Can the wisdom tooth medical insurance card be reimbursed?

Wisdom teeth can also be reimbursed by medical insurance. The general scope of reimbursement is: 50% of on-the-job employees and 75-80% of retired employees, but it must be a dental hospital designated by medical insurance or a hospital with oral qualifications, but it must be reimbursed at a designated hospital. Water supply can also be reimbursed, but it depends on whether the water is covered by medical insurance. For example, it costs 1000 yuan to pull out wisdom teeth. According to the calculation of employees, the reimbursement is 50%, that is, 1, 000 * 50% = 500 yuan.

1, medical insurance reimburses dental treatment only for dental treatment, surgery and other treatment expenses.

At present, the national medical reimbursement regulations, if it is a therapeutic dental disease, it belongs to 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), the cost of tooth extraction and the treatment cost of periodontal disease, gingivitis and other dental diseases.

Beijing reimbursement standard

Basic medical insurance reimbursement 1800 or above 80% of the expenses within the medical insurance scope. Supplementary medical insurance reimburses all expenses in medical insurance coverage. 2. Dental implants and medical beauty are not covered by reimbursement.

The relatively high cost of dental implants is mainly the cost of materials, such as porcelain teeth and dental implants. The consumption difference is too high. For example, the difference between inserting ordinary porcelain and reimbursing pure titanium porcelain is thousands. These fees are usually approved by the price department and belong to special service fees. The so-called special medical care refers to the medical service activities carried out by the hospital to meet the special medical needs of the masses on the basis of ensuring the basic medical needs, including various forms such as named surgery, overtime surgery, whole-course nursing, special wards, expert outpatient service, etc., so medical insurance reimbursement cannot be carried out.

3. Medical cosmetic repair is not included in the scope of reimbursement.

If it is in the field of tooth restoration and whitening, such as porcelain restoration, orthodontics, tooth implantation, tooth whitening and so on. In the medical field of our country, it belongs to medical cosmetic repair, so these can't be reimbursed by medical insurance card.

Author: CEO of Ant Social Security

Link:/question/364954760/answer/1590330584

Source: Zhihu.

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