Can dental implants be reimbursed by medical insurance?

Dental implants can be reimbursed by medical insurance, but the medical insurance reimbursement of dental implants depends on the specific situation.

The specific criteria are as follows:

1, residents' reimbursement ratio: town health centers reimburse 60%; 40% reimbursement for secondary hospitals; 30% reimbursement for tertiary hospitals;

2, urban residents, in a settlement year, the medical expenses that meet the scope of reimbursement are 65,438+10,000 yuan, the threshold for tertiary hospitals is 659 yuan, the reimbursement ratio is 50%, and the upper limit is 2,000 yuan; The Qifubiaozhun for hospitalization in secondary hospitals is 300 yuan, and the reimbursement rate is 55%; There is no Qifubiaozhun in the first-class hospital, and the reimbursement rate is 60%;

3. You need to go back to your hometown for reimbursement, and the reimbursement rate is 35-65%, which varies according to the level of the hospital.

The method of brushing medical insurance is as follows:

1. Under normal circumstances, when you need to be hospitalized due to illness, you can go to your designated hospital with your medical insurance card and medical records, and settle with your medical insurance card. In other words, the self-funded part is paid by itself, and some medical insurance centers and hospitals reimburse and settle accounts;

2. There are three conditions for holding a social security card to see a doctor:

(1) When registering, you must show your social security card, pay personal and self-funded expenses in cash, and the hospital will issue a bill for the insured;

(2) When seeing a doctor, you should take the initiative to show your social security card to the doctor;

(3) When paying, the social security card and payment documents must be handed over to the settlement personnel.

3. The use of medical insurance cards is limited by geographical scope. Insured employees can use the medical insurance card when purchasing drugs in designated hospitals and pharmacies, or they can use it on the POS machine with their passwords, but they cannot withdraw cash or transfer money. Scope of hospitalization reimbursement of medical insurance. Only in designated hospitals, hospitalization due to illness and some accidents. Self-funded drugs can not be reimbursed, class B drugs can be reimbursed 80%, bed fees are limited, and some inspection fees and medical expenses can not be reimbursed according to regulations. The money in the medical insurance card can be used to buy over-the-counter drugs at designated places.

To sum up, dental implants can be included in the scope of medical insurance. The scope of use of medical insurance cards is that when insured employees buy medicines in designated hospitals and pharmacies, they use their cards on POS machines with their passwords, but they cannot withdraw cash or transfer money. The use of medical insurance cards is limited by geographical scope. Insured employees can use the medical insurance card when purchasing drugs in designated hospitals and pharmacies, or they can use it on the POS machine with their passwords, but they cannot withdraw cash or transfer money.

Legal basis:

Article 24 of People's Republic of China (PRC) Social Insurance Law

The state establishes and improves the new rural cooperative medical system.

Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council.

Article 25

The state establishes and improves the basic medical insurance system for urban residents.

The basic medical insurance for urban residents combines individual contributions with government subsidies. People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.

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 27

Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state if they reach the statutory retirement age and the accumulated payment has reached the fixed number of years stipulated by the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.

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.