Can dental care be reimbursed by medical insurance?

Whether teeth can be reimbursed by medical insurance depends on the following conditions:

1, which has been included in the scope of medical insurance, mainly covers the expenses of tooth filling (basic materials and treatment fees), tooth extraction, treatment of periodontal disease, gingivitis, root canal treatment and other dental diseases. The extraction of common wisdom teeth belongs to the scope of medical insurance card reimbursement and can be paid by medical insurance fund;

2. The non-reimbursable scope is usually the category of tooth restoration and whitening, such as tooth inlay, porcelain restoration, orthodontics, tooth implantation, tooth whitening and so on. In China's medical field, it is listed as a medical beauty repair project, which can only be reimbursed at its own expense, but not by medical insurance. The cost of dental implants is mainly the cost of materials, such as porcelain teeth and dental implants. These expenses are usually approved by the price department and belong to special service expenses, which cannot be reimbursed by medical insurance.

3. The medical expenses incurred by the dental clinic examination and treatment shall be paid by the personal account of the social security card. If the patient is admitted to hospital due to illness and meets the hospitalization standard, other expenses can be settled according to the provisions of medical insurance, except that the denture (denture) expenses cannot be paid by the medical insurance pooling fund.

Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC).

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.