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The stomatology part belongs to the scope of medical insurance, such as tooth extraction and filling caused by pain (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. If you want to find a formal and suitable dental clinic, it is better to find Xiamen Dent Dentistry, which is a second-level dental specialty hospital, adhering to the core value concept of "focus and innovation", and everything is patient-centered.
The goal of oral diagnosis and treatment is to sublimate from restoring oral function to achieving the goal of facial rejuvenation. Strictly follow the oral "four-hand operation" and double high-temperature and high-pressure disinfection standards. It has been committed to providing the public with professional, scientific and personalized one-stop solutions for oral health.
Half of the incisor can be repaired, but be sure to check the type of defect before repairing. If the defect is large, the effect may not be good if the surgical filling is taken. If the nerve is exposed, the nerve needs to be treated.
If there is a retention on one side, a filling can be used. According to the location of some tooth defects, it is relatively close to the nerve, which needs to be treated and relieved in time to prevent some instability after filling. Some posterior crown restorations can be done, or braces can be repaired and relieved.
Once half of the defect is lost, it must be due to the greater possibility of exposing the nerve, and the root canal treatment of the tooth is carried out first, and the crown after the pile repair pile is carried out to alleviate it. If you want to beautify your teeth, it is better to find Xiamen Dent Oral Cavity, strict disinfection and isolation system, German-style "four-hand" operation service, even the most basic dental cleaning care in the oral cavity, is also provided by dental guards who have been professionally and systematically trained in foreign clinics to provide you with services. [Click here to learn more].
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Dental fillings can be reimbursed by medical insurance, because dental fillings are convenient, so they can be reimbursed by medical insurance. A tooth filling ranges from 100 to 400 yuan. After filling, keep your teeth clean and hygienic, and brush your teeth frequently.
Don't eat raw and cold foods in your diet, and avoid sweets, which are the most harmful to tooth corrosion.
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Dentistry is mainly included in the scope of medical insurance: 1. Filling teeth (including basic materials and ** fees); 2. Tooth extraction; 3. **Expenses incurred in periodontal disease, gingivitis and other dental diseases. And the items that cannot be reimbursed by medical insurance are:
1. Dental prosthesis; 2. porcelain teeth; 3. Teeth cleaning; 4. Orthodontics; 5. Dental implants; 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.
Filling refers to the process of restoring the shape and function of the tooth with artificial materials after the tooth decay has been removed. Dental filling refers to the method of repairing a tooth defect with an artificial substance, and the type of tooth defect should be diagnosed before the tooth filling. If the tooth tissue defect caused by caries does not reach the pulp, it can be directly filled; When the lesion has affected the pulp, the pulp should be ** first, and then filling.
It is recommended to go to the stomatology department of the hospital in time to make a clear diagnosis, and formulate the best filling restoration plan according to the number, location and degree of caries under the guidance of the doctor. In order to confirm the depth of tooth decay, it may be necessary to take an oral X-ray to check whether the tooth has been shaken first, and in a few cases, you can try to remineralize the tooth for the early dry tooth re-toothing**, but in most cases, you need to use oral special tools to remove the decayed tooth tissue, at this time, if the lesion has affected the pulp, it is generally necessary to preserve the tooth or pulp according to the situation**. After that, the appropriate filling material is selected according to the patient's own situation, and the current filling material is mostly different types of composite resin or glass ions.
For more questions about dental fillings, it is recommended to consult Guizhou Dehan Stomatological Hospital. Dehan Dental Group is a high-quality dental chain group that provides warm oral medical care services and distinguished medical experience for the global elite with an international medical vision and modern service standards. Originating from Germany and South Korea, serving the world, Germany and South Korea Dental with international quality, Asian and Korean service, around the concept of "maintenance is better than the best", the integration of Chinese, German, Italian, Korean and other domestic and foreign authoritative experts, the use of 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, oral restoration and other oral medicine business.
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Tooth extractions and fillings are covered by medical insurance, but new fillings need to be paid for at your own expense.
According to the provisions of the Social Insurance Law, the medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards, and emergency and rescue shall be paid from the basic medical insurance ** in accordance with national regulations.
Medical insurance reimbursement coverage includes:
1. Reimbursement of drugs for basic medical insurance.
The drugs included in the scope of basic medical insurance are divided into two types: Class A and Class B. Class A drugs refer to drugs that are basically unified across the country and can ensure the basic needs of clinical practice. The cost of such drugs is included in the scope of basic medical insurance** and is paid according to the standard of basic medical insurance.
