Can I use medical insurance when I wear braces?

You can't use health insurance if you wear braces.

Wearing braces is usually not covered by medical insurance because it is an orthodontic project. Medical insurance is mainly used to protect basic medical needs. If the treatment includes medical insurance items, such as tooth extraction or filling, as well as materials and medicines, you can use the social security card for reimbursement. The reimbursement includes medical expenses, hospitalization expenses, operation materials, bed fees, rehabilitation physiotherapy fees, dressing change and rehabilitation training fees, ambulance fees and medical continuation fees. Non-cosmetic treatment expenses that meet the local medical insurance policy can be reimbursed.

The cost composition of orthodontics:

1, initial consultation fee: including oral examination and consultation;

2. Auxiliary examination expenses: such as X-ray film and tooth model making;

3. Correction equipment fee: It varies according to the materials (metal, ceramics, invisibility, etc.) selected. );

4. Treatment expenses: including the operating expenses of doctors during orthodontic treatment;

5. Maintenance fee: regular inspection and adjustment fee during rectification;

6. Demolition cost: the cost of dismantling the instrument after rectification.

To sum up, wearing braces as an orthodontic project is usually not covered by medical insurance. However, if medical insurance items are involved in the treatment process, such as tooth extraction, tooth filling and related materials, drugs, etc., patients can use social security cards for reimbursement, and the scope of reimbursement includes all kinds of medical expenses during the rescue period and non-cosmetic treatment expenses that meet local medical insurance policies.

Legal basis:

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

Article 28

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 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;

(three) shall be 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.