Announcement of reimbursement for treatment at the dentist in practice sector
Pursuant to §§ 65 and 72 in health law, see. lovbekendtgørelse nr. 95 of 7. February 2008, fixed:
§ 1. Group 1 and group 2-secured secured persons are entitled to reimbursement for treatment at the dentist in practice sector.
§ 2. Exempted are children and adolescents under 18 years of age who are covered by the compulsory offer of municipal dental care, and people who receive dental care after health law § 131 (dental care).
§ 3. Insured persons are entitled to reimbursement for regular diagnostic examination, diagnostic and preventative because performance, bitewings in connection with regular diagnostic examination and diagnostic and preventive basic performance, individual preventive treatment of caries and gingivitis as well as fluoride treatment of initial caries, regular dental cleaning, expanded dental cleaning, cleaning, General tandrods parodontalbehandling, parodontalbehandling, surgical parodontalbehandling, extended control for prevention/diagnosis and parodontalbehandling, in the course of a check after regular bitewings diagnostic study that investigation after referral from dental hygienist, dental filling using plastic or glass ionomer, amalgam as filling material, gradually ekskavering, root canal treatment and rodfyldning, tooth extraction under local anesthesia and operating the removal of teeth, rodspidser and less cysts, etc.
(2). Detailed specification of the individual tooth treatments provided in the applicable agreement between the regions for wages and tariffs and Dental Association.
(3). The National Board of health shall draw up separate technical guidance on application of dental materials, which will be applicable by persons access to dental benefits in accordance with paragraph 1.
(4). No reimbursement for orthodontics and dental prosthetics.
§ 4. Regional Council in the patient's place of residence region subsidizes on 40% of the payment rates provided for in the agreement for Group 1-secured, without prejudice. However, paragraphs 2 and 3.
(2). For bitewings in connection with the regular diagnostic examination, diagnostic and preventative because performance and control after the regular diagnostic survey provides Regional Council a grant of 30%. For persons between the ages of 18-25 years provides the Regional Council a grant of 65% for the regular diagnostic study and to control after the regular diagnostic study. The grants are calculated on the basis of the payment rates provided for in the agreement for Group 1-secured.
(3). For single flattened dental fillings with the use of plastic or glass ionomer, amalgam is granted a subsidy of 59.57 kroner to MultiSurface dental fillings with the use of plastic or glass ionomer, amalgam is granted a subsidy of 86.99 DKK ekskavering be co-financed by gradually as for the corresponding filling. For apikal amputation and rodfyldning per channel is granted a subsidy of DKK 169.68 By operating the removal of teeth, rodspidser, small cysts, etc. shall be granted a subsidy of 157.54 DKK For tooth extraction under local anesthesia is granted a subsidy of 135.59 DKK per tooth. To be granted a subsidy of parodontalbehandling surgical 209.14 KR. Amounts specified in the april 2008 level. The listed amounts will be adjusted in accordance with the rules laid down in the agreement.
§ 5. The Regional Council provides grants with the same amount of people in the security group 1 and 2.
(2). For Group 1-insured persons, it is a condition for receiving grants, that the treatment is performed with a dentist who has joined the existing agreement between the regions for wages and tariffs and Dental Association.
(3). Group 2 – insured persons who have received treatment from a dentist who have not joined the agreement, the local municipality shall pay the grant on behalf of the Regional Council. In order to get the subsidy paid to the patient forward a receipted and itemized bill to the municipality. The grant may not exceed the amount of this account.
(4). Both group 1 and group 2-insured persons pay their own share of the fee directly to the dentist.
§ 6. Regional Council does not provide reimbursement for dental benefits for himself or his spouse.
§ 7. By dental care, which is not done at the dentist's clinic or are performed outside the dentist's usual processing time, the patient pays the allowance provided for in the agreement between the regions for wages and tariffs and Dental Association without subsidies from the Regional Council.
§ 8. Persons who are entitled to benefits in practice sector in accordance with EC law or international agreements, has during the stay here in this country the right to reimbursement for treatment at the dentist in practice sector on the same terms as Group 1-insured persons.
(2). By Community legislation or international agreements shall mean Council Regulation (EEC) No 2377/90. 1408/71 on the application of social security schemes to employed or self-employed persons and members of their families moving within the community, and the related regulation (EEC) No 2377/90. 574/72 on the implementation of Regulation No 40/94. 1408/71, the agreement on the European economic area (EEA Agreement), the Nordic Convention on Social Security and the agreement between the European Community, its Member States and Switzerland on the free movement of persons.
§ 9. The notice shall enter into force on the 1. October 2008.
(2). At the same time repealed Executive Order No. 201 of 22. February 2007 on the reimbursement for treatment at the dentist in practice sector.
(3). In the provisions of this Ordinance, where the referenced agreement between Regions for wages and Stroke boards and Dental Association, reference is made, until the conclusion of a collective agreement between these parties, to the agreement between Sickness insurance funds Negotiating Committee and the Danish Dental Association.
The Ministry of health and prevention, 23. September 2008 Jakob Axel Nielsen/Andreas D J