In 2025, in Guizhou, generally speaking, for first - tier medical insurance, the reimbursement ratio for dental treatment in tertiary hospitals is relatively high, usually around 70% - 80%, and in community hospitals, it can reach about 90%. For second - tier medical insurance, the reimbursement ratio in tertiary hospitals is relatively lower, generally 50% - 60%, and in community hospitals, it is around 70%. Now, let's break it down by different dental treatment items:
- Tooth filling:
- First - tier medical insurance: In tertiary hospitals, the reimbursement ratio is 70% - 80%, and in community hospitals, it is about 90%. This means that if you choose a community hospital for tooth filling, you can get a very high reimbursement, and the out - of - pocket cost is relatively low.
- Second - tier medical insurance: In tertiary hospitals, the reimbursement ratio is 50% - 60%, and in community hospitals, it is about 70%. Compared with the first - tier medical insurance, the reimbursement amount is less, and you need to bear more costs yourself.
- Tooth extraction:
- First - tier medical insurance: The reimbursement ratio in tertiary hospitals is 70% - 80%, and in community hospitals, it is about 90%. Similar to tooth filling, community hospitals offer a higher reimbursement ratio, which can effectively reduce the financial burden of tooth extraction.
- Second - tier medical insurance: In tertiary hospitals, the reimbursement ratio is 50% - 60%, and in community hospitals, it is about 70%. The overall reimbursement level is lower than that of the first - tier medical insurance.
- Root canal treatment:
- First - tier medical insurance: In tertiary hospitals, the reimbursement ratio is 70% - 80%, and in community hospitals, it is about 90%. This high reimbursement ratio makes root canal treatment in community hospitals more cost - effective.
- Second - tier medical insurance: In tertiary hospitals, the reimbursement ratio is 50% - 60%, and in community hospitals, it is about 70%. The cost - sharing pressure on individuals is relatively greater.
- Periodontal treatment:
- First - tier medical insurance: In tertiary hospitals, the reimbursement ratio is 70% - 80%, and in community hospitals, it is about 90%. Community hospitals are more advantageous in terms of reimbursement.
- Second - tier medical insurance: In tertiary hospitals, the reimbursement ratio is 50% - 60%, and in community hospitals, it is about 70%. The second - tier medical insurance has a relatively lower reimbursement level.
In conclusion, in 2025 in Guizhou, there are significant differences in the dental reimbursement ratios between the first - tier and second - tier medical insurances. The first - tier medical insurance generally has a higher reimbursement ratio, especially in community hospitals. When choosing medical insurance and dental treatment institutions, it is recommended that you comprehensively consider your own economic situation and medical needs to make a more suitable choice, which can effectively reduce the economic burden of dental treatment.
