Orthodontics is listed as a medical beauty project and is not covered by medical insurance reimbursement. Medical insurance usually only reimburses the cost of dental treatment of therapeutic nature, such as tooth filling, tooth extraction and treatment of periodontal disease and gingivitis. Does not include orthodontics, dental implants, porcelain teeth, tooth cleaning and dental implants. In addition, the medical insurance fund does not reimburse the expenses of physical health, health care consumption and physical examination, as well as the expenses paid by public medical care and industrial injury insurance fund, the expenses of going abroad for medical treatment, the expenses exceeding the maximum payment limit and the expenses during the period when medical insurance is stopped. Therefore, even if you receive orthodontic treatment in a designated hospital, you can't use medical insurance to reimburse you.
Coverage of orthodontics:
1. Dental protection of commercial insurance: some commercial insurance products will provide dental treatment protection, including some dental treatment projects;
2. The coverage of social medical insurance: general social medical insurance does not include the cost of orthodontics, because such treatment is often regarded as unnecessary cosmetic treatment;
3. Specific health insurance plans: Some specific health insurance plans may provide additional protection for dental treatment, but such plans are few and usually have limited coverage;
4. Possibility of unit group insurance: Some units may buy group insurance for their employees, which may include dental treatment items, but this requires consulting the specific insurance contract terms.
To sum up, orthodontics is not covered by medical insurance and cannot be reimbursed by medical insurance.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 28
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.