A brief visit to the dental chair can quickly cost you thousands of dollars, especially if the dentist needs to move with the drill. And if you need to do major treatments over several hours, a monthly salary can be taken out of your account quickly.
But there are actually a number of dental treatments that you do not have to pay in full. In the National Insurance Law, 15 points are listed in which you can be entitled to dental care totally or partially covered according to the social security rates given.
– Children and young people, as well as other priority groups, receive free treatment in the public oral health service. The main rule is that adults pay the cost of dentistry, but there are some exceptions if you have certain diseases, conditions or injuries, says President Camilla Hansen Steinum of the Danish Dental Association.
The regulations decide
Helfo's regulations determine who gets the covered dentistry. Dentists have, provided they are in the subject competence, have been given the authority to assess what dental treatment a patient needs and whether the treatment is under the points of the regulations.
– Helfo pays benefits according to defined rates, while the dentist or dental hygienist has free prices. So it is common for you to pay a deductible. Many dentists and dentists have an agreement with Helfo for direct settlement. They will be reimbursed for the part of the treatment that Helfo covers directly, continues the president of the Dental Association.
Among the covered dental treatments are treatment, the disease is marginal periodontitis (Pyrea), which is an inflammatory disease of the gums and, in the worst case, can cause the fall of the teeth. This is one of the conditions that leads the list of refunds of Helfo.
Most people have a form of inflammation of the gums during their lives. The mild variant is when you brush your teeth and begin to bleed slightly on the gums. And then it is 10 to 15% who get the most severe form, which in the worst case can cause the teeth to loosen and fall. Illnesses usually occur only after the age of 40, she says.
If you struggle with hyposalivation, ie dry mouth, there is also support to get. The state covers part of the account.
"That's also very common. Many may have dry mouth as a side effect of medications or various medications they are taking. But you do not get the state to take the bill if you're just dry in your mouth, you also need to get dental health worse, the doctor's president continues.
Damage and acid damage
People who can not take care of themselves or those who have diseases that prevent proper brushing of teeth can also cover dental expenses.
It scrubs your light so much that your teeth wear out (friction) or have suffered great damage with acid (erosion), for example due to acid regurgitation so much that you have trouble chewing or there are major aesthetic problems that you can get the expenses covered.
– This is also a large group of patients. But it must be a serious acid damage, and should be an aesthetic and functional problem for the patient. We see more and more acid damage as a result of increasing intake of acidic drinks such as soft drinks, juices and flavored water, Hansen Steinum continues.
If you injure your teeth in an accident at work and get this confirmed by NAV, Helfo will cover parts of the dental treatment. Helfo also provides support for the treatment of dental injuries if you suffer from a disease that can cause falls, such as epilepsy. The provision covers only injuries that occur during seizures.
This is covered by the state
According to Section 5-6 of the National Insurance Act, benefits are provided to cover expenses and treatment by the dentist under the following conditions / cases:
- Rare medical condition
- cleft lip and palate
- Tumors in the oral cavity, adjacent tissues or head region in general
- Treatment of infection prevention in special medical conditions (organ transplantation, various conditions of cancer, HIV / AIDS)
- Diseases and anomalies in the mouth and jaw (dental and mandibular surgery)
- Periodontitis (gum disease)
- Dental development disorders (congenital conditions)
- Bite anomalies (orthodontic appliance)
- Pathological loss of dental substance in friction / erosion (severe tooth wear / acid damage)
- Hyposalivation (dry mouth)
- Allergic reactions to dental restorative materials (oral cavity or skin)
- Injury due to occupational injury approved
- Dental injury by accident that is not occupational injury (leisure accidents)
- Ability for serious self-care in people with a long-term illness (a condition that lasted more than one year and caused a reduction in oral health) or permanent disability
- Total or partial loss of teeth without proper teeth in the lower jaw (and unable to use loose prostheses)
Source: Ministry of Health and Care Services/ HELFO
I'm not sure it will be free.
Orthodontics has long been covered by the state. Between 40 and 100 percent of social security rates are covered, depending on the severity of the condition. Treatment should be started no later than the year in which the patient reaches the age of 20 years.
It is the public oral health service that, if necessary, refers to the orthodontist, who, in turn, assesses the bracketing requirements based on the regulations. It determines how much of the treatment is covered.
– Helfo pays benefits according to defined rates, while the dentist or dental hygienist has free prices. So it is common for you to pay a deductible. Many dentists and dentists have an agreement with Helfo for direct settlement. They will be reimbursed for the part of the treatment that Helfo covers directly, explains the president of the dentist.
Although a treatment is covered 100% by Helfo, the treatment may not be totally free. It is often a franchise. And if the dentist has a higher price than the national insurance rates, you must pay the balance. This usually applies to both public and private dentists.
If your dentist has entered into a direct agreement agreement, he or she will send the account for treatment directly to Helfo. You only pay any franchise and deposit. However, if your dentist does not have an appointment with Helfo, you will have to pay the full cost and then get a refund from Helfo.
– If you can not pay for your own dental care, you may request full or partial coverage of the expenses of the Nav. Along with you, they assess your need for financial assistance, says the president of the dentist.
– How much you can get support depends on the situation of your family, the number of people who belong to the home, the situation of housing and more. Nav determines the benefit after an individual assessment in each individual case, continues the president of the dentist.
For an advanced odontological requirement, the account can quickly reach 100,000-150,000 kronor. One important thing to keep in mind is that it should not take more than six months from the date of treatment until Helfo receives the information. Otherwise, parts of the treatment may be rejected due to obsolescence.