In 2025, the reimbursement rate for tooth extraction under Urumqi's medical insurance in Xinjiang generally ranges from 50% to 80%, but it can vary due to multiple factors. Here are the details:
- Hospital Level: For outpatient tooth extraction, if you go to a community hospital, the reimbursement rate might be around 80% - 90%. At a general secondary hospital, it could be around 60% - 70%, and at a tertiary hospital, it is usually around 50% - 60%. For example, if the cost of tooth extraction at a tertiary hospital is 1000 yuan, with a 50% reimbursement rate, you would only need to pay 500 yuan out of pocket.
- Employee Status: If you are an active employee, the reimbursement rate is generally as described above. However, if you are a retiree, the reimbursement rate may be 5% - 10% higher than that of active employees. For instance, in some cases, retirees may have a reimbursement rate of 65% - 75% in secondary hospitals.
- Nature of Tooth Extraction: If it is a simple tooth extraction due to common dental diseases like loose teeth or some non - complex wisdom teeth extractions, it usually follows the outpatient reimbursement rate. But for complex tooth extractions that require hospitalization, such as extracting impacted wisdom teeth that involve surgical procedures on the jawbone, the reimbursement rate will be calculated according to the hospitalization reimbursement standards. The hospitalization reimbursement rate in a tertiary hospital could be around 70% - 80%.
- Medical Insurance Type: The reimbursement rates for urban employees' medical insurance and urban - rural residents' medical insurance are different. Generally, the reimbursement rate for urban employees' medical insurance is relatively higher. For example, in the same secondary hospital, the reimbursement rate for urban employees' medical insurance for tooth extraction may be 70%, while for urban - rural residents' medical insurance, it may be 60%.
It should be noted that these are only general guidelines. The actual reimbursement rate may be affected by local policies and specific medical insurance regulations in Urumqi. It is recommended that you consult the local medical insurance department or the medical insurance office of the designated hospital before undergoing tooth extraction to understand the exact reimbursement details.
