Can dental root canal treatment be covered by medical insurance, and can root canal treatment be cov

Hello! So far, social security can only reimburse the cost of hospitalization**, and root canal**.

It is an outpatient clinic, which generally cannot be reimbursed, but sometimes the root canal ** medical insurance can reimburse a part.

The concept of root canal**.

Root canal is the most commonly used and effective method for endodontic and apical disease. The principle of root canal surgery is to remove most of the infection in the root canal by mechanical and chemical methods, and to prevent the occurrence of periapical lesions or promote the healing of periapical lesions that have already occurred by filling the root canal and sealing the crown.

Root canal is a more complex endodontic method, which uses many instruments and steps, and needs to go through multiple steps and take multiple X-rays to complete the whole process.

**。Root canal ** costs hundreds of front teeth and more than 1,000 back teeth. If the defect area is large, it is recommended to do crown restoration, and the tooth without pulp is brittle and easy to split.

The cost of making a crown in Peking University Stomatological Hospital is hundreds to thousands, depending on the choice of material. Teeth with large chipped teeth may also need to be studded.

Reimbursement. According to the ordinary materials, it is determined that it is a designated medical institution for medical insurance, and the root canal ** belongs to the outpatient clinic**, and the reimbursement is implemented on a proportional basis, and the general payment ratio is not less than 50%.

Legal analysis: root canal ** can use the money in the medical insurance card, but root canal ** can not be reimbursed by medical insurance, and there is no reimbursement ratio.

Generally speaking, if the tooth has a knowing apical lesion and an obvious pulp lesion, that is to say, there is acute apical inflammation, chronic apical inflammation or pulp necrosis, or acute pulpitis or chronic pulpitis, in this case, a root canal is required. Root canals** are good at preserving the affected tooth. The cost of root canal** generally ranges from 800 to 1600 yuan, depending on the tooth position.

It is possible to use medical insurance, but it is not reimbursed by medical insurance.

Legal basis: Article 29 of the Social Insurance Law of the People's Republic of China Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institution and the drug business unit. The administrative department of social insurance and the administrative department of health shall establish a system for the settlement of medical expenses for medical treatment in other places to facilitate the insured persons to enjoy basic medical insurance benefits.

No, take Beijing as an example.

Beijing Basic Medical Insurance Regulations have corresponding provisions for it:

Article 28 The following medical expenses shall be paid in the personal account:

1) Medical expenses for outpatient and emergency services;

2) The cost of purchasing drugs at designated retail pharmacies;

C) the basic medical insurance co-ordination of medical expenses below the minimum payment standard;

4) The medical expenses that exceed the minimum payment standard of the basic medical insurance of the brother and should be borne by the individual in accordance with the proportion.

The personal account is insufficient to pay, and the part of the payment is paid by himself.

Legal analysis: root canal can be reimbursed, but if it is in a particularly professional dental hospital or the stomatology department of a comprehensive tertiary hospital, it is also very technical, and the charges may be partially self-paying, because more advanced technology and materials will be used, and some hot teether filling technology also needs to be paid by the patient if it is used. Some of the items are self-paying.

Legal basis: Social Insurance Law of the People's Republic of China

Article 28 In line with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and emergency, rescue medical grinding costs, in accordance with the provisions of the State from the basic medical insurance ** payment.

Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institution and the drug business unit. The social insurance administrative department and the health administrative department shall establish a system for the settlement of medical expenses for medical treatment in different places to facilitate the insured to enjoy basic medical insurance benefits.

The cost of dental implant surgery cannot be reimbursed by medical insurance, and the medical insurance only reimburses the cost of filling and extraction, because dental implants do not belong to the scope of medical insurance, it belongs to the scope of cosmetic and orthodontic orthodontics is the same, so it cannot be used for medical insurance. Dental implants can be used for a long time, up to twenty or thirty years or even longer. Moreover, dental implants are currently the best way to prosthetic, which can preserve the natural teeth as much as possible, and can restore the chewing function well, so dental implants are now the best way to prosthetic.

Article 28 of the Social Insurance Law stipulates that the medical expenses that meet the standards of the basic medical insurance drug list, diagnosis and treatment items, medical service facilities, and emergency and rescue shall be paid from the basic medical insurance in accordance with the provisions of the state.