Can braces be reimbursed?

Orthodontic treatment is not in medical insurance coverage.

Details are as follows:

1, social security card can be used for treatment and tooth extraction, but braces, tooth filling and cleaning cannot be reimbursed. Note: Items, materials and medicines involved in the process of filling teeth are covered by medical insurance, which can be reimbursed by medical insurance for filling teeth. Tooth washing, inlay and orthodontics are not reimbursed and belong to the scope of tooth beauty.

2. The medical insurance for filling teeth can only cover a part. The key depends on whether the items, materials and drugs involved in the filling process belong to the scope of medical insurance. If the medical insurance is not normal, the medical insurance for filling teeth can be reimbursed.

How long does it take to pay medical insurance and reimburse hospitalization expenses?

Generally speaking, the medical insurance paid by the unit can be reimbursed in the next month, while the medical insurance paid by the individual generally needs to be paid for more than half a year to enjoy the reimbursement treatment. When going through the hospitalization formalities, the medical insurance records and medical insurance cards should be handed over to the inpatient department of the hospital for the smooth use of the medical insurance pooling account. If it cannot be submitted at that time due to emergency, the medical insurance records and cards should be handed over to the hospital in time. Under normal circumstances, if there is a deductible line for medical insurance reimbursement, different inpatient deductible lines will be set according to different levels of hospitals. The higher the level, the higher the deductible. City level 1 and below hospitals 100 yuan, city level 2 hospital 200 yuan, city level 3 hospital 300 yuan, non-local hospital 400 yuan. If the deductible line is not reached, reimbursement will not be supported. In other words, you must be above the deductible to be reimbursed. The part above the deductible line shall be reimbursed according to the regulations. In addition, there may be some drugs that are not covered by medical insurance, so you need to pay some cash when you go through the hospitalization procedures.

I hope the above content can help you. If in doubt, please consult a professional lawyer.

Legal basis:

Article 28 of the Social Insurance Law

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

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.