1. If the client wants to see a dentist, he can take the medical insurance card to register at the designated medical institution in the insured area and go to the stomatology department to see a dentist. The medical expenses incurred by filling teeth are paid by the medical insurance fund and can be reimbursed;

2. However, dental implants and dental implants belong to the scope of medical beauty and cannot be reimbursed; Medical insurance only covers outpatient expenses and hospitalization expenses, and tooth washing is not covered. Even if you find tooth decay when you go to the dental clinic to wash your teeth, the treatment at that time cannot be reimbursed.

The medical insurance reimbursement process is as follows:

1. If local employees are hospitalized, they should be hospitalized in the designated medical insurance hospital paid by the unit. When you are hospitalized, you should submit medical insurance and medical insurance directly to the medical insurance department of your hospital, and automatically reimburse the basic medical expenses at the time of settlement;

2. Employees hospitalized in other places who are sick due to business trip or long-term work in other places must be in emergency and can be hospitalized in local hospitals, but they must report to the Municipal Supervision Department of the Medical Insurance Bureau within three days;

3. Referral to other places for medical treatment has no effect in the hospital where the unit pays, or the hospital doctor suggests transferring to other places. Must be a designated hospital, central hospital, municipal people's hospital, and send a referral letter and related inspection materials to the supervision department of the medical insurance bureau for review, and can be transferred after approval.

To sum up, the reimbursement scope of residents' medical insurance includes general outpatient reimbursement, serious illness reimbursement and special outpatient reimbursement; The scope of medical insurance reimbursement for employees is divided into overall account and individual account. The overall account can reimburse hospitalization medical expenses and special outpatient medical expenses. Personal account can directly pay for the purchase of drugs in general outpatient clinics and designated pharmacies, and the individual pays for the hospitalization expenses.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

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.

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.

Article 30

The following medical expenses are not included in the payment scope of the basic medical insurance fund:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(three) shall be borne by public health;

(4) Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.