Answering the question: Are dental implants covered by insurance?

1. Are dental implants covered by insurance?

According toArticle 23 of the 2014 Health Insurance Law, cosmetic-related services will not be covered by health insurance. Therefore,Dental implants are not covered by health insuranceaccording to State regulations because this is an aesthetic restoration method.

Although the cost of dental implants is not covered by insurance, you can still apply for health insurance with support services such as general examination, Cone Beam CT scan... in case some dental services are performed during the implant process. 

In addition, if the cause of your tooth loss is due to diseases covered by health insurance, such as a work accident, you can still receive support from health insurance at 1,000,000 VND/tooth.

Dental implants will not be supported by health insurance

2. 4 services covered when getting dental implants

When performing dental implants, some accompanying services such as tooth extraction, treatment of dental problems such as periodontitis, gingivitis will be covered by health insurance according to regulations, specifically: 

2.1. Tooth extraction before implant placement

Tooth extraction before implant placement not only helps eliminate harmful factors and infections but also helps improve jaw bone quality, reduce the risk of complications and help recover faster. However, depending on each case requiring tooth extraction below, you will receive benefits from health insurance according to regulations:

• Cavities, cracked teeth.
• Tooth extraction to treat dental diseases such as: swelling, gingivitis and periodontitis.
• Wisdom tooth extraction.
• Tooth extraction when the tooth no longer ensures basic functions. 

Regarding health insurance coverage, according to the provisions of Clause 1, Article 22, Law on Health Insurance and Article 14, Decree 146/2018/ND-CP, the level of health insurance support for people who have teeth extracted in the above cases is specified:

• In case of proper medical examination and treatment:
  • Enjoy 100% of the cost if they are people's police or people with meritorious service. people, veterans, children under 6 years old, people receiving monthly social protection benefits.
  • Enjoy 100% of the cost of health insurance in cases where the cost for a medical examination is less than 15% of the salary based on which the insurance policy is calculated.
  • Enjoy 100% of the cost for medical examination and treatment at the commune level, for patients who participate in insurance for 5 consecutive years or more and have a larger amount of money paid in the year. 06 months' base salary.
  • Enjoy 95% of the costs when you are a pensioner, monthly disability allowance, relatives of people who have contributed to the revolution, except biological parents, spouses/children of martyrs, people who have contributed to raising martyrs, people from poor and near-poor households.
  • Enjoy 80% of the costs for other health insurance payers.

• In case of incorrect medical examination and treatment. route:
  • Pays 40% of inpatient treatment fees at central hospitals.
  • Pays 100% of medical examination and treatment costs at district hospitals or lower.
  • For ethnic minorities living in areas with difficult and especially difficult socio-economic conditions, they will enjoy 100% of inpatient treatment costs. 

In addition to tooth extraction before implant placement, other types of services can also be covered by health insurance according to regulations, specifically will be detailed in the sections below.

Tooth extraction is a necessary medical service, you will be supported with the cost of extraction at medical facilities that have a contract with health insurance 

2.2. Treatment of dental problems before implant placement

Health insurance support does not include cosmetic services or procedures not related to the treatment of dental diseases, however, the following dental problems will be covered by health insurance for services in case of necessity and medical indication, specifically as follows:  

• Dental pulpitis:Is a condition when the tooth pulp is infected, bacteria are infected due to tooth decay or due to injury. In this disease, the doctor will perform a number of procedures such as root canal removal, pin placement,...
• Tooth abscess:This is an infection around the tooth root or in the tooth pulp, causing pain and swelling and can lead to fever. It needs to be completely treated before dental implant
• Gingivitis (Periodontitis):Are inflammatory conditions in the gums and tooth support tissues, which can lead to tooth loss if not treated promptly.
• Teeth deviated:It is a condition in which teeth do not develop in the normal direction, causing them to grow out of alignment with other teeth in the jaw, causing pain and difficulty in oral hygiene.

Regarding the level of health insurance support, you can receive a payment of 40 - 100% depending on regulations and state budget, specifically:

• When properly examined and treated, health insurance is paid from 70 - 100% of the total cost. Fees.
• When medical examination and treatment are not in the right route, health insurance covers 40 - 60% of the total cost.

