I bought accident insurance and accidentally broke my front tooth, how do I make a claim?

Hello, there is really no way about this, regarding the coverage of accidental medical claims, most insurance contracts are written very clearly. High-end medical insurance that includes dental liability can pay for porcelain teeth or other dentures, but it's usually similar to getting a dental clinic or something.

And accident insurance.

Accidental injury, accidental medical treatment, and hospitalization benefits are covered. The warranty period is one year, and the ** within one year is included, and many products have requirements, and the accident occurs within 30 days or how many days** is managed. 1. Open your accident insurance policy and see if there is any accidental medical treatment.

If there is, medical insurance will be reimbursed first, and then accident insurance; 2. If there is no accidental medical treatment, then the medical expenses will not be reimbursed. Then see if there is an accidental disability and a few front teeth are broken, and see if it meets the disability assessment.

Generally 4 front teeth are grade 10 disability.

3. If there is no accidental medical treatment, no accidental disability, but accidental death or total disability, then nothing can be claimed. It can only be said that the accident insurance you buy is not comprehensive, if the accident insurance you buy includes accidental medical treatment, then you can go to **, you can claim medical expenses. Because a fall will not be graded by the disability level, there will be no other claims.

Accident insurance is not an accidental injury, and you will be compensated! Instead, you need to go to the outpatient and emergency department of a secondary hospital or above to receive ** after an accident, or need to be hospitalized for an accident **, and after paying reasonable medical expenses, the corresponding deductible will be deducted.

After that, the insurance company will reimburse you on a pro-rata basis in accordance with the regulations! As for the accidental knockout of the tooth you said, it also depends on how much your ** cost! General accident insurance, after the social security reimbursement first, after deducting the self-paid part ranging from 100-500, the rest will be reimbursed!

First of all, the loss is assessed:

1. Confirm the loss. Based on the case and the results of the insurance company's investigation, it was determined that there were several teeth damaged. Then it will be identified according to the configuration of ordinary porcelain teeth in the local market.

2. The service life of dentures (dentures). The service life of ordinary alloy porcelain teeth is 20 years, so the cost of multiple dentures can be recognized; Titanium alloy porcelain teeth, affinity with the human body.

Well, the fee is generally only recognized once. Generally speaking, if you change alloy porcelain teeth, you can give the cost of changing teeth many times, and if you change titanium alloy porcelain teeth, you will only be given the cost of changing teeth once.

Accidentally knocking out a tooth is an accident and belongs to accident insurance.

Coverage of claims. The specific amount of claim depends on the insured amount of the purchased product.

Claim within the sum insured. If you have accident insurance.

Accidental medical benefits are included, so the medical expenses incurred can be reimbursed. Usually 100% reimbursable. If you break a tooth and reach a disability level.

If you can, you can get the proportional compensation of the accident injury insurance amount, and you can contact the insurance company's customer service for consultation.

Materials required for accident insurance reimbursement: Know.

Accidental medical treatment (outpatient): original outpatient manual, original receipt of medical expenses, detailed list of medical expenses, accident certificate;

Accidental Medical Treatment (Inpatient): Original Outpatient Handbook, Discharge Summary.

Original receipts for medical expenses, detailed list of medical expenses, and proof of accident segmentation;

Accidental medical treatment (surgery): original outpatient manual, discharge summary, original receipt of medical expenses, detailed list of medical expenses, surgical certificate, accident certificate.

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Summary. Hello, dear, yes, the accident insurance will compensate for the accidental knockout of the tooth, but it depends on the situation. If you lose 8 teeth due to an accident and are assessed as having a grade 10 disability, you can get accidental disability benefits.

The cost of dental **, hemostasis, anti-inflammatory, etc., can be reimbursed by accident insurance. If there is a tooth defect, orthopedics, fillings, etc. will be required in the later stage, and the accidental medical insurance will not be reimbursed, that is to say, the cost of cosmetic teeth and plastic teeth is generally excluded from accidental medical treatment.

If I break my tooth, will I be covered by accident insurance?

