by the basic medical insurance serious illness pooling fund and local supplementary medical insurance fund according to regulations, except for the following items:

The cost of dental treatment;

(2) Rehabilitation physiotherapy expenses;

(three) the cost of inspection and treatment of large medical equipment;

(four) other project expenses stipulated by the municipal government.