Orthodontics is generally not reimbursed by medical insurance.
1, orthodontics is a non-disease medical treatment program, is not covered by the medical insurance fund. At present, not included in the urban basic medical insurance diagnostic and treatment items catalog of diagnostic and treatment items have five categories, including service items, non-disease treatment items, diagnostic and treatment equipment and medical materials, medical treatment items.
2, but because most of the national malocclusion is crowded teeth, the need for tooth extraction to crowded teeth to leave space for alignment, and tooth extraction is part of the medical insurance reimbursement category. So do orthodontic, only the extraction of this part can be reimbursed.
The medical insurance can not be reimbursed:
1, the third party responsible for the medical expenses. If a third party is responsible for the medical expenses incurred as a result of an injury in a traffic accident, then the treatment costs will be borne by the third party responsible. If the third party responsible does not pay for the medical expenses, or if the hit-and-run accident is unable to determine the third party responsible, then the medical expenses can usually be paid by the medical insurance fund first, and then recovered later.
2, non-designated hospital treatment costs. Medical expenses incurred in a designated hospital must be reimbursed, but not in a non-designated hospital, although emergency treatment can usually be reimbursed.
3. Costs outside the medical insurance catalog. The cost of the items in the medical insurance catalog can only be reimbursed, if the items are not in the medical insurance catalog can not be reimbursed.
4, the part that does not reach the starting line. The medical insurance reimbursement is a threshold requirement, only when the medical expenses to meet the medical insurance reimbursement of the threshold standard can be reimbursed, if the medical expenses do not meet the threshold, then the medical expenses incurred can only be borne by their own.
5. Exceeding the reimbursement ceiling. If you exceed the reimbursement ceiling, you will not be reimbursed for the excess.
6, the medical expenses within the scope of work injury insurance and maternity insurance. If the medical expenses are within the scope of work injury insurance, then they need to be paid by the work injury insurance fund and cannot be reimbursed by medical insurance. Similarly, if the medical expenses are within the scope of maternity insurance, then they can only be paid by the maternity insurance fund and cannot be reimbursed by medical insurance.
7, special medical. Medical insurance coverage is usually in the registration, consultation, surgical fees and other routine items, if the medical costs arising from plastic surgery and other reasons, then the medical insurance is not reimbursed.