What is it about?
Complementary provision of health care consisting of financial aid assessed to meet the costs of certain prostheses and dental work.
The dental benefit includes the following concepts:
1.Complete denture (upper and lower)
2.Upper or lower denture
3.Piece, cover or crown (each)
4.Filling, filling, or reconstruction (each)
5.Endodontics
6.Osseointegrated implant
7.Orthodontic treatment
8.Delimitation and conditions of access
The dental treatments included in the Agreements between MUFACE and the insurance entities that provide health care may not give rise to the aid included in this benefit.
Provisional pieces, caps or crowns, dentures and fillings, as well as any restorative treatment on the primary dentition are excluded from the service.
The request must be accompanied by the invoice from the dentist, stomatologist or maxillofacial surgeon who has carried out the treatment or, where appropriate, from the dental technician who has made the prosthesis or orthodontic appliance. If a dental technician invoice is provided, it must be accompanied by the invoice or report of the specialist who has performed the treatment.
The invoice must meet all legal and regulatory requirements for its validity and it must include the detail of concepts and prices as well as proof of payment or be accompanied, where appropriate, by the corresponding receipt that proves it. Likewise, it must contain the mention that the service is exempt from VAT.
The aids for the treatment with dental prostheses and orthodontics include both the clinical actions required for their implantation and the cost of the corresponding prosthesis or orthodontic appliance.
Endodontic assistance includes assistance for filling, filling or reconstruction of the treated piece, although it is not expressly stated on the invoice.
The aid for osseointegrated implants can only be recognized for a maximum of twelve implants for each beneficiary, so that beneficiaries who have already been recognized for twelve implants will not be able to cause new benefits for this concept. This aid is compatible with that of parts as long as they are not provisional.
Orthodontic treatment will be granted only in those cases started before the age of 18, only once and for a single treatment. In the event that the beneficiary has reached 18 years of age on the date of the invoice, the report must show the date on which the treatment began.
Only a maximum of twelve grants may be granted per beneficiary and calendar year for each of the part, filling and endodontic benefits.
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