Treatment of oral diseases before implant placement helps create a good foundation for the implant process, minimize complications and improve aesthetic results 

2.3. General dental examination before implant placement

General dental examination helps detect and promptly handle dental problems, thereby optimizing the implant process, minimizing complications and protecting long-term dental health. The detailed process of general dental examination depends on each medical facility, but the general goal is to check the following factors: 

• Check the condition of teeth, gums, and soft tissues in the mouth (tongue, oral mucosa). The doctor will detect problems such as tooth decay, gingivitis, periodontal disease, or other damage that can affect the implant.
• Evaluate gum and soft tissue health: Healthy gums and soft tissue are important factors to ensure the implant will be stable in the jawbone, while reducing the risk of infection and complications after surgery. 

According to Article 21 of the Health Insurance Law, general dental examination is also within the scope of payment by health insurance, so people who go for medical examination will be supported with the cost of part or all of the medical examination fee, specifically:  

• Public hospitals:Health insurance usually pays from 80 - 100% depending on the type of health insurance card (household health insurance, health insurance for special groups, health insurance for people poor...).
• Private medical facility:If the private facility has a contract with health insurance, the health insurance payment will usually range from 60 - 80%.

It is necessary to perform a general dental examination before implantation to ensure the tooth condition is at a safe level when performing the implant 

2.4. Taking dental films before implant placement

Before implant placement, customers will have their entire jaw bone structure, tooth bone details and surrounding soft tissues taken to create an accurate treatment plan. The cost for a Cone Beam CT scan ranges from 300,000 - 900,000 VND/scan depending on the dentist. 

Regarding the support policy of health insurance, according to the provisions ofCircular No. 39/2018/TT-BYT, X-rays (CT scans) are in the list of things covered by health insurance. To be fully covered by health insurance, customers need to have a CT scan done at a medical facility according to the prescribed route. In case you have your x-ray taken at a medical facility outside the central hospital, you will receive 40% of the health insurance cost.

To learn more about the operating principles and role of this advanced technology in the dental implant process, please refer toimplant imaging using accurate and safe CT Cone Beam technology.

Health insurance covers this service because it is necessary to ensure safety and effectiveness for customers 

3. 2 services not covered by dental implant insurance

In addition to the services supported by health insurance related to the treatment of dental diseases as above, the following types of dental cosmetic restoration will not be included in the coverage of health insurance:

3.1. Bone grafting when placing dental implants

Bone grafting before placing implants is applied in cases where customers have insufficient bone density for dental implants, helping to increase jaw bone density to ensure the best integration of the implant. This is an on-demand cosmetic dentistry and rehabilitation service, so it is not within the scope of health insurance support. The cost of bone grafting ranges from 2,000,000 - 8,000,000 VND/bone graft location, and also depends on the type of material and techniques as follows:

• Autologous bone graft (Autograft): Low cost compared to other types of bone.
• Synthetic bone graft (Synthetic): Has a higher cost than autologous bone graft.
• Artificial bone: Has a fairly high cost high and depends on the bone resorption condition of the tooth.

Factors such as graft material, volume of bone to be grafted and the customer's current bone loss condition also affect the cost of grafting.

There are many aunts and uncles who wonder that "Can I get an MRI with an implant?". The answer is absolutely "Yes". MRI imaging, also known as magnetic resonance imaging, is a non-invasive diagnostic imaging method using radio waves and a strong magnetic field to create images of organs and structures inside the body. The materials used in Implants are paramagnetic so they do not affect the MRI process.

In addition, if you are wondering about X-rays when getting dental implants, please refer to the article "The doctor answered: "Can dental implants be X-rayed?""

3.2. Cost of Implant and other parts

How much does it cost to plant an implant?According to the 2014 health insurance law, implant posts or other parts such as prosthetic posts and porcelain teeth are part of the structure of dental implants and are not covered by health insurance costs. Below is the amount you need to pay for dental implant materials:

• Implant head (Fixture):Types of pillars can have different prices depending on the brand and surface treatment technology, usually ranging from 10,000,000 - 15,000,000 VND/each pillar.
• Abutment:There is a large difference in price between the two types of prosthetic abutments below:
  • Pre-manufactured prosthetic abutments: Usually included with Implant Fixture abutments), customers do not need to pay additional fees for this type of abutment.
  • Personalized restoration abutments: Because they are manufactured specifically for each customer, personalized restoration abutments have a higher price, ranging from 6,000,000 VND/abutment.
• Ceramic teeth:The price of each type of porcelain tooth varies depending on the material: 
  • Normal metal porcelain teeth: 2,000,000 - 5,000,000 VND/piece.
  • All-ceramic porcelain teeth (such as Zirconia porcelain, Emax): 6,000,000 - 12,000,000 VND/piece.

