Dental crowns are generally not covered by medical insurance and are not covered by reimbursement. Because dental crowns are dental cosmetic items, medical insurance will not reimburse them. People who want to have dental crowns can choose the dental department of a local regular hospital to have dental crowns done. Medical insurance stipulates that dental treatment can be reimbursed, but porcelain teeth, dental implants, dental veneers, trimming, and porcelain crowns are all restorative treatments and are not covered by reimbursement.

The main items included in the scope of medical insurance are: 1. Dental fillings (including basic materials and treatment fees) 2. Tooth extraction 3. The cost of treating periodontal disease, gingivitis and other dental diseases. The items that cannot be reimbursed by medical insurance are: 1. Dental dentures 2. Porcelain teeth 3. Dental implants 4. Orthodontics. The main reason is the cost of materials, such as porcelain teeth and dental implants. These costs are usually approved by the price department and are special service fees, so they cannot be reimbursed by medical insurance. However, if you go for dental implants or teeth cleaning, although it cannot be reimbursed by medical insurance, you can use the account balance of your medical insurance card over the years to pay for it.

Tooth fillings alone are reimbursable. The simple filling mentioned here means that your caries are not very severe, which means that the scope of the damage is not large. It can be restored by just removing the caries or performing needle treatment (nerve-killing) and then filling it with materials. Reimbursed by medical insurance. The only thing that needs to be noted is that during this period, some self-financed items will be used, such as various imported equipment (I can’t even name them). But this type does not cost a lot, maybe a few dozen to a hundred yuan, so there is no need to worry too much. After all, it is not unusual to see hundreds or even thousands of teeth stained at one time. During the filling period, if anesthesia and painkillers are used, they will also be reimbursed.

I hope the above content will be helpful to you. If you still have any questions, please consult a professional lawyer.

Legal basis:

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

Article 28

In line 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.

Article 30

The following medical expenses are not included in the payment scope of the basic medical insurance fund:

(1) Should be paid from the work-related injury insurance fund;< /p>

(2) Should be borne by a third party;

(3) Should be borne by the public health department;

(4) Seeking medical treatment abroad of.

Medical expenses should be borne by a third party in accordance with the law. If the third party fails to pay or the third party cannot be identified, the basic medical insurance fund shall pay first. After the basic medical insurance fund has paid in advance, it has the right to recover compensation from the third party.