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National dental care subsidy

If you are insured in Sweden, you can receive free dental care until the age of 22. From the date you turn 23, you are entitled to national dental care subsidy. It is intended to provide financial support to individuals in need of dental care, and as protection against high costs. It consists of general and special dental care allowance plus a high-cost protection.

Am I eligible for general dental care allowance?

You can receive general dental care allowance if you

  • turn at least 23 years of age during the year
  • are insured in Sweden. You are if you live or work here. There are some exceptions to this rule.

Even if you reside in a country other than Sweden, you may be eligible for general dental care allowance in certain circumstances.

What can I use my general dental care allowance for?

You can use your general dental care allowance for examinations, preventive treatments, and all other dental care that entitles you to national dental care subsidy. You can also use the allowance for partial payment of an agreement for subscription dental care.

Your dentist or dental hygienist will be able to tell you whether you can use your dental care allowance for the treatment you want.

How much do I get?

On 1 July every year, you receive a new dental care allowance. There is a credit at Försäkringskassan.

  • Your annual allowance is SEK 600 per year from the year you turn 23 until the year you turn 29.
  • Your annual allowance is SEK 300 from the year you turn 30 until the year you turn 64.
  • Your annual allowance is SEK 600 starting the year you turn 65.

You can save the allowance for the next year so you can use two allowances in a single year. But you can never have more than two allowance credits in your account at once. If you have two credits when 1 July rolls around, the new one simply replaces the older one.

How do I use my general dental care allowance?

To be able to use your general dental care allowance, you must go to a dentist or dental hygienist affiliated with the national dental care subsidy. Most are.

You do not need to apply for the allowance, but rather tell the dentist or dental hygienist that you want to use your general dental care allowance to pay a part of the cost. They will then deduct the allowance from your bill.

 

Can I receive special dental care allowance?

Special dental care allowance is a subsidy you can receive if you have certain illness or a certain disability that you negatively affect your dental health.

You can receive special dental care allowance if you

  • turn at least 23 years of age during the year
  • are insured in Sweden. You are if you live or work here. There are some exceptions to this rule.

Even if you reside in a country other than Sweden, you may be eligible for special dental care allowance in certain circumstances.

You may be eligible for the special dental care allowance if one of the following applies to you:

  • dry mouth due to long-term use of medication
  • dry mouth due to radiation treatment in the ear, nose, mouth or throat region
  • Sjögren's syndrome
  • chronic obstructive pulmonary disease having been prescribed oxygen or nutritional drink
  • cystic fibrosis
  • ulcerous colitis
  • Crohn's disease
  • intestinal failure
  • corrosion on the teeth and anorexia nervosa, bulimia nervosa or gastroesophageal reflux disease
  • difficult-to-treat diabetes
  • are undergoing dialysis treatment
  • a suppressed immune system due to use of medication,
  • have undergone an organ transplant.

Your dentist or dental hygienist will decide whether you are eligible for the allowance. In order for them to be able to assess whether you are entitled to the allowance, a basis of assessment is needed. The documentation required depends on what illness or disability you have. More information on these rules can be found on the National Board of Health and Welfare's website.

The National Board of Health and Welfare’s regulations on special dental care allowance (SOSFS 2012:16) (socialstyrelsen.se)

What can I use the special dental care allowance for?

You can use the allowance for preventive dental health measures, such as check-ups and tooth cleaning. You can also use the special dental care allowance as partial payment for subscription dental care.

How much do I get?

The special dental care allowance is SEK 600 every six months. You receive the allowance on 1 January and 1 July each year.

You can divide use of the allowance up. For instance, you can use SEK 200 at one appointment and SEK 400 at the next appointment. You cannot carry over the allowance from one six-month period to the next.

How do I use my special dental care allowance?

To be able to use your special dental care allowance, you must go to a dentist or dental hygienist affiliated with the national dental care subsidy. Most are.

You do not need to apply for the allowance, but the dentist or dental hygienist must have a document confirming your illness or disability. If your dentist or dental hygienist determines you are entitled to the allowance, it is deducted from your bill.

 

How can I use the high-cost protection?

High-cost protection is for individuals who have high dental care costs. This means that once your costs exceed a certain amount, you only need to pay for part of the cost yourself.

You can receive dental care compensation through the high-cost protection if you

  • turn at least 23 years of age during the year
  • are insured in Sweden. You are if you live or work here. There are some exceptions to this rule.

