Can the cost of dental treatment be reported to health insurance

The cost of dental treatment can be reported to the medical insurance.

The scope of dental insurance reimbursement is as follows:

1, has been included in the scope of medical insurance is mainly fillings (basic materials and treatment costs), tooth extraction, treatment of periodontal disease, gingivitis, root canal treatment and other dental costs. Common wisdom teeth extraction belongs to the scope of reimbursement of medical insurance card, you can use the health insurance fund to pay;

2, non-reimbursable scope is usually the scope of dental restorative, whitening category, such as veneers, porcelain tooth repair, orthodontics, dental implants, teeth whitening, etc., in the field of medical care in our country is categorized as a medical cosmetic Wujiao mold restoration project, can only be out of pocket, can not be reimbursed by the health insurance. Dental costs are mainly material costs, such as porcelain teeth, dental implants, these costs are usually approved by the price department, belongs to the special service fees, so can not be reimbursed by health insurance;

3, in the dental outpatient checkups and treatment of medical expenses incurred by the social security card personal account funds to pay for, if the condition of the need and meet the standards of hospitalization in the hospital by the hospital admitted, in addition to the denture (false teeth) costs can not be paid by the medical insurance fund. The medical insurance fund to pay, other costs can be settled in accordance with the provisions of the medical insurance.

The materials required for reimbursement are as follows:

1, the hospitalization record issued by the attending physician when the individual is admitted to the hospital;

2, a list of hospitalization expenses;

3, various invoices of hospitalization expenses;

4, the hospital's financial statement issued by the hospital;

5, the diagnosis of the disease issued by the attending physician;

6, the ID card and household register of the person who seeks medical treatment;

7, the social security card of the person who seeks medical treatment.

In summary, the insured person can take the medical insurance card to the designated medical institution in the insured place to register and go to the dental department to see the dentist. The medical expenses incurred for dental fillings are covered by the medical insurance fund and can be reimbursed. However, dental veneers and dental implants belong to the scope of medical cosmetics and cannot be reimbursed.

Legal basis:

Article 28 of the Social Insurance Law of the People's Republic of China

Medical expenses that are in line with the basic medical insurance drug directory, diagnostic and therapeutic items, the standard of service facilities for medical treatment and emergency treatment, and medical expenses for emergency treatment and rescue, shall be paid out of the basic medical insurance fund in accordance with the state regulations.

Article 29

The portion of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be settled directly between the social insurance administration organization and the medical institutions and pharmaceutical business units. The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.