You can use the adult dental care benefit at our clinic.
Please tell your dentist before the visit if you wish to use your benefit, otherwise it will not be applied. Please also note that when the benefit is applied, the Health Insurance Fund (TK) prices apply to the relevant services, which are lower than the regular prices.
The dental care benefit for adults is 60 euros per year (co-payment at least 50%). For people with greater dental care needs – for example pregnant women, mothers of children under 1 year of age, people with partial or no work capacity and old-age pensioners – the benefit is 105 euros per year (co-payment at least 12.5%).
Everyone insured by the Health Insurance Fund (Tervisekassa) is entitled to the dental care benefit:
- Adults – entitled to a 60-euro dental care benefit, with the patient paying at least 50% of the bill. For example, if your dental bill for eligible services is 120 euros, you pay 50% of the bill, i.e. 60 euros, and the Health Insurance Fund covers the other 50%. In the same calendar year the Health Insurance Fund will not cover any further dental services for you, i.e. next time you pay the full bill yourself. If your bill for eligible services is, for example, 100 euros, the Health Insurance Fund pays 50 euros of it and you pay the remaining 50 euros. This means you still have 10 euros of dental care benefit left to use in that calendar year.
- Pregnant women and mothers of children under one year of age – entitled to a benefit of up to 105 euros per year, with the patient paying at least 12.5% of the bill. However, if the child turns one on the day the service is provided, the 60-euro benefit applies to the mother, as at the time of the service she no longer belongs to the target group of the 105-euro benefit.
3. Old-age and disability pensioners – people with partial or no work capacity and elderly people over 63 – entitled to a benefit of 105 euros per year, with the patient paying at least 12.5% of the bill.
4. Patients with increased dental care needs – entitled to a benefit of up to 105 euros per year, with the patient paying at least 12.5% of the bill themselves.
5. The higher rate of dental care benefit is available to people who have received subsistence benefit under the Social Welfare Act during the two calendar months preceding the month of the service. The benefit is 105 euros per year, with the patient paying at least 12.5% of the bill themselves.
6. A person is entitled to the benefit – if the increased need for dental care has arisen as a result of the following healthcare services or diseases:
* Surgical and/or radiation treatment of head and neck tumours.
* Surgical treatment of cleft lip, alveolar process and palate.
* Treatment of genetic and
metabolic diseases causing malformations of the dental tissues or the facial and jaw bones.
* Surgical treatment of trauma and inflammation in the maxillofacial region.
* A medical procedure (endoscopy, anaesthesia, etc.) during which trauma to the maxillofacial region occurred.
* Lung, liver, heart and/or kidney or haematopoietic stem cell transplantation, or preparation for transplantation.
* Type I diabetes.
* Sjögren’s syndrome.
