Orthodontics is not in medical insurance coverage. Orthodontics belongs to the category of plastic surgery. Although it is handled in stomatology, it is not within the scope of medical insurance and is not within the scope of medical insurance reimbursement. Orthodontics needs to be paid at your own expense.
Dentistry is mainly incorporated into medical insurance coverage:
1, tooth filling (including basic materials and treatment fees);
2, tooth extraction;
3, the cost of treating periodontal disease, gingivitis and other dental diseases.
The items that cannot be reimbursed by dental medical insurance are:
1, dentures;
2. porcelain teeth;
3. Wash your teeth;
4. Orthodontics;
5, dental implants malt dental implants, orthodontics.
The provisions of the medical insurance payment period are as follows:
1, 25 years for men and 20 years for women;
2. When men retire, the cumulative payment period is less than 30 years, and the cumulative payment period for women is less than 25 years. If the employer and individual employees make up the medical insurance premium at one time according to the regulations, it can be regarded as the expiration of the payment period;
3. The medical insurance of enterprise employees shall be regarded as the actual working years recorded in personnel files.
To sum up, medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by disease risks. The medical insurance fund is established through the contributions of employers and individuals. After the insured person has medical expenses, the medical insurance institution will give certain economic compensation.
Legal basis:
Article 2 of People's Republic of China (PRC) Social Insurance Law
The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to get material help from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.
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.