1, simple fillings can be reimbursed.
Simple tooth filling here means that the dental caries are not very serious, that is to say, the scope of the damage is not large. You only need to remove the dental caries or perform acupuncture treatment (killing nerves) and then fill the teeth with materials, which can be reimbursed through medical insurance. The only thing to note is that some self-funded projects, such as various imported instruments, will be used during this period. During the filling period, if anesthetics and painkillers are used, they can also be reimbursed.
2, dental beauty can not be reimbursed.
Tooth beauty includes many kinds, such as tooth whitening, orthodontics and plastic surgery, and braces. Because not everyone has to do it, it is not covered by medical insurance. The braces mentioned here are not aimed at orthodontics, but protective measures taken to prevent the fillings from falling off after filling, because the defective holes are too big. This kind of braces can also be divided into two categories, one is braces whose final shape follows yours, and the other is temporary braces (medically called temporary crowns) before braces are made.
3, washing teeth can also take medical insurance.
Simple tooth cleaning is to ensure the health of teeth, which does not belong to the category of tooth whitening, so it can be reimbursed through medical insurance.
Items that cannot be reimbursed by medical insurance are:
1, denture
2. porcelain teeth
3. Dental implants
4. Orthodontics
Mainly the cost of materials, such as porcelain teeth and dental implants, are usually approved by the price department and belong to special service expenses, which cannot be reimbursed by medical insurance. But if you go to have your teeth inserted and cleaned, you can use the balance of your medical insurance card over the years to pay for it, although it can't be reimbursed by medical insurance.
Medical insurance reimbursement process
1, registered for medical treatment;
2. If the hospital confirms that it meets the medical insurance conditions of single disease in oral clinic, fill in the notice of diagnosis and treatment;
3, patients with ID card and diagnosis and treatment notice to the hospital for inspection and filing, to receive a single disease format medical records, prepaid medical expenses;
4. After the processing is completed, the settlement shall be made with relevant vouchers;
5. The unit carries the above-mentioned relevant materials and goes through the reimbursement procedures at the designated window of the comprehensive service hall of medical insurance business of Shenzhen Medical Insurance Center.
Legal basis:
People's Republic of China (PRC) social insurance law
Twenty-third employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.
Article 24 The state establishes and improves the new rural cooperative medical system.
Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council.
Article 25 The state establishes and improves the basic medical insurance system for urban residents.
The basic medical insurance for urban residents combines individual contributions with government subsidies.
People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.