Can I pay for tooth washing with medical insurance?

You can't use medical insurance to wash your teeth. Tooth washing is a cosmetic treatment project, and you can't use the medical insurance card directly. In addition to washing teeth, you can't use medical insurance to make porcelain teeth or all-ceramic teeth. If you are doing root canal therapy, tooth filling or tooth extraction, you can use medical insurance cards for these items.

First, is there any medical insurance reimbursement for tooth cleaning?

1, medical insurance for tooth cleaning is not reimbursed. Tooth washing belongs to beauty care and is not covered by medical insurance reimbursement. Patients need to wash their teeth at their own expense. When patients need to treat dental diseases, periodontitis and gingivitis, they can be reimbursed.

2. Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC).

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.

Article 30

The following medical expenses are not included in the payment scope of the basic medical insurance fund:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(3) borne by public health;

(4) Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.

2. What items does the scope of medical insurance reimbursement include?

1, service project class. Some medical service fees, out-of-hospital consultation fees, medical records fees, etc. ; Special medical services such as visiting fees, expedited fees for examination and treatment, surcharge for roll call surgery, surcharge for roll call surgery, high quality and good price, and self-invited special care;

2. Non-disease treatment projects. Acne removal, scar beauty, laser beauty, beauty tooth washing, hair transplantation, weight loss, weight gain and height increase;

3, diagnosis and treatment equipment and medical useful materials. Large-scale medical equipment such as positron emission tomography (PET), electron beam CT and ophthalmic excimer laser therapeutic apparatus are used for examination and treatment. Glasses, dentures, artificial eyes, artificial limbs, hearing AIDS and other rehabilitation appliances. All kinds of self-use health care, massage, examination and treatment equipment. Disposable medical materials that are not charged separately as stipulated by the provincial price department;

4. Treatment project. The organ source or tissue source of various organ or tissue transplants; Transplantation of organs or tissues other than kidneys, heart valves, corneas, skin, blood vessels, bones and bone marrow; Orthopedic surgery for myopia; Qigong therapy, music therapy, health nutrition therapy, magnetic therapy and other auxiliary treatment projects.

5. Other categories. Various scientific research and clinical verification diagnosis and treatment projects.

I hope the above content can help you. Please consult a professional lawyer if you have any other questions.

Legal basis: 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, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

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