Even if you reside in a country other than Sweden, you may be eligible for compensation through the high-cost protection in certain circumstances.

What can I use my high-cost protection for?

Your dentist or dental hygienist is obliged to let you know whether your treatment entitles you to compensation from high-cost protection or not. It applies for most treatments, but there are exceptions.

For example, you cannot receive compensation for teeth whitening, other forms of cosmetic dental care, or for dental care that is part of an agreement for subscription dental care.

Dental care that is part of treatment for an illness is not covered by the high-cost protection for dental care. Such dental care is subject to the county council’s regular patient fee and the county council’s high-cost protection for patient fees. For more information about this, please contact your county council or region.

How much do I get?

Any costs with a reference charge of up to SEK 3,000 you must pay yourself. You then receive compensation for

  • 50 per cent of costs with a reference charge between SEK 3,000 and 15,000
  • 85 per cent of costs with a reference charge that exceeds SEK 15,000.

The compensation is not calculated based on the price charged by the dentist. It is instead based on a reference charge. The reference charge is a fixed price set by the government for all procedures – i.e. examinations and treatments – eligible for compensation from the national dental care subsidy. The charge includes costs of materials.

The dentist or dental hygienist does not have to follow the reference charge. They can charge more or less if they like. The compensation will be based on the reference charge, even if your dentist or dental hygienist charges a higher price for a procedure than the reference charge. If they charge a lower price, the compensation will be based on the price you actually paid.

For some treatments, you can only receive compensation equivalent to getting a filling, even if you choose to have a crown fitted to fix the tooth. Similarly, for some treatments you can only receive compensation for a bridge, even if you choose to get an implant instead of a bridge. The dentist is obliged to let you know what applies in each individual case.

If you use your general or special dental care allowance to pay for part of your dental care costs, the allowance is detected before the high-cost protection is calculated.

High-cost protection is calculated year by year. This means that all procedures you have done during a consecutive twelve-month period are included in the high-cost protection.

You can choose to start a new compensation period before the old one expires. That might be to your benefit if you are about to undergo major dental work. Having several different procedures performed during the same period can bring you above reference charges of SEK 15,000 so that you receive more compensation for the remainder.

How do I use my high-cost protection?

To be able to receive compensation through the high-cost protection, you must go to a dentist or dental hygienist affiliated with the national dental care subsidy. Most are.

You do not need to apply for the compensation. Your dentist or dental hygienist will deduct it from your bill.       

 

Frequently asked questions

You are insured in Sweden if you live or work here.

However, there are some exceptions to this rule. You can work in another country and still be insured in Sweden. There are also situations in which you can work in Sweden but be insured in another country. Call the Customer Centre at 0771-524 524 to learn what applies if you

  • work as a sailor
  • are assigned to work in another country by a Swedish employer or are assigned to work in Sweden by a foreign employer
  • are a diplomat
  • work in two or more countries
  • are a civil servant of an administration that belongs to Sweden but work in another country

If your dentist is unsure whether you will be insured in Sweden, they can still report the treatment your received to Försäkringskassan. We will then send you a form called “Information for investigation of insurance affiliation”. You must then fill this in and send it to us together with the documents indicated on the form. We will then investigate whether you are eligible to be insured or not.

If you are insured, you are entitled to the national dental care subsidy.

To be able to use the dental care subsidy, you must go to a dentist or dental hygienist affiliated with the national dental care subsidy. Most are.

With subscription dental care, you and your dentist or dental hygienist agree on a fixed charge that is valid for three years. Some dentists call it a wellness care agreement.

As a minimum, a subscription agreement for dental care must include the following:

  • check-ups and assessments
  • preventive procedures
  • treatment of pain and disease
  • restorative care.

You can use the general and the special subsidy to pay for some of your subscription dental care. You cannot, however, receive compensation from high-cost protection for dental care covered by your subscription agreement.

If you dentist or dental hygienist cannot determine whether you are entitled to special dental care allowance, you can apply for advance consideration on the right to special dental care allowance. Fill in and submit form FK 7023 Application for advance consideration for special dental care subsidy to Försäkringskassan. We will then assess whether you are eligible.

