Many people do not realise that examining and treating dental conditions is still covered by health insurance. This page explains clearly what is covered and what is not.
Health insurance (BHYT) only pays at facilities that hold a health insurance service contract with the social insurance agency. Not every facility that wants one can sign it: under Article 17 of Decree 146/2018/ND-CP (as amended and supplemented), a facility must meet the conditions for medical examination and treatment and hold an operating licence, and must be able to supply the medicines, chemicals and medical materials appropriate to its scope of professional practice. The application is appraised by the social insurance agency before the contract is signed.
Ky Hoa Medical Center has met those conditions - operating licence No. 00449/HCM-GPHĐ - and has signed a health insurance service contract. Odonto-Stomatology falls within the centre's scope of professional practice, so patients who come here for examination and treatment of dental conditions receive their insurance entitlements under the regulations.
People often assume that dental work is never covered, simply because not every dental clinic holds such a contract. What your entitlement depends on is two things: whether the facility has a health insurance contract, and whether the treatment is treatment of a condition - not whether the facility is public or private.
The principle is consistent: health insurance covers treatment of a condition, not cosmetic requests.
If you are not sure which group your case falls into, simply come in for an examination. The dentist will check and tell you exactly which items are covered and which you pay for, before any procedure is carried out.
The level of cover depends on the beneficiary group shown on each person's health insurance card (80%, 95% or 100% of the cost within the covered scope) under the Law on Health Insurance. Our staff will explain the remaining balance and any services outside the covered scope before treatment begins.
What matters is not whether the facility is public or private, but whether it has signed a health insurance service contract with the social insurance agency. Most private dental clinics have not. Ky Hoa Medical Center does hold such a contract, so you can use your card for dental care here.
It is covered when the dentist determines that it forms part of treating a condition, for example tartar causing gingivitis or periodontitis. If you are having routine scaling as personal care, it is a self-pay service.
Extraction to treat a condition - an infected, damaged tooth or one causing complications - falls within cover. Extraction requested personally when the tooth is not causing disease does not. The dentist will examine you and tell you which group your case falls into.
In many cases yes, under the current regulations on health insurance care across levels. The surest approach is to call our hotline first and read out the details on your card so our staff can confirm your specific entitlement.
Yes. Children with a health insurance card, including student health insurance, receive their entitlements when treated for dental conditions under the regulations.
Your health insurance card (or the VssID/VNeID app) and photo identification. If you have previous X-rays, prescriptions or dental records, bring them so the dentist can refer to them.
Yes. Ky Hoa Dental is open and accepts health insurance patients from Monday to Saturday, 06:30 - 17:00, and is closed on Sunday. People who work or study can arrange dental care using their insurance on a Saturday without taking time off midweek.
The questions patients ask most often about using a health insurance card for dental treatment.
Many people assume that using a health insurance card for dental care leaves only one option: going to a public hospital and waiting your turn. That is not quite the case.
Read more →Health insurance pays for treating dental conditions, not for cosmetic wishes. Here is the specific list so you know what to expect before your visit.
Read more →The answer comes down to one thing: whether the tooth is being removed because it is causing a problem, or removed on request while it is still healthy.
Read more →Many people assume that any scaling appointment is paid for by insurance, but it actually depends on the reason for the scaling. Here is the clear picture.
Read more →A tooth that aches at night or stays sensitive for a long time is often a sign the pulp is inflamed. Timely root canal treatment lets you keep the natural tooth instead of losing it.
Read more →Many people would like to use their health insurance card for a dental visit but hold back because they are unsure what documents to bring or what happens at reception. Here Ky Hoa Dental sets it out simply so you can go in prepared.
Read more →A tooth has been sensitive all week, but office hours are exactly when you are at work, and taking half a day off for a dental appointment feels like a nuisance. This article explains using your health insurance card for a dental visit on a Saturday: where it is possible and whether the process differs from a weekday.
Read more →This is the question we receive most often by phone. Your health insurance card names a different hospital as your place of initial registration, so can you bring it to Ky Hoa Dental for a dental visit? Here is a clear answer.
Read more →Call our hotline and read out the details on your card. Our staff will check and explain your specific entitlement before you come in.
