According to the provisions of medical insurance, dental treatment can be reimbursed, but porcelain teeth, dental implants, dental implants, trimming and porcelain crowns are all restorative treatments, which are not covered by reimbursement.
Proportion of reimbursement for dental medical insurance:
Dental medical insurance reimbursement can only be partial, not all. In case of hospitalization expenses, the minimum payment standard for employees and retired employees to use for the first time within one year is 1300. If it is the second hospitalization, according to 50% of the minimum payment standard, the maximum treatment cost that medical insurance can pay within one year is 70,000 yuan.
The reimbursement rate of township hospitals and community health service institutions is not less than 80%, the institutions above the county level are not less than 70%, and the municipal hospitals are not less than 60%.
To sum up, dental crowns are generally not covered by medical insurance and reimbursement. When wearing a crown, you need to go to a regular hospital to take a dental film and check the specific situation of your teeth. When there is a slight crack in the teeth, it is generally necessary to wear a crown to protect the teeth. You can choose a particularly good all-ceramic tooth material with good wear resistance, which is particularly similar to the color of real teeth and looks more beautiful. Try not to eat hard or sticky food in the short term when installing the crown, which may easily cause the crown to fall off.
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.
Article 30
The following medical expenses are not included in the payment scope of the basic medical insurance fund:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(three) shall be borne by public health;
(4) Go abroad for medical treatment.
Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.