Children's medical insurance belongs to the scope of basic medical insurance in China. Whether you can see a dentist depends on why you need dental treatment. Usually dental treatment is divided into the following categories:

1, routine examination of health care treatment, tooth cleaning, fluoride coating, pit and fissure sealing, etc.

2. Basic treatment, periodontal basic treatment, common tooth extraction, simple root canal treatment, simple tooth filling, etc.

3. Complex treatments such as dental surgery, restoration, implantation and orthodontics.

4. Accident treatment: trauma suture, periodontal fixation, tooth extraction, root canal treatment, etc.

1. What can medical insurance reimburse?

Medical insurance reimbursement: dental treatment expenses, operation expenses and other treatment expenses.

At present, according to the national medical reimbursement regulations, therapeutic dental diseases have been included in the scope of medical insurance.

There are mainly the following medical items: dental filling (including basic materials and treatment fees), root canal treatment, tooth extraction and the cost of treating periodontal diseases, gingivitis and other dental diseases.

For example:

Little ah's teeth are eaten by insects and need to be pulled out, or his gums are red and swollen and need treatment. The cost of this treatment can be reimbursed.

Second, what is not reimbursed by medical insurance?

Medical insurance is not reimbursed: dental projects that are not treated according to disease types, such as tooth restoration and whitening projects, are not reimbursed.

According to Article 7 [20 16] No.3, Category 2 of Social SecurityNo. 18, the items that are not paid by the basic medical insurance fund are: cleaning teeth, orthodontics, denture restoration (including post crown, crown cover, complete denture and partial denture), dental implantation, dental stain treatment and dental inlay. These are items that cannot be reimbursed by medical insurance.

For example:

In order to make himself look better, Xiao B has done porcelain tooth restoration and tooth whitening, which belongs to the cost of medical cosmetic repair. Medical insurance cannot be reimbursed and he can only rely on himself.

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