See Can dental insurance card be swiped, can dental health insurance card be swiped?

Dentistry is covered by medical insurance.

However, it is limited to fillings and extractions.

and periodontal disease.

The expenses incurred by gingivitis and other dental diseases, and if it is a dental restoration, whitening category, such as porcelain tooth restoration, orthodontics, dental implants, teeth whitening, etc., the medical insurance will not reimburse. [Click to consult**Dental assistant professional answer].

Health insurance card. The money, in fact, is self-payment and unit subsidy, which belongs to the personal account part, that is, the outpatient part. Wherever you are allowed to swipe your medical insurance card, you can swipe it and install braces.

You can swipe your health insurance card. However, the actual prostheses and orthodontics are not covered by the reimbursement, so if you are hospitalized, you will not be reimbursed. National Health Insurance.

Generally, this type of ** is not included in the scope of medical insurance. In general, it involves prosthodontics and orthodontics.

As well as oral cosmetology, orthognathic and other aspects, most of them are not reimbursed by medical insurance. The reimbursement of medical insurance for stomatology is generally for some necessary surgeries for the oral cavity, tooth extraction for oral surgery and some teeth in oral medicine**, which can generally be reimbursed.

For more dental questions, 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 oral medicine, oral surgery, orthodontics, oral implants, prosthodontics and other oral medicines.

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The medical insurance card can reimburse the cost of going to the dentist, but there are strict regulations on the reimbursement of dental expenses, and only the dentistry of ** nature ** can be reimbursed by medical insurance, such as filling, tooth extraction and **periodontal disease, gingivitis and other dental diseases. However, medical cosmetology items cannot be reimbursed with medical insurance cards, such as the costs incurred in straightening teeth, teeth whitening, etc.

1. The dental part ** belongs to the scope of medical insurance, and the main ones included in the scope of medical insurance are:

1. Filling (including basic materials, ** fee);

2. Tooth extraction; 3. Chronic pulpitis, chronic apical inflammation, chronic periodontitis.

Second, the items that cannot be reimbursed by medical insurance are:

1. Dental prosthesis; 2. porcelain teeth;

3. Teeth cleaning; 4. Orthodontics;

5. Dental implants.

1. The insured can take the medical insurance card to the designated medical institution in the insured place** and go to the dental department to see the dentist.

2. The medical expenses incurred by the filling are within the scope of medical insurance**, and can be paid directly by swiping the medical insurance card. [Chengdu Huamei Oral Answer].

Extended reading: [Insurance] How to buy, which one is better, teach you to avoid these insurance"pits"

Whether the teeth can be reported for medical insurance is related to the regulations of the local medical insurance bureau and the content of **, such as caries, periodontal disease, etc., which are generally possible, but oral restoration, cosmetology, etc. are generally not.

According to China's current medical reimbursement regulations, stomatology is mainly included in the scope of medical insurance for caries and periodontal disease, and the main ones that can be reimbursed are tooth filling, root canal, tooth extraction, periodontal cleaning, and periodontal scraping. The exact reimbursement rates vary.

If it is a prosthodontic and cosmetic project, such as tooth loss, malocclusion, etc., the corresponding ** such as dental prosthesis, orthodontics, dental implants, teeth whitening, etc., are not covered by medical insurance. For the specific use of medical insurance, as well as the proportion of medical insurance and how to reimburse, it is recommended to consult the relevant regulations of the local medical insurance bureau and the hospital where you visit.

The stomatology part** belongs to the scope of medical insurance, such as pain, tooth extraction, filling, etc. (excluding imported materials) can be covered by medical insurance; Dental prostheses, scaling, etc. are not covered by medical insurance. Medical expenses incurred during dental consultations** are covered by funds from the personal account of the social security card; If you are admitted to the hospital due to the need for medical conditions and meet the hospitalization criteria (except for the cost of dentures, which cannot be paid by the medical insurance coordinator**), other expenses can be settled according to the provisions of the medical insurance.

You must note that whether it is a dental visit or other departments, everything that is cosmetic in nature is not reimbursed, and it is also to use the money in the right place.

Filling teeth can be used with a medical card, the scope of the medical card is still relatively wide, but the general small clinic does not have the conditions for using a medical card, you need to go to a regular big hospital for **, the environment of the big hospital is relatively better, and the sanitary conditions are relatively up to standard, so it is recommended that you go to a big hospital for **, you can ask whether you can pay with a medical card before **.

As long as you are employed in a hospital within the scope of medical insurance, you can not only use the balance of your medical insurance card to pay for dentistry, but also enjoy medical insurance reimbursement for some items.

Medical insurance is the basic welfare given to us by the state, such as tooth filling, tooth extraction and other minor oral surgery, or periodontal disease, gingivitis and other dental diseases, can already be reimbursed by medical insurance.

However, it's worth noting that not all expenses are reimbursable. Dental restorations (dental implants, porcelain teeth, dental prostheses, etc.), orthodontics, although we are likely to have similar needs in our lives, but because they are not included in the medical insurance, they cannot be reimbursed by the medical insurance card.

