When you receive dental treatment
Medical expenses for dental treatment are out-of-pocket or under health insurance, either alone or in combination
If you receive treatment from a dentist, it will be covered under health insurance or paid out-of-pocket, either alone or in combination. While you can receive most of the necessary treatment under health insurance, you can choose to receive treatment outside insurance coverage if you prefer to emphasize the natural appearance or durability of your teeth, or for other reasons, even though it will cost you more.
When you receive treatment that is not recognized under health insurance, such as implants (artificial tooth root techniques), or that uses materials other than those recognized as minimally necessary for each treatment, or dental health checkups, anti-carious cares, orthodontics, etc., such treatment will be outside health insurance coverage and considered out-of-pocket treatment (you should keep receipts so that you can receive a medical expense deduction).
As a special exception, when you receive treatment of your front tooth where materials that are not recognized under health insurance are used for cast crown restoration or a post crown, specified medical care expenses will cover the amounts corresponding to the expenses for materials that are recognized as part of treatment under health insurance, and all you have to cover will be the amount remaining after the deduction.
In addition to the above, the system of specified medical care expenses for dental treatment also covers metal base complete dentures, and fluoride application and sealants provided to those under 13 years of age.
You should clearly indicate what you want
If you wish to receive treatment within your health insurance coverage when you visit a dentist, you should clearly indicate such an intention. In addition, you should first ask your dentist about how much it will cost to receive out-of-pocket treatment or treatment covered under the system of specified medical care expenses.
Everyone deserves to ask a question about any unclear point without hesitation and receive satisfactory treatment.
Examples of treatment you can receive under health insurance
| Filling |  |
Scraping a cavity part from a tooth and filling the hole with a material, and restoring the part to the original shape of the tooth.
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| Cast crown restoration (inlays, etc.) |
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Creating a mold of a chipped tooth caused by a cavity with metal and restoring the chipped part to the original shape of the tooth.
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| Crown |  |
Covering a posterior tooth with a crown after treatment, when a cavity on that tooth is too large to be restored by filling or an inlay.
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| Post crown (capped tooth, artificial tooth) |
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Applying an artificial tooth crown to a tooth visible from outside, such as a front tooth or premolar tooth, when the tooth has a severe cavity and only its tooth root remains, to make the tooth appear to be a natural one.
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| Jacket crown |  |
Covering the entire surface of a crown part with a material that is intended to be used for a front tooth or premolar tooth and has a color and texture similar to natural teeth.
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| Bridge |  |
Shaving the teeth on both sides of a missing tooth to use them as a base and bridging the gap with connected false teeth, and fixing those teeth.
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| Plate denture (false tooth) |
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If gold alloy or platinum-added gold of 16 or higher karat gold, metal-bonded ceramic, etc., is used as a material for treatment, it will be considered out-of-pocket treatment.
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