Dental inlays belong to the category of medical beauty. You can only use the balance in your own medical insurance card. Dental treatment and tooth extraction can be reimbursed by medical insurance. If the insured really needs emergency rescue, he can seek medical treatment in a non-agreement medical institution, and the scope of drugs that must be used for rescue can be appropriately relaxed. The specific measures for the administration of emergency and rescue medical services of the insured shall be formulated by the overall planning area according to the local actual situation. Prosthodontics, also known as dental prosthetics, can be divided into fixed denture, removable partial denture and complete denture according to the defects of teeth and dentition. In recent years, there are dental implants, which is also a good choice. Because dental implants belong to the category of plastic surgery, they are not the treatment of diseases, so medical insurance often does not reimburse dental implants.

Medical insurance reimbursement process of dental clinic:

1, the insured submits all the documents and vouchers required for reimbursement to the relevant local authorities;

2. Just wait for the social security agency to handle it, or you can directly reimburse it in the hospital, that is, when you go through the hospitalization procedures, you can directly participate in the reimbursement by issuing a new rural cooperative medical certificate to the hospital.

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. For 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, if it is the cost of filling teeth, extracting teeth, treating periodontal diseases, gingivitis and other dental diseases, medical insurance can be reimbursed. The cost of dental implants is usually high, and different materials charge different fees. This is a special service fee, and medical insurance cannot be reimbursed.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

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 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.