Hello, dear, yes, the accident insurance will compensate for the accidental knockout of the tooth, but it depends on the situation. If due to an accident, 8 teeth are lost and the disability is identified as a grade 10 disability, at this time, you can get accidental disability compensation. The cost of dental **, hemostasis, anti-inflammatory, etc., can be reimbursed by accident insurance.

If there is a tooth defect, orthopedics, fillings, etc. will be required in the later stage, and the accidental medical insurance will not be reimbursed, that is to say, the cost of cosmetic teeth and plastic teeth is generally excluded from accidental medical treatment.

Hello, if you have purchased accident insurance, accidental knocking out of a tooth is an accident insurance, and you can reimburse the corresponding medical expenses. Accidental injury refers to an external, sudden, unintentional, and non-disease-related objective event that causes physical injury. Therefore, if the tooth is accidentally broken, it can be reimbursed.

Basically, elementary school students often fight with their classmates when they are on campus, crowd each other and fall their front teeth. If these teeth are permanent teeth, they can only be fitted with dentures after the age of 18, and parents are also more distressed when they encounter such a situation, and they will definitely appeal, and the court will ask for compensation. During the school day, the school arranges accident insurance, and if the child has this situation, the insurance company will also pay according to the size of the matter, about 50,000 yuan.

A slight one can also get a school or an insurance company, and tens of thousands of dollars will compensate the balance. <>

If students do not communicate with other students at school, it is also a big problem, but communicating with classmates cannot avoid pushing down. After the child's front teeth unfortunately fall, as a parent, you should rush to the school in time to communicate with the teacher and go to the People's Hospital**. Especially after the child's teeth are broken, they will also lose the root of the tooth, and there is no way to survive on the job beyond the time, so they can only wait until adulthood to install dentures**.

Management ResponsibilitiesWhen a child has an accident at school, most parents feel that the school has not fulfilled its safety education and management responsibilities, which led to the incident. The school will definitely be sued in court, and it will be necessary to claim compensation, transportation expenses, appraisal fees, nutrition expenses, and spiritual comfort expenses. Because the child is insured at school, parents can pay compensation according to the requirements.

During the course of life, the victim can be compensated for any accident at school. <>

Pay attention to safety, especially primary school students are not aware of safety, and if they are not taught by schools and teachers, they are usually unregulated. It is hoped that children must pay attention to safety at school and teachers must fulfill their responsibilities so as to avoid accidents for children. After all, every child is a flower of the future, and after a fall, it will have a certain impact on the future, and it will also make children have low self-esteem.

Only by avoiding these things can children grow up healthily and get a better learning environment.

In this case, the insurance company will not compensate you, but the tooth is lost, and no other physical damage has been caused, so there will be no compensation.

This will not be claimed, because this is an accident, and the claim will only be claimed for the kind of 1 10 level disability, which is not a disability, so it will not be claimed.

The insurance company will make a claim based on the amount you insured, as this is an unforeseen event.

According to the scope of the state's regulations on medical insurance, tooth extraction, tooth filling and other dental surgeries are within the scope of medical insurance and can be reimbursed by medical insurance. In addition, users who have paid social insurance will receive more than 50% of the reimbursement rate of more than 1,800 yuan for outpatient treatment next to the dental shirt in the hospital. Medical insurance only covers outpatient and inpatient expenses, and dental cleaning is not covered, even if you find tooth decay when you go to the dental clinic for cleaning, it will not be reimbursed at that time.

You must go to the dental department of the hospital to see a tooth to enjoy medical insurance, and tooth extraction in a general non-medical insurance designated dental clinic cannot be reimbursed. **Pulpitis and apical periodontitis can also enjoy medical insurance reimbursement, and they are also required to go to a designated hospital under medical insurance to be able to enjoy Bixiang. If you do not show the "Medical Insurance Handbook" for medical treatment, or there is no detailed information, the expenses incurred will not be reimbursed.

If it is a dental prosthesis or scaling, although it cannot be reimbursed by medical insurance, you can use the balance of the previous account of the medical insurance card to pay.

For more questions about dental fillings, it is recommended to consult Guizhou Dehan Stomatological Hospital. With an international medical vision and modern service standards, Dehan Dental Group adopts the world's cutting-edge medical technology and international mature oral diagnosis and treatment model to carry out a number of oral medicine businesses such as oral medicine, oral surgery, orthodontics, oral implants, and oral restoration.

