Can Shenzhen Social Security reimburse dentistry?

Tooth extraction in Shenzhen can be reimbursed by medical insurance. The tooth extraction of Shenzhen medical insurance participants can be reimbursed, but it needs to be implemented in accordance with the Shenzhen medical insurance reimbursement policy, that is, most of them can be reimbursed for the purpose of treating diseases, not for beauty. In addition, it should be noted that the treatment cost and difficulty of each tooth are different, and the specific reimbursement amount will be different.

What are the reimbursement scope of medical insurance?

Scope of medical insurance reimbursement: medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue. The scope of residents' medical insurance reimbursement: including general outpatient reimbursement, serious illness reimbursement and special outpatient reimbursement; Reimbursement scope of employee medical insurance: divided into overall account and individual account. The overall account can reimburse hospitalization medical expenses and special outpatient medical expenses. Personal accounts can directly pay for the purchase of drugs in general outpatient clinics and designated pharmacies, and part of hospitalization medical expenses paid by individuals. Whether it is residents' medical insurance or employees' medical insurance, there are usually restrictions on deductible, reimbursement ratio and limit when reimbursing related medical expenses. In addition, although the scope of medical insurance reimbursement in different places is similar, there may be differences in deductible and reimbursement ratio, so it depends on how the local medical insurance reimbursement policy is stipulated.

To sum up, due to the differences of local policies, take Shenzhen medical insurance as an example: it can be reimbursed for the treatment expenses of tooth filling, tooth extraction, periodontal treatment, gingivitis and other diseases. Non-reimbursable: tooth cleaning, tooth inlay, tooth implantation, orthodontics, tooth beauty and other expenses. It can be seen that medical insurance can only reimburse some low-cost basic treatment expenses; This is also in line with the characteristics of wide coverage and low security of medical insurance. After all, China has a large population and cannot rely on the state for everything.

Legal basis:

People's Republic of China (PRC) social insurance law

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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 when they are old, sick, injured, unemployed and have children.

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The social insurance system adheres to the principles of wide coverage, basic protection, multi-level and sustainability, and the level of social insurance should be compatible with the level of economic and social development.