Can Shanghai hospital provide dental cleaning medical insurance?

Dental cleaning in Shanghai can be paid for by medical insurance. Tooth washing is listed as one of the medical care categories, and eligible tooth washing projects can enjoy medical insurance payment. But not all tooth cleaning programs are suitable for medical insurance payment. Only when oral diseases seriously affect people's health and cannot be improved by other treatment methods can they meet the conditions for enjoying medical insurance payment. When using medical insurance to pay, you need to buy commercial insurance, and you can't use medical insurance at your own expense.

What items are not reimbursed by medical insurance?

1, self-seeking, self-purchasing drugs, drugs that cannot be reimbursed according to the provisions of public medical care and medical expenses that do not conform to family planning;

2, within the scope of reimbursement, but beyond the limit;

3, outpatient treatment, meals, home visits, hospitalization, escort, nutrition, ambulance, blood transfusion, heating and cooling, special care and other expenses;

4. Orthopedics, artificial limbs, cosmetic surgery, dental implants, roll call surgery, organ transplantation, consulting fees, etc. ;

5. Medical expenses for car accidents, alcoholism, suicide, fighting, work-related injuries and medical accidents.

To sum up, within the scope of social security regulations, the medical insurance card can reimburse the cost of going to the dentist, but the medical beauty project cannot be reimbursed with the medical insurance card. Dental care and filling can be reimbursed by medical insurance, and therapeutic dental treatment can be reimbursed by medical insurance.

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.