You can't brush your medical insurance card when you wash your teeth in Xiamen. If it is a therapeutic dental treatment, it is within the scope of medical insurance reimbursement. What has been included in the scope of medical insurance is mainly the cost of filling teeth (including basic materials and treatment fees), the cost of tooth extraction and the treatment cost of periodontal disease, gingivitis and other dental diseases.
However, in Xiamen, tooth cleaning is a cosmetic treatment project, and medical insurance cards cannot be used directly. In addition to cleaning teeth, you can't use medical insurance to make porcelain teeth or all-ceramic teeth.
The main purpose of tooth cleaning is to prevent and treat oral diseases, not just to look good. The inflammation of gingivitis and periodontitis can be relieved by tooth washing, but periodontitis can not be cured by tooth washing alone, and further professional treatment is needed after tooth washing.
As a result of eating some food and colored drinks, some pigments will accumulate on the teeth. These pigments will also be removed during gingival scaling. However, because the tooth surface is not as smooth as a mirror, it is impossible to completely remove the pigment, and some pigment will always remain in the concave part of the tooth surface. After scaling, it is necessary to smooth the tooth surface with a rubber cup and a polishing paste to slow down the adhesion of plaque and the formation of tartar.
2. How to reimburse dental medical insurance?
The treatment of dental diseases is generally divided into four categories, namely health care treatment, basic treatment, comprehensive treatment and accidental treatment. If it is therapeutic dental expenses, it can be reimbursed through medical insurance.
Such as tooth extraction and filling, including basic materials and treatment costs, root canal treatment, periodontal disease and gingivitis treatment and other treatment costs. It is worth noting that dental treatment does not meet the hospitalization standard, but tooth extraction in outpatient department does not belong to the scope of medical insurance pooling fund payment.
However, if the balance of the medical insurance personal account is sufficient, the insured can pay with the medical insurance personal account. If the insured person needs to be hospitalized for tooth extraction due to serious illness, it belongs to the scope of payment of medical insurance pooling fund, and medical insurance can reimburse related expenses.