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The agreement between Sjúkratryggingar Íslands (Icelandic Health Insurance – IHI) and Tannlæknafélag Íslands (Association of Icelandic Dentists) on pediatric dentistry entered into force on 15 May 2013 and is valid until 31 January 2020.
According to the agreement, children’s dentistry is paid for in full by IHI in addition to ISK 2,500. annual entrance fee.
Children, 17 years and younger, pay 2,500 ISK. annual entrance fee when they need to see a dentist. IHI does not pay a facility fee for dental repairs for children under anesthesia.
A prerequisite for the IHI’s co-payment is the registration of a family dentist in the Rights Portal, or with a dentist. A parent / guardian logs in to the portal with their own ID number, but access to the Rights Portal is secured with an ice key or electronic ID. In the portal under “Dentistry”, the children in question appear according to the registration in the National Register. From the list, you can choose a family dentist who specializes in dentistry. The dentists themselves can also take care of the registration at the request of parents / guardians.
The role of a family dentist is i.a. to invite children to regular supervision according to the needs of each individual, but at least every two years. He is also responsible for prevention and their necessary dentistry.
The aim of the agreement is for children under the age of 18 to receive the necessary dental services regardless of their parents’ finances. It is also hoped that the agreement will lead to the dental health of children in Iceland being as good as possible in the Nordic countries.
Attention is drawn to the fact that the right to services under the agreement expires at the age of 18 (the individual’s birthday). It is therefore important for those individuals who intend to use the service before their 18th birthday to book an appointment with a dentist as soon as possible.
In parallel with the agreement on pediatric dentistry, an agreement was signed which includes electronic communication with billing information between the Central Bank of Iceland and dentists for services to health-insured individuals. The agreement simplifies accounting between IHI and dentists and makes all communication more efficient.
Pensioners and the elderly
Icelandic Health Insurance (IHI) participates in the general dental costs of pensioners and the elderly.
For general dentistry for the elderly and the disabled, IHI pays half the cost.
Attention is drawn to the fact that special rules apply to e.g. crowns, bridges and dental implants.
For the elderly and the disabled who are chronically ill and stay in hospitals, nursing homes or nursing rooms in geriatric institutions, SÍ pays for general dentistry in full.
The same applies to mentally disabled persons aged 18 and over, with the proviso that before payment is made, it must be applied for separately.
Icelandic Health Insurance (IHI) pays part of the cost of orthodontics. Icelandic Health Insurance pays part of the cost of the necessary orthodontics.
It is a condition that the service is provided by an orthodontist. Both the dentist and the individual sign an application, which the dentist prepares for the individual.
Icelandic Health Insurance provides a grant in the amount of ISK 100,000 for orthodontic treatment with fixed braces at a.m. 10 adult teeth of one palate but ISK 150,000 for such treatment of both palates.
It is a condition that treatment with fixed devices begins before the age of 21 and that the person in question has not previously received a grant for orthodontics.
Grants are paid to an orthodontist as soon as the costs are incurred until the grant amount is fully reimbursed.
An orthodontist fills in the form “application according to Chapter IV” for children with cleft palate and similar cases. Applications for other applicants are sent electronically by the specialist.
Grants are awarded for two trips for orthodontics per year. It is a condition that the person in question enjoys support for orthodontics. Subsidies are also paid for repeated trips due to the most serious cases.
You must apply for Icelandic Health Insurance’s co-payment in advance, in all cases, both for orthodontics and travel grants.
Serious consequences of birth defects, diseases and accidents
Icelandic Health Insurance (IHI) participates in the cost of necessary dental treatment due to serious birth defects such as congenital dental defects, illnesses or accidents.
Renewal of such dental procedures is also reimbursed when renewal is unavoidable due to the limited life of materials or methods.
If a person has a cleft palate, a congenital deficiency of many adult teeth or a similarly serious problem, in these cases IHI pays 95% of the costs.
In other serious cases the reimbursement is 80% based on the tariff of IHI. Dentists themselves decide the price of treatment in their salon. If the dentist’s tariff is higher than the IHI’s tariff, the individual pays the difference.
Dental damage caused by accidents can only be compensated by IHI if the damage is not paid for by a third party, such as an insurance company. Tooth loss in occupational accidents is subject to the rules of accident insurance.
You must apply for a co-payment from IHI before treatment takes place. The dentist prepares the form “Application for participation of health insurance in the cost of orthodontics – serious cases” for applicants with cleft palate and similar cases, but the form “Application for participation of health insurance in the cost of dentistry” or for other serious cases. The dentist and patient / guardian then sign and send to IHI.