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Children dental care recommendations and compensation

You should start taking care of your teeth at a young age. You should clean your baby’s mouth regularly even before the first teeth are cut. The first visit to the dentist could take place when the child cuts their first tooth or when the child is about one year old. You can get the first advice on oral health from a midwife or family nurse in your child’s first year of life.

Home hygiene helps to prevent caries. You can start with constant monitoring already when the baby cuts their first teeth. It is recommended to start regularly visit a dentist, when the child is three years old. On the first visits, the parent could stay with the kid and support him or her. The most important thing is the positive experience you get from the first visits. Children who are already familiar with the dentist and have pleasant experiences will feel comfortable later at the dentist. When a child is afraid of the dentist, it requires patience from everyone.

Studies have shown that if the teeth are strong and healthy by the end of adolescence, treatment will not be needed for several decades. Thus, with the right hygiene habits and preventive controls, it is possible to avoid situations where a significant part of the savings will be spent on dentistry in adulthood.

School nurses also work with dentists to refer children for preventive examinations at the age of 7, 9 and 12. If a child needs dental care, it must be provided with the family’s knowledge and approval. However, it should be checked whether the dentist has a contract with Tervisekassa. Only then the service is free for the parent.

Tervisekassa pays for dental care for insured persons under the age of 19. After the child has reached the age of 19, free dental care is provided for one year only, if the need for treatment arose during the last visit before the age of 19. Free service is available at the same dental care provider where the need for treatment was identified.

A parent has the right to choose a dentist for their child. However, always check that the chosen dentist has a contract with Tervisekassa. Tervisekassa contractual partners are listed on the Tervisekassa website. If there is no contract, the parent must pay for the service in full and this money cannot be claimed from Tervisekassa. Tervisekassa pays only for the services listed in the Tervisekassa list of health care services.

Family nurses and school nurses have the obligation to recommend (refer) dental disease prevention appointments – this is regulated both in the family physician’s work instructions as well as in the regulation of school nurses work. If health care is provided without the presence of a parent – for example, organized by the school – the child must have their parent’s consent with them.

Information about dental care compensation possibilities in Estonia

Tervisekassa pays benefits for dental care and dentures.

Free dental care is available for:

  • children and youths under the age of 19. Children need to be covered by Tervisekassa. Please ask our administrator to check it, when you book appointment;
  • people who need emergency care provided when postponing aid or not providing aid may cause the death or permanent injury to the patient. Whether or not a particular case calls for emergency care is decided by the dentist.

PLEASE NOTE: full price must be paid for all the services that are not included in the list of services to be compensated for. In addition, the service provider has the right to ask a patient to pay an appointment fee of up to 5 euros (except for pregnant women).

Tervisekassa will reimburse dental care to adults with health insurance

  • up to 40 euro per year,but 50% of the invoice will be paid by the patient.
  •  dental care benefit increases up to 85 euros per year:
    – for pregnant women and mothers of children under one year of age;
    – for old age pensioners;
    – for persons receiving pension for incapacity for work;
    – for persons with partial or no work ability;
    – for persons over 63 years of age;
    – for persons with increased need for dental care.

The benefit will be taken into account at the time of payment to the dentist. The patients themselves pay at least 15% of the price of the services.

The amount and balance of the benefit can be checked at the national portal under „Dental care benefit and denture benefit informations“

Once every three years, the Tervisekassa compensates old-age and disability pensioners, health insured persons over the age of 63 and persons with partial or no ability to work for dentures in the amount of 260 euros.

Denture benefit is paid up to 260 euros over a three-year period.The benefit will be taken into account at the time of payment to the dentist.
Both health insured and uninsured adults have no right to receive free dental care, only emergency care that is provided for them in situations where the postponement of care or failure to provide care may cause the death or permanent damage to the health of the person requiring care. Whether the services provided can be regarded as emergency care is decided by the dentist.

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