Webbinnehållsvisning (JSR 286)

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National dental care subsidy

FAQ

Everyone who, under the Social Insurance Code, is considered a resident in Sweden is entitled to national subsidised dental care as of the year they turn 20. This also applies to certain people who live in Sweden, but are not considered to be residents under the Social Insurance Code. People who work or study in Sweden and are resident in other countries may also have a right to dental care subsidy.

Subsidised dental care has three components:

  • General subsidy
  • Special dental care allowance
  • High-cost protection

Table of tooth number and tooth position

A table has been produced to provide information on how the IT support functions, and shows what should be entered in the fields tooth number and tooth position for each procedure combination. The requirement of specifying tooth number and tooth position is nothing new in subsidised dental care, and the system has not changed.

Försäkringskassan has received questions regarding when the IT support requires tooth number and tooth position to be stated. The starting point for the requirement to indicate tooth number and tooth position is the Ordinance on national dental care subsidy, partly Section 15, point 6 and partly Appendix 1 of the Ordinance where various conditions are linked to tooth position.

Description of the table:

In the field tooth number, either the tooth number (digit) or nothing is entered.

In the field tooth position, you must enter:

  • tooth position (digit) or
  • jaw (maxilla or mandible, if a digit is entered here than jaw is interpreted based on the first digit) or
  • non-applicable (maxilla/mandible or a digit can be entered, but are interpreted as non-applicable).

Table - the dental care reform procedure list (xls 433 kB, opens in a new window)

Guidelines – National dental care subsidy

The guidelines contain comprehensive information on the national dental care subsidy and serve as support in the management for Försäkringskassan.

Guidelines – National dental care subsidy 2008:2 (PDF 717 kB, opens in a new window)

Försäkringskassan's regulations concerning national dental care subsidy

FKFS 2008:6 (opens in a new window)

The Dental and Pharmaceutical Benefits Agency's (TLV) Regulation

Regulation concerning the national dental care subsidy (opens in a new window) 

Knowledge support (opens in a new window)

Handbook on national subsidised dental care

The Dental and Pharmaceutical Benefits Agency's (TLV) publishes a handbook that describes which dental procedures qualify for compensation and under what conditions. TLV is responsible for specifying which dental treatments are to be included in the subsidised dental care.
Handbook on national subsidised dental care – TLV's website (opens in a new window)

 Frequently Asked Questions

Why have I not received my payment?

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Payment is made once a week, on Tuesdays. The payment file is created once a week, on the night between Monday and Tuesday. The money is then in the care provider's account on Tuesday of the week after the payment file has been created. If the care provider has submitted a file on a Monday, the time will be one week and one day. However, if the file is received by Försäkringskassan on a Tuesday, it will be thus two weeks before the money is in the account.

What do I do if a patient is not registered with Försäkringskassan?

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Always report the visit to Försäkringskassan. If a patient is not registered when the care provider requests compensation, the case is subject to manual processing. At the same time, an investigation is commenced into whether there is documentation to prove that the patient is entitled to national dental care subsidy or if the patient is to be investigated for registration.

When does my patient's compensation period end?

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When you check/validate the patient with Försäkringskassan, you see the current compensation period.

Which patients are entitled to special dental care allowance?

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What information can I see on my patients when I check/validate with Försäkringskassan?

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In order to be able to calculate a patient's dental care compensation and find out if they have used the general subsidy, the care provider needs information from Försäkringskassan. At the request of the care provider, Försäkringskassan shall therefore provide the information they require to calculate the patient's cost for dental care.

The information is:
• if the person is registered with Försäkringskassan
• if the patient has used the general subsidy
• the total compensation-qualifying amount that the patient has during the compensation period
• the start date of the compensation period in question
• latest date of treatment
• if the patient is subject to a subscription agreement and details of what this includes
• Advance consideration, Special dental care allowance (STB)
• STB left to use

Why can I not see the STB of the patient?

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STB is entered in all journal systems and Tandvårdsportalen and it is the care provider who determines whether the patient is entitled to it or not. When you report procedures that are STB-related and specify the patient's disease or disability, the option of requesting STB comes up.

Which treatments should I report?

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All compensable procedures performed are to be reported. Care included in a subscription agreement must also be reported, even though the care may not constitute the basis for calculation of high-cost protection.

What applies for a patient who is not a registered resident and registered with Försäkringskassan?

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I have received very many follow-up inspections. Why?

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During a random inspection, a selection of cases is made, for example cases relating to a specific condition or procedure, or cases within a certain compensation range. This can mean that you are subject to a high number of follow-up inspections during a particular period.

What about occupational injuries that require dental care?

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The responsibility for seeking compensation for an occupational injury falls to the patient. The care/procedures provided are reported as normal and compensated in the usual way by the national dental care subsidy. The patient must pay their part of the care cost directly to the care provider and may request compensation afterwards from Försäkringskassan.