According to the scope and standard of national basic medical insurance, the following items cannot be reimbursed by medical insurance (except for business): all kinds of cosmetic surgery, orthopedic surgery, limb defect, bodybuilding surgery, treatment and disposal, medicines and other expenses, as well as all expenses of using orthopedic and bodybuilding equipment. The specific contents include: cosmetic tooth washing, tooth implantation and so on. So besides dental implants, what other dental projects can use medical insurance? At present, the expenses of filling teeth (using basic materials), extracting teeth and treating periodontal disease and gingivitis have been included in the scope of medical insurance, but the expenses of dental implant, dental implant and dental beauty cannot be reported. In view of the problem that some low-income groups can't afford dental implants, many experts and scholars suggest that the government should include dental implants or some dental implants in the medical insurance coverage, but there has been no movement in China in recent years.
Dental implants cannot use medical insurance cards, and patients should pay attention to identification. The cost of dental treatment depends on the treatment items and materials, and some items can be swiped by medical insurance card. Dental implants are not covered by medical insurance and should not be written off in principle, that is, medical insurance cannot be used. In addition, medical insurance cards can't be used for orthodontics, tooth washing and tooth beauty. The state clearly stipulates that dental implants are not covered by medical insurance. And illegal institutions have turned this kind of medical care that is not covered by medical insurance into medical insurance through some means, which is an act suspected of "defrauding medical insurance". Hospitals that do this kind of behavior will not be regular, and the safety of dental implants for natural patients will not be guaranteed.
The items that are not reimbursed by medical insurance are:
1, self-seeking, self-purchasing drugs, drugs that cannot be reimbursed according to the provisions of public medical care and medical expenses that do not conform to family planning;
2, within the scope of reimbursement, but beyond the limit;
3, outpatient treatment, meals, home visits, hospitalization, escort, nutrition, ambulance, blood transfusion, heating and cooling, special care and other expenses;
4. Orthopedics, artificial limbs, cosmetic surgery, dental implants, roll call surgery, organ transplantation, consulting fees, etc. ;
5. Medical expenses for car accidents, alcoholism, suicide, fighting, work-related injuries and medical accidents.
Legal basis:
Article 23 of People's Republic of China (PRC) Social Insurance Law
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.