Can I brush my medical insurance when I see a dentist? How to reimburse?

Whether teeth can be reimbursed by medical insurance depends on the following conditions:

1, which has been included in the scope of medical insurance, mainly covers the expenses of tooth filling (basic materials and treatment fees), tooth extraction, treatment of periodontal disease, gingivitis, root canal treatment and other dental diseases. The extraction of common wisdom teeth belongs to the scope of medical insurance card reimbursement and can be paid by medical insurance fund;

2. The non-reimbursable scope is usually the simple and complex category of tooth restoration and whitening, such as tooth inlay, porcelain restoration, orthodontics, tooth implantation, tooth whitening and so on. In China's medical field, it is listed as a medical beauty repair project, which can only be reimbursed at its own expense, but not by medical insurance. Dental implant costs are mainly material costs, such as porcelain teeth and dental implants, which are usually approved by the price department and belong to special service costs and cannot be reimbursed by medical insurance;

3. The medical expenses incurred by the dental clinic examination and treatment shall be paid by the personal account of the social security card. If the patient is admitted to 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 (denture) expenses cannot be paid by the medical insurance pooling fund.

Medical insurance reimbursement process:

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2. Employees hospitalized in other places who are sick due to business trip or long-term work in other places must be in emergency and can be hospitalized in local hospitals, but they must report to the Municipal Supervision Department of the Medical Insurance Bureau within three days;

3. Referral to other places for medical treatment has no effect in the hospital where the unit pays, or the hospital doctor suggests transferring to other places. Must be a designated hospital, central hospital, municipal people's hospital, and send a referral letter and related inspection materials to the supervision department of the medical insurance bureau for review, and can be transferred after approval.

To sum up, employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations.

Legal basis:

Article 28 of the Insurance Law of People's Republic of China (PRC) and the Insurance Law of People's Republic of China (PRC).

Pants that meet the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards, as well as emergency and rescue medical expenses, shall be paid from the basic medical insurance fund in accordance with state regulations.