Tooth extractions, fillings, etc. are covered by medical insurance. However, dental prostheses and scaling are not covered by medical insurance. If it is of the nature of **, such as tooth extraction is covered by medical insurance, tooth fitting is not.

The insured can take the medical insurance card to the designated medical institution in the place of insurance and go to the dental department to see the teeth. The medical expenses incurred by the filling belong to the expenses covered by the medical insurance**, and can be paid directly with the medical insurance card. However, dental prostheses are within the scope of medical cosmetology, and you cannot pay for them with your health insurance card, so you need to pay in cash yourself.

Therefore, whether it can be liquidated depends on whether it is a medical cosmetology such as tooth inlays and dental implants. Partial fillings can be liquidated. However, if you need to bring your medical insurance certificate to a designated hospital, you will not be able to settle the expenses incurred if you do not show your medical insurance certificate for medical treatment, or if you do not have a detailed statement.

The cost of dental ** depends on ** items and materials, and some items can be swiped at the designated hospital of medical insurance medical insurance card. At present, people go to the hospital to see oral diseases, and the main ones that are covered by medical insurance are dental fillings (including basic materials, ** fees), tooth extractions, periodontal disease, gingivitis and other dental diseases. The relatively high inlay costs are mainly material costs, such as porcelain teeth, dental implants, socks, etc., which are usually approved by the price department, which are special service fees and cannot be liquidated by medical insurance.

However, if you have your teeth scaled, the medical insurance cannot be liquidated, but you can pay with the balance of the previous year's account on the medical insurance card.

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 and rescue medical expenses, in accordance with the provisions of the state from the basic medical insurance ** payment.

As long as the hospital and the pharmacy where the medicine is bought or the designated hospital for medical insurance, you can directly swipe the medical insurance card for consumption. In fact, swiping the medical insurance card is like swiping the credit card and bank card to settle the bill - you don't need to enter the password, just swipe it and sign it for others

However, although some hospitals are designated hospitals for medical insurance, they will also say that some drugs cannot be swiped with medical insurance cards (generally expensive drugs cannot be swiped).Also, it depends on how many years you have paid in your medical insurance card, and how much you pay for medical insurance each year.

According to Article 28 of the Social Insurance Law of the People's Republic of China, only medical insurance reimbursement can only be made for medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical limb hunger expenses. Dental toothache, tooth extraction, filling, etc. (excluding imported materials) can be covered by medical insurance; Dental prostheses, scaling, etc. are not covered by medical insurance.

Article 28 of the Social Insurance Law of the People's Republic of China in accordance with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards for the year and hunger, as well as emergency and rescue medical expenses, in accordance with the provisions of the State from the basic medical insurance **.

Dental care does not necessarily mean that you will be reimbursed by medical insurance.

1. If it is a filling, tooth extraction, periodontal**, gingivitis-related dental disease**, the fee can be reimbursed by medical insurance, and the ** within the scope of medical insurance can be reimbursed if it is carried out in a designated medical insurance dental clinic; The overall account is managed by the medical insurance center, and the expenses incurred by the insured persons in line with the local medical insurance reimbursement are reimbursed by them.

When seeking medical treatment, show the medical insurance card to prove the insurance status, and at the time of checkout, the part that should be paid by the individual can be paid directly with the medical insurance card.

2. If it is a dental cleaning, dental prosthesis, dental implant, orthodontics, and dental cosmetology-related expenses, it cannot be reimbursed by the overall medical insurance, but if it is an employee medical insurance, you can use the money in the personal account to pay.

3. The personal account of medical insurance is the money embodied in the medical insurance card, which can be used to buy drugs in designated pharmacies, and used by designated medical institutions to pay for outpatient expenses and the payment of personal self-payment in hospitalization expenses.

Regulations of the People's Republic of China on Basic Medical Insurance for Urban Employees

Article 28.

The personal account is used to pay for medical expenses outside the scope of the pool** payment; If the personal account is insufficient to pay, the person shall be responsible for it.

Article 29.

Medical expenses for hospitalization for serious illness** shall be paid as follows:

1) In principle, the minimum payment standard shall be controlled at 9-11 of the average annual social wage of employees in cities, counties and autonomous counties in the previous year.

2) In principle, the maximum payment limit shall be controlled at 3-5 times the average annual social wage of employees in cities, counties and autonomous counties in the previous year.

3) The medical expenses above the minimum payment standard and below the maximum payment limit shall be mainly paid by the overall coordinator, and a certain proportion shall be borne by the individual. Appropriate consideration is given to the proportion of medical expenses borne by retirees.

The scope of serious illness, the specific standard of the minimum payment standard and the maximum payment limit, and the proportion of medical expenses above the minimum payment standard and below the maximum payment limit shall be determined by the Provincial People's Political Affairs and Auction Office.

Article 30. Medical expenses below the minimum payment standard and above the maximum payment limit will not be paid by the overall plan**.