Can I use a medical insurance card for orthodontics?

Dentistry cannot be reimbursed by medical insurance card.

Under normal circumstances, medical insurance can reimburse part of the oral treatment expenses, but whether the whole dental treatment can be reimbursed by medical insurance card needs specific analysis, because the medical insurance policies in different regions may be different. Generally speaking, the following conditions need to be met:

1. Diagnosed tooth deformity: you need to go to a regular stomatological hospital for examination and diagnosis. After the tooth deformity is diagnosed, the doctor will issue a corresponding diagnosis certificate;

2. Scope of medical insurance reimbursement: You need to check the local medical insurance policy to find out whether orthodontic treatment is within the scope of medical insurance reimbursement, reimbursement ratio, limit and other specific conditions;

3. Participate in social insurance: you need to participate in social medical insurance in the local area and meet the specified payment period and payment base requirements before you can use the medical insurance card to reimburse some expenses.

The use process of medical insurance card is as follows:

1. Apply for a medical insurance card: First, you need to apply for a medical insurance card at the local social security agency, fill in the relevant application form and provide the original ID card, the original social security and other related materials, and receive the medical insurance card after examination;

2. Seek medical treatment: Take the medical insurance card to the hospital or clinic when seeking medical treatment, swipe the card when registering, and the medical insurance system will automatically identify and record the registration information;

3. Medical settlement: After medical treatment, pay by credit card at the hospital settlement window. The medical insurance system will calculate medical expenses and automatically settle them, and patients only need to pay personal expenses;

4. Reimbursement: If patients need to be reimbursed, they can apply for reimbursement in social security agencies or social security websites, and submit relevant medical bills and application forms. The social security agency shall review the application, verify the authenticity and rationality of the expenses, and after the approval, the reimbursement part shall be credited to the patient's designated account.

To sum up, the use process of social security in different regions may be different due to specific policies and implementation methods. It is recommended to consult the relevant policies and procedures of local social security institutions before use.

Legal basis:

Article 2 of People's Republic of China (PRC) Social Insurance Law

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.

Article 26

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.

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.