If your accident insurance is a comprehensive accident insurance, including accidental medical treatment, then it can be reimbursed, the premise of the chain is that the medical record needs to indicate that it is an accidental fall, and the state needs to notify the insurance company in time.

If it does not include accidental medical treatment, only the basic accident of death and total disability or the special accident of traffic will not be reimbursed.

If you are satisfied, please like it, thank you.

Hello, happy to answer your questions. For broken teeth, some regular potato costs can be reimbursed. However, the cost of planting and restoration, generally speaking, all the medical insurance of Shufeng cannot be reimbursed.

For example, if the root of the tooth is not affected, the filling can be carried out, and the cost of the film and the filling can be reimbursed by the medical insurance within the scope of medical insurance reimbursement;

If the root of the tooth is broken, the tooth extraction is reimbursed by the medical insurance, but after the extraction, the implant pin is prematurely reimbursed, and the old age cannot be reimbursed by the medical insurance.

Hello, how to say it. First of all, you accidentally knock out a tooth and it is an accidental lack of insurance. You can reimburse the corresponding medical expenses.

Hope it helps.

Pure hand lookout.

If you buy accident insurance, then you accidentally break your tooth, this must be reimbursed, because this is covered by accident insurance.

If you accidentally break your toothbrush, the filling accident insurance will not reimburse you, first of all, the accident insurance does not cover the teeth and eyes.

If I accidentally break my tooth, can I be reimbursed by the filling accident insurance? I think the filling accident insurance can certainly be reimbursed.

The cost of a dental filling is generally not reimbursed and is at the individual's expense.

Dental fillings are not allowed, they are cosmetic items and are not covered by insurance.

So far, dental expenses cannot be reimbursed, and dental fillings are also cosmetic, and you are paying for them in full.

You can pay like this:

1. If you lose 8 teeth due to an accident, and you are disabled.

If you have a level 10 disability, you can get accidental disability benefits. The cost of dental **, hemostasis, anti-inflammatory, etc., can be reimbursed by accidental medical treatment.

2. If there is a tooth defect, orthopedics, filling, etc. will be required in the later stage, and the accident medical insurance will not be reimbursed.

Test your anti-risk index, experts will interpret it for you for free!

Accident insurance can generally be reimbursed due to accidents such as falls, but teeth are generally excluded from accident insurance, and the exclusion content in the accident medical terms cannot be reimbursed. Finally, it depends on the terms, which are the basis for all claims.

I'm looking for an accident insurance accident medical clause to share with you.

Exclusion of Liability. The Company shall not be liable to pay the insurance benefits if the insured incurs medical expenses due to one of the following circumstances: The Company shall not be liable for any medical expenses incurred during the following periods or caused by the following reasons: (1) Dental ** or surgery not caused by accidental injury and dental restoration or orthodontic surgery caused by any reason; (2) Vision correction not due to accidental injury or ophthalmic examination for vision correction; refractive error; (3) Expenses such as nutrition expenses, ** expenses, assistive device expenses, cosmetic surgery expenses, beauty expenses, repair surgery fees, nursing expenses, transportation expenses, food expenses, lost work expenses, funeral expenses, etc.; (4) Massage, massage and acupuncture physics**; (5) General physical examination, recuperation, special care or recuperation, sexual, physical or psychological; (6) Other liability exemptions specified in the main contract.

Looking at this clause is to see whether the dental ** is caused by accidental injury, if it is caused by accidental injury, it can be reimbursed, but if it is a dental restoration or plastic surgery, it cannot be reimbursed, even if it is caused by accidental injury.

As long as it is not included in these 6 exemptions, accidental medical treatment caused by accidental injury can be reimbursed.

Comprehensive accident insurance should include three parts: accidental disability, accidental medical treatment, and accidental hospitalization allowance. For example, company A bought 500,000 yuan, company B bought 500,000 yuan, and in the event of death, the compensation can be superimposed by 1 million, and the compensation can also be superimposed if you are disabled. Accidental medical treatment can only be reimbursed, and the maximum is to reimburse all medical expenses, and the accidental hospitalization allowance can also be superimposed.