The list of Class B drugs is adjusted by the provinces, autonomous regions and municipalities directly under the Central Government according to their own conditions, and such drugs are first paid by employees for a certain percentage of the cost, and then included in the scope of basic medical insurance, and paid according to the standard of basic medical insurance.
The following drugs are not covered by the basic medical insurance:
1) Drugs that mainly play a role in nutrition and nourishment;
2) Some animals and animal organs, dried (water) fruits that can be used for medicine;
3) All kinds of liquor preparations brewed with Chinese herbal medicines and Chinese herbal decoction pieces;
4) Fruit-flavored preparations and oral effervescent agents in various drugs;
5) Blood products and protein products (except for special indications, first aid and rescue);
6) Other drugs that are not paid by the basic medical insurance according to the social insurance administrative department.
2. Reimbursement of basic medical insurance diagnosis and treatment items.
The basic medical insurance diagnosis and treatment items shall meet the following conditions:
1) Clinical diagnosis and treatment is necessary, safe and effective, and the cost is appropriate;
2) The price department has set the charging standard;
3) Within the scope of designated medical services provided by designated medical institutions for insured persons.
The scope of diagnosis and treatment items paid by basic medical insurance is determined in accordance with the scope of diagnosis and treatment items of basic medical insurance stipulated by the state. Belong to the basic medical insurance to pay part of the cost of the diagnosis and treatment items within the catalog, by the insured according to the prescribed proportion of self-payment, and then according to the provisions of the basic medical insurance payment. If it is within the list of diagnosis and treatment items that are not paid by the basic medical insurance for employees, the basic medical insurance for employees will not be paid.
3. Reimbursement for basic medical service facilities.
The reimbursement of medical service facility expenses of basic medical insurance covers the life service facilities provided by designated medical institutions and necessary for insured persons in the process of receiving diagnosis, ** and nursing, mainly including inpatient bed fees or outpatient (emergency) observation bed fees.
The basic medical insurance** does not pay for the cost of life services and service facilities, mainly including:
1) Transportation expenses and ambulance expenses for medical treatment;
2) Air conditioning fee, TV fee, ** fee, baby incubator fee, food incubator fee;
3) Escort fee, nurse fee, washing fee, outpatient decoction fee;
4) Meal expenses;
5) Recreational activities and other special living services.
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Dental fillings are covered by medical insurance and can be reimbursed, as long as they are caused by illness. In addition to the beauty done by those beauty institutions, it is not reimbursed, so it is necessary to grasp it well when choosing. It is enough to go to a hospital facility for a dental filling.
Dental disease is detected earlier, the sooner it can be found, the soonest it can be.
If the items, materials, and drugs involved in the filling process are covered by medical insurance, they can be reimbursed by the filling medical insurance. Scaling, prosthesis, and orthodontics are not reimbursed and belong to the scope of dental cosmetology. A method of repairing a tooth defect with an artificial substance.
The substance used for repair is called the filling material. Tooth tissue defects caused by caries, wedge defects, trauma, etc., need to be repaired to restore their appearance and function. When the lesion has affected the pulp and even caused periapical disease, the pulp should be first filled and then filled.
Social insurance refers to a social and economic system that provides income or compensation to a population that is incapacitated, temporarily unemployed, or lost due to health reasons. The main items of social insurance include endowment insurance, medical insurance, unemployment insurance, work-related injury insurance, and maternity insurance.
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For conventional fillings, including the basic materials and ** fees within the scope of medical insurance, they can go through the medical insurance reimbursement procedure. However, it should be noted that the stomatology department of the designated hospital must be in order to enjoy the reimbursement of medical insurance. **If the project is within the scope of medical insurance reimbursement, you need to go to the designated medical institution with your social security card, and the settlement can be implemented.
Article 28 of the Social Insurance Law.
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be paid from the basic medical insurance in accordance with national regulations.
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 fund and the medical institutions and drug business units.
The administrative department of social insurance and the administrative department of health for the blind shall establish a system for the settlement of medical expenses for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance benefits by those who are insured and bored.
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The cost of filling teeth generally belongs to the reimbursement scope of medical insurance, but not all expenses can be reimbursed, only the expenses that meet the standards of the basic medical insurance drug list, diagnosis and treatment items, and medical service facilities can be reimbursed, including the basic materials of the filling, and the first fee.
Social Insurance Law of the People's Republic of China
Article 26.
The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with national regulations.
Social Insurance Law of the People's Republic of China
Article 28.
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be paid from the basic medical insurance in accordance with national regulations.
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 blind and prudent product business unit.
The social insurance administrative department and the health administrative department shall establish a system for settling medical expenses for medical treatment in other places, so as to facilitate the insured persons to enjoy basic medical insurance benefits.
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