About the insurance reimbursement request:
Public hospital visits, consistency between diagnosisand treatment details and the total amount of invoice, and complete medicalrecords are the first condition to enjoy dental expenses reimbursement. Inaddition, the cost of dental care can be reimbursed depending on the treatmentprogram and the materials used.
General non-reimbursement items
1. Denture: ordinarydenture, such as there are tooth No.1, 2and 3, among which the second tooth is pulled out for some reason. So makedental caps (3 porcelain crowns) for the three teeth, put them on 1st and 3rdrespectively, and then the second tooth is fixed too.But the premiseis that tooth No. 1 and 3 must be worn off a thick layer for the crown. Theadvantage of this method is that it is cheaper than dental implant, and thedisadvantage is that the two good teeth No.1 and 3 are damaged.
2. Dental implant: As mentioned above, amongthe tooth No.1, 2 and 3, the second tooth is pulled out for some reason. Dentalimplant is to implant a nail into the alveolar bone on the location of toothNo.2, and then an independent porcelain crown is implanted on the head of thenail. The advantage of this method is that it has nothing to do with the adjacentteeth, but it is relatively expensive.
3. Denture restoration: including the post crown, dentalcrown, complete denture, partial denture etc.
4. Orthodontics:orthodontic treatment is needed due to irregular teeth.
5. Repair: The use of imported high-endmaterials cannot be reimbursed generally, but the use of ordinary materials canbe reimbursed.
6. Stained tooth treatment and other estheticdentistry items
7. Simple teethwash, or when the teeth wash is required for the treatment, the costsinvolved in esthetic dentistry.
Reimbursement items
1. Tooth extraction.
2. Tooth filling: includingordinary materials and treatment fees.
3. Oral hemostasis,periodontal disease, pulpitis, periapical periodontitis, root canal therapy,toothache and other disease treatment costs.
General reimbursement ratioand form (general departments of public hospitals)
1. Outpatient fordisease: There is a daily limit of 600 yuan ( the cost within the daily limit afterdeduction of the expenses paid by oneself); there is a minimum charge, and the payout ratio is 85%. That is (the totalamount within daily limit-minimum charge)*85%= Reimbursement amount
2. Outpatient foraccident:Subtract the non-reimbursement expense, 100% of therest expense.
