Dental filling belongs to the scope of medical insurance, and the general reimbursement rate is about 50%. Dental treatment expenses and operation expenses Dental treatment mainly includes dental diseases such as tooth filling, root canal treatment, tooth extraction, tooth filling, periodontal treatment and gingivitis in medical insurance coverage.

Legal objectivity:

The good news: experts remind that tooth filling, tooth extraction and oral scaling (that is, tooth washing) have been included in the scope of Shanghai medical insurance. Ordinary people go to regular hospitals to have their teeth cleaned every six months, which can effectively prevent the occurrence of various dental diseases. According to the director of Shanghai Institute of Stomatology, the incidence of dental caries among middle-aged and elderly people in this city has risen to 90%. Due to the neglect of oral problems, the periodontal health of middle-aged and elderly people is less than 65,438+05%, the gingival bleeding rate is 57%, the tartar detection rate is 73%, and 65,438+00% of the elderly people have no teeth. Regular tooth washing can prevent and treat gingivitis, periodontitis and beauty. At present, tooth washing, like periodontal disease treatment, tooth extraction and tooth filling, is covered by medical insurance and can be reimbursed. However, experts remind that tooth washing is a medical act and can only be carried out by qualified medical institutions. Some small street clinics, beauty salons, etc. Due to the lack of professional medical qualifications, there are many hidden dangers of illegal medical practice. Experts remind the public that they must go to a big hospital to choose a professional doctor to wash their teeth. Knowledge extension-medical insurance reimbursement scope: medical insurance is insurance to compensate medical expenses caused by diseases. Social insurance in which employees are provided with necessary medical services or material assistance by society or enterprises due to illness, injury or childbirth. For example, free medical care and labor insurance medical care in China. The medical expenses of employees in China are shared by the state, units and individuals to reduce the burden on enterprises and avoid waste. The scope of medical insurance is very wide. Generally, medical expenses are distinguished according to the characteristics of medical services, including doctor's outpatient expenses, medicine expenses, hospitalization expenses, nursing expenses, hospitalization miscellaneous expenses, operation expenses, and various inspection expenses. Medical expenses are all kinds of expenses incurred by patients to treat diseases, including not only doctors' medical expenses and operation expenses, but also hospitalization expenses, nursing expenses and hospital equipment expenses. First of all, the difference between medical insurance drugs and non-medical insurance drugs, reimbursement deductible line is also different according to hospital level. Generally, Class A drugs can enjoy full coverage, Class C drugs need to pay all the expenses, and Class B drugs need to pay 80% and 20%. A person spends 10000 yuan in a hospital. If he is hospitalized in a first-class hospital, 500 yuan will be deducted first; If you are hospitalized in a secondary hospital, first subtract 1000 yuan; If you are hospitalized in a tertiary hospital, you can deduct 2000 yuan first, which is the difference of deductible. Secondly, medical insurance also has exclusions. The following ten items are not included in the scope of medical insurance reimbursement: 1, the cost of organ and tissue transplantation due to illness, the cost of purchasing organ and tissue, and the cost of using anti-rejection drugs and immunomodulatory drugs beyond the scope of medical insurance reimbursement for employees in Zhenjiang; 2. Work-related injuries and occupational diseases; 3. Female workers give birth; 4. Rogue fights; 5. Injuries caused by alcoholism; 6. Traffic accidents; 7. Others intentionally hurt; 8. Medical malpractice; 9. Beauty and health examination; 10, other expenses not paid by the social medical insurance fund. Iii. Policies and regulations on reimbursement of medical expenses incurred by insured employees on business trips, visiting relatives and living in different places for a long time 1. Insured employees traveling on business or visiting relatives in other places will only be reimbursed for emergency expenses in other places that meet the requirements of medical insurance, and all expenses will not be reimbursed for non-emergency hospitalization. 2, the insured workers living in the field for more than 6 months, according to the nature of long-term living in the field of medical expenses. 3. Long-term residents in other places should be certified by the unit, and two designated hospitals (which should be designated medical institutions for local medical insurance) should be identified, and the medical expense reimbursement card for long-term residents in other places in Zhenjiang City should be handled in time. 4. Long-term residents in other places must adhere to the principle of economy and prescribe drugs in a limited amount according to regulations (the acute dose is within 3 days, the chronic dose is within 10 days, and the dose of tuberculosis, hypertension and diabetes can be extended to 30 days). 5, long-term residence in the field of referral, need to be signed by the local designated hospitals, step by step according to the principle of territoriality, referral hospital for the city's medical insurance to determine the special hospital. The individual pays 65438+ 00% of the total expenses first, and then reimburses the expenses according to the medical insurance regulations. Other hospitals and individuals pay 20% of the total expenses first, and then reimburse medical expenses according to medical insurance regulations.