At present, the dental department can reimburse the cost of dental treatment and surgery, such as the basic treatment and materials for tooth extraction, tooth filling and periodontal disease treatment. If the dental disease is too serious and needs hospitalization, it can also be reimbursed according to the provisions of medical insurance. However, tooth cleaning, wearing false teeth, tooth whitening, dental implants, orthodontics and other dental beauty projects are not covered by medical insurance. The main projects of dentistry in medical insurance coverage are:
1, tooth filling (including basic materials and treatment fees);
2, tooth extraction;
3, the cost of treating periodontal disease, gingivitis and other dental diseases.
Items that cannot be reimbursed by medical insurance are:
1, dentures;
2. porcelain teeth;
3. Wash your teeth;
4. Orthodontics;
5. dental implants;
Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities and emergency and rescue medical expenses standards, and shall be paid from the basic medical insurance fund in accordance with state regulations.
Article 29 The part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units, and the social insurance administrative department and the health administrative department shall establish a medical expenses settlement system in different places to facilitate the insured to enjoy the basic medical insurance benefits.
Thirtieth the following medical expenses are not included in the basic medical insurance fund payment scope:
(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.
Thirty-first social insurance agencies may, according to the needs of management services, sign service agreements with medical institutions and pharmaceutical business units to standardize medical service behavior, and medical institutions shall provide reasonable and necessary medical services for the insured.
Thirty-second individuals across the overall regional employment, the basic medical insurance relationship with my transfer, the cumulative payment period.