Orthodontics cannot be covered by medical insurance.

Orthodontics is not covered by medical insurance because it is classified as a medical cosmetic item. Medical insurance usually only reimburses the cost of dental treatment of a therapeutic nature, such as fillings, extractions, and treatment of periodontal disease, gingivitis, etc. Orthodontics, dentures, porcelain teeth, teeth cleaning, dental implants, etc. are not included. The purpose of basic medical insurance is to compensate for economic losses caused by disease risks. The medical insurance fund established through individual and unit contributions provides certain economic compensation to insured persons. Therefore, as a cosmetic service, orthodontics does not comply with the reimbursement policy of medical insurance.

The cost structure of orthodontic treatment:

1. Diagnosis fee: including the cost of initial diagnosis, follow-up diagnosis and regular examination;

2. Orthodontic equipment fee: according to the The cost will vary depending on the orthodontic equipment selected;

3. Treatment fee: including the orthodontist’s operating fee and the management fee during the entire correction process;

4. Maintenance fee: the cost of maintenance and adjustment that may be required during the correction process;

5. Removal fee: the cost of removing the orthotic device after the correction is completed.

To sum up, as a cosmetic service, orthodontics does not comply with the reimbursement policy of medical insurance.

Legal basis:

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

Article 28

Comply with basic medical care The insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be paid from the basic medical insurance fund in accordance with national regulations.