Medical insurance is mainly used to reimburse the insured for receiving basic medical care after illness or injury, including hospitalization expenses, outpatient medical expenses and medical expenses for coordinating diseases; Orthodontics belongs to the category of medical beauty, not to the payment scope of basic medical insurance pooling fund, so it can not enjoy medical insurance reimbursement. Orthodontics includes a wide range of phenomena, such as uneven teeth and abnormal color of teeth. After orthodontic treatment, teeth can restore order and color, but it has no therapeutic effect on organic diseases of teeth.

How much can medical insurance reimburse:

The amount of medical insurance reimbursement depends on many factors, including whether the drugs used are in the medical insurance catalogue, the hospital level of doctors, and the type of personal medical insurance (basic medical insurance for urban workers or basic medical insurance for urban and rural residents). The reimbursement rate of basic medical insurance for urban workers is relatively high, with more than 70% for outpatient service and more than 80% for hospitalization. However, the reimbursement rate of basic medical insurance for urban and rural residents is relatively low, ranging from 50% to 55% for outpatient service and over 75% for hospitalization.

To sum up, regular medical institutions should be selected when orthodontic treatment is carried out, and the treatment scheme and cost should be fully understood.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.