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Can dentures be reimbursed by health insurance
The installation of dentures is not eligible for reimbursement of medical insurance.
1, treatment and extraction can use social security cards, braces and veneers, cleaning can not be reimbursed. Note: If the items, materials, and medications involved in the filling process are covered by Medicare, the filling can be reimbursed by Medicare. Scaling, veneers, orthodontics is not reimbursed, belongs to the scope of cosmetic dentistry.
2, dental insurance can only be a part of the medical insurance service sales, the key to look at the process of filling the teeth involved in the project, materials, medication is the scope of medical insurance, if in the health care insurance Van deformity can be filled dental insurance reimbursement.
The cost of dental implant surgery can not be reimbursed by health insurance, health insurance reimbursement is only the cost of fillings and extractions, because dental implants do not belong to the scope of health insurance, it belongs to the scope of the cosmetic and orthodontic orthodontic dental correction is the same, so it can not be used for health insurance. Dental implants have a long service life and can be used for 20 to 30 years or even longer. Moreover, dental implants are currently one of the best restorative methods, which can greatly retain the natural teeth, and can well restore the chewing function, so, do dental implants is now one of the best restorative methods.
The basic medical insurance should reimburse for the items that are eligible for reimbursement by the medical insurance, and the cost of the items that are not reimbursed by the medical insurance should be borne by the patients themselves. The main ones that are already covered by health insurance are fillings, extractions and the costs of treating periodontal disease, gingivitis and other dental diseases.
Legal basis
The People's Republic of China **** and the State Social Insurance Law, Article 28: in line with the basic medical insurance drug catalog, diagnostic and treatment items, standards of medical services and facilities, as well as emergency, rescue medical costs, in accordance with state regulations from the basic medical insurance fund.
Article 30 of the Social Insurance Law of the People's Republic of China: The following medical expenses shall not be included in the scope of payment by the basic medical insurance fund: (1) those that should be paid from the Workers' Compensation Insurance Fund;
(2) those that should be borne by a third person; (3) those that should be borne by the public ****sanitation; and (4) those who seek medical treatment outside China. Medical expenses shall be borne by a third party in accordance with the law, the third party does not pay or the third party can not be identified, the basic medical insurance fund to pay first. After the basic medical insurance fund pays first, it has the right to recover from the third party.
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