Dental implant medical insurance cannot be reimbursed, and dental implant is a medical beauty project not covered by medical insurance card. The relatively high cost of dental implants is mainly the cost of materials, such as porcelain teeth and dental implants, which are usually approved by the price department and belong to special service fees, and medical insurance cannot reimburse them. However, whether the dental implant insurance company reimburses can not be generalized, which is related to what insurance the insured has purchased. Under normal circumstances, if the insured only has ordinary commercial insurance, the dental implant insurance company will not reimburse him, but if the insured specially purchases commercial insurance for dental implant reimbursement, the insurance company will reimburse the insured according to the contract.

Dentistry is mainly incorporated into medical insurance coverage:

1, tooth filling (including basic materials and treatment fees);

2, tooth extraction;

3, the cost of treating periodontal disease, gingivitis and other dental diseases. The insured person can register with the designated medical institution in the insured place with the medical insurance card and go to the stomatology department to see the dentist. The medical expenses incurred by filling teeth belong to the expenses paid by the medical insurance fund, which can be paid directly by swiping the medical insurance card. However, according to the national medical reimbursement regulations, therapeutic dental treatment belongs to the scope of medical insurance reimbursement, while dental implants and medical beauty are not. And like dental implants, dental implants, although not cosmetic surgery, but because these costs are mainly material costs, so the money is basically spent on 24k krypton gold. These expenses are usually approved by the price department and belong to special service expenses, which cannot be reimbursed through medical insurance.

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Matters needing attention in oral medical insurance

1. Medical insurance only covers outpatient and hospitalization expenses. Different regions have different policies on whether tooth washing is insured or not. If your local laws and regulations stipulate that tooth washing is not reimbursable, even if you find tooth decay when you go to the dental clinic to wash your teeth, the treatment at that time is not reimbursable.

2. You must go to the stomatology department of the hospital to see a dentist in order to enjoy medical insurance. Tooth extraction in general non-medical insurance designated dental clinics is not reimbursable. For example, Beijing Stomatological Hospital and Chinese Medicine Hospital are all within the scope of reimbursement.

3. The treatment of pulpitis and periapical periodontitis can also be reimbursed by medical insurance, and it is also required to go to a designated hospital for medical insurance.

4. Generally, non-specialist hospitals in Beijing 3A hospitals use domestic products, with a large proportion of reimbursement (such as 307 Hospital), while many imported products in specialist hospitals have a small proportion of reimbursement (such as Peking University Stomatology Department); Non-top three technology is not high, but also domestic products, most of which can be reimbursed. At present, the account balance of most urban medical insurance cards over the years can be used to pay for dental treatment. However, due to different local policies, you can also call 12333 to consult the local community department before going to the hospital.