In 2025, in Fushun, Liaoning, the dental reimbursement of medical insurance has certain differences between the first - class medical insurance and the second - class medical insurance. Generally, the second - class medical insurance has a relatively higher reimbursement ratio in dental treatment. For example, in first - level medical institutions, the reimbursement ratio of the first - class medical insurance for dental treatment may be 70%, while that of the second - class medical insurance can reach 75%; in second - level medical institutions, the reimbursement ratio of the first - class medical insurance is 60%, and that of the second - class medical insurance is 65%; in specialist and above - level medical institutions, the reimbursement ratio of the first - class medical insurance is 50%, and that of the second - class medical insurance is 55%. However, it should be noted that not all dental projects can be reimbursed. Only treatment - related dental projects such as tooth extraction, root canal treatment, and filling can be reimbursed, while dental beauty projects such as tooth implantation, tooth correction, and teeth whitening are generally not within the scope of reimbursement.

1. Reimbursement ratio difference

• First - level medical institutions: For first - class medical insurance, the reimbursement ratio for dental treatment is 70%. This means that if the total cost of dental treatment in a first - level medical institution is 1000 yuan, and the cost is within the scope of medical insurance reimbursement, the insured can be reimbursed 700 yuan. For second - class medical insurance, the reimbursement ratio is 75%. In the same situation, the insured can be reimbursed 750 yuan. The higher reimbursement ratio of the second - class medical insurance in first - level medical institutions can reduce the financial burden of insured patients to a certain extent.

• Second - level medical institutions: In second - level medical institutions, the reimbursement ratio of first - class medical insurance for dental treatment is 60%. For example, if the dental treatment cost is 1500 yuan, the reimbursable amount is 900 yuan. While the second - class medical insurance has a reimbursement ratio of 65%. For the same 1500 - yuan cost, the insured with second - class medical insurance can be reimbursed 975 yuan. This shows that in second - level medical institutions, the second - class medical insurance also has an advantage in reimbursement ratio.

• Specialist and above - level medical institutions: In specialist and above - level medical institutions, the reimbursement ratio of first - class medical insurance for dental treatment is 50%. Suppose the dental treatment cost is 2000 yuan, the reimbursable amount is 1000 yuan. The second - class medical insurance has a reimbursement ratio of 55%, and for the same 2000 - yuan cost, the insured can be reimbursed 1100 yuan. It can be seen that in different - level medical institutions, the second - class medical insurance has a relatively higher reimbursement ratio for dental treatment compared with the first - class medical insurance.

2. Reimbursable project scope

• Both are the same in general treatment - related projects: Whether it is first - class medical insurance or second - class medical insurance, for common treatment - related dental projects, they are within the scope of reimbursement. For example, for tooth extraction (including wisdom tooth extraction, impacted tooth extraction), if it is due to dental disease and meets the medical insurance reimbursement conditions, both can be reimbursed according to the corresponding ratio. Another example is root canal treatment. When the pulp of the tooth is diseased and needs root canal treatment, the cost of this project can also be reimbursed by both first - class and second - class medical insurance according to the regulations. Filling is also a common reimbursable project. When there are dental caries and need to fill the teeth, the cost of using basic filling materials can be reimbursed.

• Neither covers dental beauty projects: Dental beauty projects are not within the scope of reimbursement for both first - class and second - class medical insurance. For example, tooth implantation is mainly to restore the missing teeth to improve the appearance and chewing function, but it belongs to a high - cost beauty repair project and is not covered by medical insurance. Tooth correction, whether it is orthodontic treatment for dental malocclusion or invisible orthodontics, is also a dental beauty project and cannot be reimbursed. Teeth whitening, which aims to make the teeth whiter and more beautiful, is also not within the scope of medical insurance reimbursement.

3. Annual maximum payment limit

• First - class medical insurance: The annual maximum payment limit of the first - class medical insurance for dental treatment in general outpatient co - ordination funds is 5000 yuan for both in - service employees and retirees, and the maximum payment limit in second - level and below medical institutions is 2000 yuan. This means that within a year, regardless of how many times the insured undergoes dental treatment in different medical institutions, once the cumulative reimbursement amount reaches the maximum limit, no more reimbursement will be available for the remaining dental treatment costs in that year.

• Second - class medical insurance: Although there is no specific information indicating a significant difference in the annual maximum payment limit for dental treatment between the second - class medical insurance and the first - class medical insurance in the given materials, in actual situations, different levels of medical insurance may have different regulations on the annual maximum payment limit. Generally, the second - class medical insurance may also set an annual maximum payment limit, which may be the same as or different from that of the first - class medical insurance. If the second - class medical insurance has a higher annual maximum payment limit, it means that the insured can get more reimbursement for dental treatment in a year when the cost is high.

In conclusion, in 2025 in Fushun, Liaoning, there are differences in dental reimbursement between the first - class medical insurance and the second - class medical insurance, mainly reflected in the reimbursement ratio, the scope of reimbursable projects (although the scope of non - reimbursable beauty projects is the same for both), and potentially the annual maximum payment limit. When the public undergoes dental treatment, it is recommended to understand the specific medical insurance policies in detail, choose the appropriate medical insurance level according to their own situation, and select a medical institution that meets the regulations to ensure that they can enjoy the maximum medical insurance benefits.