Durability of dental implants is an issue that many people are concerned about when learning about this method. To better understand the durability and factors that affect the longevity of dental implants, we invite you to learn more in detail in the article "Are dental implants durable".

Implants and porcelain teeth are used for aesthetic restoration, not to treat other dangerous diseases, so they are not covered by health insurance 

You should prioritize choosing an address that applies a full package of products and services. package to save costs. At Lac Viet Intech dentistry, the package cost includes posts, restorations, and personalized porcelain teeth. Free tooth extraction, dental disease treatment, free Conbeam CT scan, and digital jaw model scan.

4. 3 frequently asked questions about using dental implant insurance

The content below will answer some of your questions surrounding the process and conditions for being covered by health insurance during the dental implant process.

4.1. Are dental implants covered by life insurance?

Because life insurance payments come from objective incidents in life, soDental implants are not within the scope of life insurance supportBecause this is a cosmetic dentistry method. You should pay attention to this type of service to apply more suitable insurance types introduced in the next section.

Dental implants have relatively high costs and use replacement medical supplies, so they do not receive support costs from life insurance. 

4.2. What types of dental insurance are popular on the market?

If you are concerned that dental implant services are quite expensive to pay and want to ensure against risks, below are the types of dental insurance that can be applied to receive support for implant costs: 

• Specialized dental insurance:This type of insurance focuses on dental health examination and treatment services, including dental implants. Depending on each insurance package, customers initially purchase will receive partial or full support for dental implant costs. 
• Additional health insurance:This type of insurance is used by people who have participated in basic health insurance to pay for medical expenses that are beyond the scope of support of basic health insurance according to regulations, so this insurance scope is often more limited than specialized dental insurance.

In addition to health insurance or life insurance, there are also popular insurance types such as specialized dental insurance and supplementary health insurance. 

4.3. How to optimize costs when getting dental implants

To optimize costs when getting dental implants, you can refer to customer appreciation programs of dental implant facilities. Note that you need to carefully research reputable, certified units and be especially wary of false promotional advertisements with "super cheap" Implant prices starting from only 1 million VND. 

Dental implantation is a type of cosmetic dentistry that requires the application of advanced technology combined with modern machinery during the implementation process, so the cost is too cheap and will not ensure the accuracy and reputation of the product, which can negatively affect customers' health and cost more to fix.

You should learn about promotional services of reputable dental facilities to optimize costs 

Lac Viet Dental Clinic Intech regularly implements gratitude programs to bring the bestdental implantcost to customers. Lac Viet Intech is committed to using the best materials, technology and treatment doctors, ensuring absolute safety in the dental implant process, while always being transparent and clear in dental implant costs. Customers who get dental implants at the dentist will not incur additional costs.

The above article has answered your questions aboutAre dental implants covered by insurance?. Although health insurance does not directly cover the cost of dental implants, some accompanying services will be supported depending on the customer's insurance coverage. In addition, you should consider different types of insurance to ensure you receive the dental implant experience at a reasonable price. 

If you need further advice on accompanying services supported by other health insurance or other oral health care services, please contact Lac Viet Intech via the information below for consulting support. Consultation: 

• Website: https://lacvietdental.vn/
• Fanpage: https://www.facebook.com/Implant.Lacviet
• Hotline:0866.38.0033  
• Hanoi Address:
  • Dong Da Headquarters, Hanoi: No. 168 Lang Street, Dong Da, Hanoi
  • Minh Headquarters Khai, Hanoi: No. 426 Minh Khai, Hai Ba Trung, Hanoi
  • Cau Giay Head Office, Hanoi: 27 Nguyen Van Huyen, Cau Giay, Hanoi
• Nghe An Address:No. 24 Cao Thang, Hong Son Ward, Vinh City, Nghe An
• Hai Phong Address:107 To Hieu, Le Chan, Hai City Room