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Orthodontic cost with social security insurance 1404 + conditions and complete guide
مقاله تخصصی

Orthodontic cost with social security insurance 1404 + conditions and complete guide

3 months ago
356 بازدید
Last update: 07/09/1404
Confirming doctor: Dr. Saeed Qureshi
Author: Fatemeh Hedayat
Approximately 52% of the country is covered by the social security organization and uses its medical services.. But is it possible to pay for orthodontics with social security insurance? This article is a realistic guide on this issue.... Stay with us to see how much this insurance policy is in relation to the cost of orthodontics and how it differs from supplementary insurances....
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Does Social Security cover the cost of orthodontics? Unfortunately, the short answer is "no"... despite the fact that orthodontics is one of the most important treatment methods and is not just cosmetic in dentistry, social security does not cover it, and orthodontic insurance (whether fixed or mobile) is not defined in it at all... Of course, it is not the case that this insurance does not help to reduce costs. It is extremely challenging.. In addition, even some of the contracted hospitals do not cover this treatment due to the lack of orthodontic specialists or the necessary equipment.. such as Ostad Ali Nasab Hospital and 29 Bahman Hospital in Tabriz or 17 Shahrivar Hospital, Farabi Hospital and Bilal Habashi Specialized Polyclinic in Mashhad... Compulsory/optional/contractually insured persons are covered by unemployment insurance, pensioners (and their dependents) are covered by the Social Security Services Law.. organization... another point is that you must visit the medical centers of the contracting party... some treatments may have other conditions... payment of insurance premiums... at the same time, the social security insurance must confirm the lack of coverage of supplementary insurance for treatment... no; In addition to orthodontics, other specialized services and considered cosmetic treatments, such as dental implants and crowns, are not covered by insurance... This is the same for insured persons in any age group.. Therefore, the price of children's orthodontics is not covered either... instead, a series of basic services are covered... including initial visit, simple radiography, scaling and brosage, fluoride therapy, fissure sealant for children, restoration of tooth 6 with amalgam and composite, extraction of anterior, posterior and wisdom teeth, single-level filling and surgery for teeth embedded in soft and hard tissue... Therefore, making artificial teeth is limited or limited. There is no orthodontics with social security insurance**, in order to reduce the cost of the above items (most of which are suitable among the (prerequisites and preparations for orthodontic treatment)... In general, "basic insurance" includes basic services and is provided by government organizations.... but "supplementary insurance" is specific to private companies and covers supplementary insurance... coverage of the cost of upper and lower jaw orthodontics.... only some group supplementary insurances cover a part of the cost of orthodontics up to a certain limit... How to receive orthodontic expenses from social security insurance? As we said, social security does not cover orthodontics, but it includes some basic and prerequisite treatments... The general procedure of social security insurance is that you must first go to the medical centers of the organization's contract... For subsidized coverage (such as artificial teeth), keep the following in mind... ### Required documents for reimbursement request - Specialist dentist's confirmation - National card - Specialist dentist referral - All medical documents related to treatment ### Document submission process and reimbursement follow-up 1 .... Submitting documents to the social security organization (or registering an online application in internet cafes) 2 .... checking documents 3... Approval of expenses 4 .... payment of assistance to the applicant ### Important Notes About Medical Endorsements - The approval must include necessary services, duration of treatment and estimated cost... - The applicant must refer to social security within 3 months after receiving the medical approval.. To prepare teeth for orthodontics, you may need tooth extractions, fillings, restorations, soft and hard tissue surgery, scaling, treatment of gum problems, nerve extractions, and less than Social Security coverage. Orthodontics is estimated, social security insurance can reduce it by at least a few million.. because right now the cost of the simplest dental services is almost a million dollars.... ### The real cost of orthodontics without insurance In 1404, the average cost of fixed metal orthodontics for one jaw starts from 50 million (similar to the price of orthodontics for the four front teeth) and for two jaws from 75 million tomans... if ceramic/Demon brackets are used, the cost exceeds 100 million... treatment with this number of transparent liners, even a few people... Now add the average cost of other necessary services to this figure... that is, one million tomans for photography, 0.5 to 1 million For tooth extraction, 1 to 3 million for scaling and brosage, at least 1 million for single-level restoration and other side costs of orthodontic treatment are added to this amount... Since there is practically no coverage for orthodontics, the parties to the contract with social security cannot compensate for orthodontic expenses.. And having an orthodontist, the limit of the covered cost is also different.... You can find out about their exact conditions by visiting the treatment center you are considering.... The basic services are either completely free or part of Their cost is covered... ### The effect of the type of treatment on the final payment cost Basically, the type of treatment has an important effect on cost coverage... Orthodontics is a treatment that is different for different people and each case has its own prerequisites and needs... from jaw surgery or orthodontics to tooth extraction, restoration, use of special orthodontic devices... The type and quality of materials, tools used, severity of abnormalities, complexity and length of treatment also show their effect on the total cost, and as a result, the ceiling of coverage ** Orthodontic cost with social security insurance for the required person It is not and there is no need for treatment for the person either.. Objectives... What is the difference between social security insurance and supplementary insurance in orthodontics? As we said above, supplementary insurance (provided by organizations) has better conditions for specialized services and is not limited to primary cases, although not all of them.. because in this space, orthodontics is often seen as a cosmetic treatment... **Group supplementary insurance** covers orthodontic expenses for people under 14 years old... ### What services are covered by supplementary insurance? It should be noted that these services are different for each insurance company and contract: - Visit and radiography services - Extraction of posterior, wisdom and anterior teeth - Hidden tooth surgery in soft and hard tissue - Scaling of upper and lower gum grooves - Scaling and brushing teeth - Repair, denervation and root treatment - Dental bridges and veneers - Artificial teeth ### Which supplementary insurances have the best orthodontic coverage? - Alborz supplementary insurance - Asia supplementary insurance - Supplementary insurance d What factors make the insurance not pay the cost of orthodontics? These factors are similar to those that prevent Social Security from covering orthodontic expenses, including: - Long-term and expensive orthodontic treatments - Considering orthodontics as a cosmetic treatment - High demand for this treatment ### Type of insurance policy (basic or supplementary) Basic insurance does not include specialized treatments... Supplementary insurance complements basic insurance and covers a wider range of services... In addition to diversity, the coverage limit for some treatments is also unlimited... ### Age of the patient Group supplemental insurance covers the cost of orthodontics for people under 14 years old.. But for other people, you should check the insurance company, the type of contract and its obligations.. In group orthodontic supplemental insurance, it is often covered under the condition that the mouth and teeth deformity is very severe... If the lack of evidence does not support this issue
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