Dental filling (including basic materials and treatment fees), tooth extraction, treatment of periodontal disease, gingivitis and other dental diseases are included in the scope of medical insurance, and dental implants, porcelain teeth, dental implants, orthodontics and so on cannot be reimbursed by medical insurance.
The scope of medical insurance reimbursement for dental treatment is as follows:
1, which has been included in the scope of medical insurance, mainly covers the expenses of tooth filling (basic materials and treatment fees), tooth extraction, treatment of periodontal disease, gingivitis, root canal treatment and other dental diseases. The extraction of common wisdom teeth belongs to the scope of medical insurance card reimbursement and can be paid by medical insurance fund;
2. The non-reimbursable scope is usually the category of tooth restoration and whitening, such as tooth inlay, porcelain restoration, orthodontics, tooth implantation, tooth whitening and so on. In China's medical field, it belongs to the restoration project of medical beauty evaluation model, and it can only be reimbursed at its own expense, not by medical insurance. Dental implant costs are mainly material costs, such as porcelain teeth and dental implants, which are usually approved by the price department and belong to special service costs and cannot be reimbursed by medical insurance;
3. The medical expenses incurred by the dental clinic examination and treatment shall be paid by the personal account of the social security card. If the patient is admitted to hospital due to illness and meets the hospitalization standard, other expenses can be settled according to the provisions of medical insurance, except that the denture (denture) expenses cannot be paid by the medical insurance pooling fund.
To sum up, dental implants in Guangzhou cannot be reimbursed, and dental implants, dental implants and tooth cleaning are not covered by medical insurance reimbursement as required, so social security cards cannot be reimbursed.
Legal basis:
Social insurance law
second
The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children. Please refer to local policies and regulations for specific projects.