The cost of wisdom tooth extraction with health insurance is an issue that many customers are concerned about. Furthermore, according to the provisions of the Health Insurance Law, wisdom tooth extraction is still covered by insurance in case of treatment of a disease that affects health and is prescribed by a doctor. So how much will the cost of wisdom tooth extraction with health insurance decrease? And what cases are covered by insurance?
Is wisdom tooth extraction covered by health insurance?
According to Article 21 of the Law Health Insurance in 2008, amended and supplemented in 2014, if the case of wisdom teeth falls into the case of dental diseases that affect health and requires a doctor’s prescription, the insurance fund will be paid. On the contrary, in cases of tooth extraction for cosmetic purposes, or participating in experiments, etc., this will not meet the conditions for health insurance policies.
Cases of wisdom tooth extraction are covered by insurance:
- Wisdom teeth are impacted or impacted, causing pain. At the same time, there is a risk of damaging the roots of adjacent teeth.
- Wisdom teeth with root canal inflammation or other oral diseases such as periodontitis, pulpitis, etc.
- Wisdom teeth are broken or broken due to strong impacts. In this case, extraction will often be indicated to avoid affecting oral health.
- Growing tooth number 8 causes pain, infection, and this condition repeats itself. At the same time, they have the ability to spread to other teeth.
Therefore, based on the above terms, when a patient has a tooth extracted, it will depend on the case whether the patient is entitled to health insurance?
How is the cost of wisdom tooth extraction covered by health insurance?
There will be a difference in health insurance benefits when wisdom tooth extraction (tooth number 8) if you go on the right route or on the wrong route. In case you have wisdom teeth extracted properly, insurance will cover 80 – 100% of the cost. On the contrary, if a tooth is extracted out of line, the health insurance will be from 40 – 100%.
In case of tooth extraction not in the right line
Article 22 of Law BHealth insurance policy in 2008, revised in 2014, health insurance benefits when wisdom teeth (tooth number 8) are extracted properly will range from 80 – 100% of the cost. Specifically applied to the following cases:
- 100% of costs for officers, professional soldiers, people’s police, veterans, people with meritorious services to the revolution, children under 6 years old, people from poor households,..
- 100% of the cost for a single medical examination and treatment is lower than the rate that the Government regulates for medical examination and treatment at the commune level.
- 100% of the cost if you participate in insurance for 5 consecutive years or more and the amount paid for medical examination and treatment costs during the year must be greater than 6 months of base salary (excluding cases of self-examination or treatment at the wrong level).
- 95% of medical examination and treatment costs for pensioners and monthly incapacity benefits, relatives of people with meritorious services to the revolution; people from near-poor households.
- 80% of the cost for the remaining cases.
In case of wisdom tooth extraction at the wrong route
In case of medical examination and treatment at the wrong route, you will still receive support from health insurance at the following payment level:
- 40% of inpatient treatment costs at central hospitals;
- 100% of inpatient treatment costs at provincial hospitals;
- 100% of medical examination and treatment costs at district hospitals.
In fact, the cost of wisdom tooth extraction on the market will range from 1,500,000 – 5,000,000 VND/tooth. This cost is not covered by health insurance. If you are covered by 80% health insurance, the cost you need to pay is from 300,000 – 1,000,000 VND/tooth.
Furthermore, the cost of wisdom tooth extraction will also depend on the degree of tooth misalignment. In case of impacted or crooked teeth, the cost of wisdom tooth extraction will be higher than in cases of straight teeth. Because teeth are complicated and take more time.
How to participate in health insurance?
Participating in health insurance is based on voluntary spirit. This means that everyone still has the right to participate in insurance, including unemployed people. However, health insurance transfer benefits will vary and depend on specific cases.
In case you do not depend on people who are required to participate in health insurance such as indefinite-term contracts, pensioners, unemployment benefits, officers, etc., you can absolutely buy or not buy health insurance according to your own needs.
In addition, in order to enjoy the regulations of the Health Insurance Law, you have voluntarily participated. Therefore, when going to have your wisdom teeth extracted, you only need to present your health insurance card. This will ensure the rights of health service users. For children under 6 years old, parents or guardians only need to present their health insurance card.
Cost of wisdom tooth extraction at My Dental Clinic Auris
My Auris Dentistry provides you with applicable costs for tooth extraction without health insurance that will range from 1,000,000 – 3,000,000 VND/tooth. Furthermore, how the cost of wisdom tooth extraction will be covered by health insurance will be something that many customers are interested in.
When you come for a check-up and have your wisdom teeth extracted here, you will be thoroughly consulted and the level of cost covered by insurance will depend on the complexity of your wisdom teeth and the hospitals/dentists that apply insurance laws. dangerous.
My Auris is a reputable dental address with a team of specialized doctors, well-trained and rich in practical clinical experience. Moreover, always investing in equipment and updating modern technology in the world.
Moreover, My Auris always meets the needs of medical examination and treatment, not inferior to public hospitals. In addition, customers do not need to wait but are always welcomed carefully, with a luxurious dental clinic space, always creating a comfortable feeling every time they visit.
At the same time, My Auris Smart Dental Clinic often has special incentive programs for customers. Promotional programs are updated in detail on Facebook and Website, so you don’t miss out on attractive programs and useful knowledge.
The above are answers to questions about the cost of tooth extractionPeople who do not have health insurance. Hope this article will provide you with the necessary information. If you have any questions, please contact us via Fanpage or come directly to the dentist for thorough and detailed advice.
Kim Dung
