Dental implants in Shanghai have been included in the medical insurance policy.

After dental implants are included in the medical insurance policy in Shanghai, partial medical reimbursement can be obtained for dental implants in Shanghai, but there are certain restrictions, and the expenses incurred by dental implants cannot be fully reimbursed. Judging from the latest policy news, when patients undergo dental implant treatment in Shanghai, they are currently only reimbursed for the dental treatment fees and surgical fees of the dental department. At the same time, dental implant treatment must be performed at a dental clinic or dental hospital designated by medical insurance, so that medical insurance can be used for partial reimbursement. Therefore, judging from the current dental implant projects in Shanghai, it can reduce the patient's certain cost of surgical treatment of oral dental implants, but the range of surgical treatment costs that reduce the cost of dental implants is relatively small.

For general dental treatment costs, some items can be paid with a medical insurance card at designated hospitals. Dental dentures and dental implants are not covered by medical insurance reimbursement, so they cannot be reimbursed by medical insurance.

At present, when you go to the hospital to see oral diseases, the main medical expenses that have been covered by medical insurance are dental fillings, tooth extractions, and the treatment of periodontal disease, gingivitis, etc. The relatively high cost of dental implants is mainly material costs, 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, although dental dentures, dental implants, and dental cleaning cannot be reimbursed by medical insurance, you can use your personal account balance on your medical insurance card to pay for them.

Currently, according to my country’s medical reimbursement regulations, if dental treatment is therapeutic in nature, it is within the scope of medical insurance reimbursement. What has been included in the scope of medical insurance is mainly the cost of filling teeth (including basic materials and treatment fees), tooth extraction, and the treatment of periodontal disease, gingivitis and other dental diseases. Dental implants belong to the scope of cosmetic surgery, which is the same as orthodontic treatment of teeth, so they cannot be used for medical insurance.

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

Legal basis:

Article 2 of the "Full Text of the Social Insurance Law of the People's Republic of China"

The state establishes basic pension insurance, basic medical insurance, and work-related injury insurance Social insurance systems such as insurance, unemployment insurance, and maternity insurance guarantee citizens’ rights to obtain material assistance from the state and society in accordance with the law in the event of old age, illness, work-related injury, unemployment, childbirth, etc.