Form FK 7023 Application for advance consideration for special dental care allowancePDF

The high-cost protection starts to apply when you have undergone dental procedures that have a reference charge that exceeds SEK 3,000. The cost is calculated based on whichever is lower when the reference charge and the dentist’s charge are compared. If your dentist’s charge is higher, you must pay the difference yourself.

Example:

A treatment consists of procedures that all together have a reference charge of SEK 20,000. The dentist charges SEK 20,000. You then need to pay the first SEK 3,000 to reach the first level of the high-cost protection.

Of the costs between 3,000 and 15,000 (in other words, SEK 12,000), you then pay 50 per cent. This is SEK 6,000. Of the costs exceeding 15,000 (in other words, SEK 5,000), you then pay 15 per cent.4 This is SEK 750.

Thus, you pay SEK 9,750 (3,000 + 6,000 + 750). You have then received SEK 10,250 (20,000 - 9,750) in dental care compensation from the high-cost protection for the dental care provided. 

Yes, but if you use the allowance to pay for part of your dental care costs, the allowance will be deducted before the compensation from high-cost protection is calculated.

Example:

Anna visits the dentist for a check-up. During the check-up, the dentist sees that Anna needs an artificial tooth in the form of a crown. Anna's treatment involves procedures with a total reference charge of SEK 5,500. This means that Anna can receive compensation from high-cost protection since the limit is set at SEK 3,000.

Anna can use her dental care allowance to pay for part of the cost of the treatment, but if she does this the allowance is deducted when calculating compensation from high-cost protection. If Anna's allowance is SEK 300, the compensation from high-cost protection is based on SEK 5,200 instead of SEK 5,500.

Yes. Your dentist or dental hygienist must have a list of both how much they charge and the reference charge for various procedures.

The price list must specify whether the dentist or dental hygienist charges a higher price than the reference charge. It must also indicate whether the dentist offers any kind of guarantee for the treatments performed.

You also have the right to ask your dentist for written information about the materials that they use.

If the treatment is more extensive, you are entitled to a written treatment plan with information about

  • the dentist’s diagnosis
  • the dental work that the dentist is suggesting and the reason for it
  • any proposals for alternative dental work
  • whether the treatment may entitle you to national dental care subsidy
  • how much the dentist charges and the reference charge for each procedure

The plan must be written in a way that the average person can understand.

Your dentist or dental hygienist may suggest procedures that are not compensable, but they are obliged to inform you of this. You should also be told what other procedures for the same condition entitle you to compensation.

The Dental and Pharmaceutical Benefits Agency's website has a list of reference charges for various dental treatments.

The Dental and Pharmaceutical Benefits Agency's website (tlv.se) 

You are entitled to receive a receipt and an examination report.

The receipt must show both what each procedure cost and the reference charge for each procedure so that you can easily compare them. It must also indicate whether you received compensation under high-cost protection.

If you have been charged for the services of dental technicians, the receipt must be accompanied by a copy of the laboratory report. The cost of the laboratory’s services must appear in the report.

Your dentist or dental hygienist must give you a written report after every examination. An examination consists of one or more appointments for the purpose of evaluating the general condition of your teeth. An examination does not include checking individual teeth or problems, such as when you have an emergency appointment.

The report must contain

  • the general condition of your teeth
  • advice about taking care of your teeth
  • a diagnosis of specific teeth that need to be worked on

No. The dentist or dental hygienist cannot demand any compensation from you. They are always responsible for assessing whether you can receive compensation for a procedure. If you were not entitled to the compensation, the dentist or dental hygienist are responsible for paying back the money to Försäkringskassan.

If you are dissatisfied with any dental care you received or the amount you were charged, talk to your dental care provider about it. If you and the dental care provider are unable to reach agreement, you can file a formal complaint.

If you were treated through Swedish Dental Services, contact your county’s Patient Advisory Committee.

If it concerns private dental care, contact the Supervisory Board of the Association of Private Dentists at tel. 08-555 446 55 or e-mail

info@ptl.se.

For private dental care not part of the Association of Private Dentists, contact the Patient Insurance Association at tel. 08-522 782 90 or via their website

Patient Insurance Association (pff.se).

If it concerns private dental care conducted by Praktikertjänst AB, contact the Complaint Board of Praktikertjänst at tel. 010-128 36 00 or e-mail

synpunkter@ptj.se.

If you feel that you have received the wrong treatment, you can contact the Health and Social Care Inspectorate (IVO).

Health and Social Care Inspectorate's website