Whether you can be reimbursed for dental work at the hospital depends on the specific circumstances.

If it is a therapeutic dental treatment, medical insurance can reimburse it, such as the cost of tooth fillings, tooth extractions, treatment of periodontal disease, gingivitis and other dental diseases. If medical cosmetology and dental implants are not within the scope of reimbursement, they cannot be reimbursed. You must go to the dental department of the hospital to enjoy medical insurance. Tooth extractions at general non-medical insurance designated dental clinics are not reimbursable.

Dental outpatient medical insurance reimbursement process:

1. The insured person shall submit all the documents and documents required for reimbursement to the relevant local departments;

2. Waiting The social security agency can handle it, or it can be reimbursed directly at the hospital. That is, when going through the hospitalization procedures, you can directly participate in the reimbursement by issuing the New Rural Cooperative Medical Care Certificate to the hospital.

Dental medical insurance reimbursement ratio:

Dental medical insurance can only reimburse part of the reimbursement, and will not reimburse all of it. If it is the cost of hospitalization, current employees and retired employees will be reimbursed within one year. The minimum payment standard for the first use is 1,300. If you are hospitalized for the second time, it is calculated based on 50% of the minimum payment standard. The maximum treatment cost that the medical insurance can pay in one year is 70,000 yuan.

The reimbursement ratio for township health centers and community health service institutions cannot be less than 80%, for institutions at or above the county level no less than 70%, and for municipal hospitals no less than 60%.

To sum up, whether teeth can be covered by medical insurance depends on the regulations of the local medical insurance bureau and the content of treatment. For example, dental caries, periodontal disease, etc. are generally acceptable, but dental restoration, cosmetology, etc. Classes, etc. are generally not acceptable.

Legal basis:

Article 28 of the "Social Insurance Law of the People's Republic of China"

Comply with the basic medical insurance drug catalog, diagnosis and treatment items, Standards of medical service facilities and medical expenses for emergency and rescue services shall be paid from the basic medical insurance fund in accordance with national regulations.

Article 29

The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit .

The social insurance administrative department and the health administrative department should establish a medical expense settlement system for medical treatment in other places to facilitate insured persons to enjoy basic medical insurance benefits.