The installation of dentures is generally not reimbursable, but can only be reimbursed for people's basic medical needs. my country's Social Insurance Law stipulates the relevant content of medical insurance.
Dentures are not reimbursable by medical insurance. Installing dentures is generally a common phenomenon among the elderly, so it is selective for most people. Therefore, it is a self-paid item within the scope of medical insurance and is generally not reimbursable by medical insurance. The scope of medical insurance reimbursement is generally only reimbursement for disease examination expenses or drug expenses.
What items are included in medical insurance reimbursement?
The classification and included items of medical insurance reimbursement are as follows:
1. General medical insurance. It mainly includes outpatient expenses, medical expenses, examination expenses, etc.
2. Hospitalization insurance. Mainly include daily hospitalization expenses, expenses for using hospital equipment, surgical expenses, medical expenses, etc.
3. Surgery insurance. Provide all expenses incurred by the patient for necessary surgeries.
4. Comprehensive medical insurance. The cost range includes all expenses such as medical treatment, hospitalization and surgery.
5. Special disease insurance. Certain special diseases often bring catastrophic expenses to patients, which are unbearable for ordinary families. Examples include cancer and heart disease. The critical illness that provides protection to the policyholder can be a single item, such as malignant tumors, or even certain types of cancer among malignant tumors.
I hope the above content will be helpful to you. If you have any other questions, please consult a professional lawyer.
Legal basis: "Social Insurance Law of the People's Republic of China"
Article 23 Employees shall participate in employee basic medical insurance, which shall be provided by the employer and employees in accordance with national regulations* **Same as paying basic medical insurance premiums.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer, and other flexible employment personnel can participate in the basic medical insurance for employees, and individuals must pay for the basic medical insurance in accordance with national regulations. fee.
Article 24 The state shall establish and improve a new rural cooperative medical system.
The management measures for the new rural cooperative medical system shall be stipulated by the State Council.
Article 25 The state shall establish and improve the basic medical insurance system for urban residents.
The basic medical insurance for urban residents combines individual contributions and government subsidies.
The government will subsidize the personal contributions required by people who enjoy the minimum living security, disabled people who have lost the ability to work, elderly people over 60 years old and minors from low-income families.
Article 28: Medical expenses that comply with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue expenses shall be paid from the basic medical insurance fund in accordance with national regulations.
Article 30 The following medical expenses are not included in the payment scope of the basic medical insurance fund:
(1) Should be paid from the work-related injury insurance fund;
( 2) Should be borne by a third party;
(3) Should be borne by the public health department;
(4) Seek medical treatment abroad. Medical expenses shall be borne by a third party in accordance with the law. If the third party fails to pay or the third party cannot be identified, the basic medical insurance fund shall pay first. After the basic medical insurance fund has paid in advance, it has the right to recover compensation from the third party.