Friday, May 7, 2010

Payment For Dental Surgery With Medisave

Medisave audits have been driving many dental clinics crazy. Almost no clinic can escape without refunding money due to "overclaiming". It has been and will always be our clinic's policy to help our patients claim the maximum amount that MOH and CPF Board allow. We are not in the position to dictate or even advise our patients on what to do with their own money.

On the other hand, organisations which regulate the use of Medisave funds have the duty of protecting our patients' Medisave reserves. The maximum claimable amounts stipulated by MOH are not meant to cover 100% of the bill. As private practitioners, however, we always try our best to charge and claim in a way that results in no cash payment on the part of our patients. Nevertheless, this is not always possible. MOH has very rigid guidelines on the maximum claimable amount for a particular type of wisdom tooth condition. At the MOH side, the evaluation is based purely in xrays. It is common knowledge that Medisave is only for surgery and medication for chronic illnesses requiring long-term medication. Please DO NOT ask us if dentures, fillings, crowns etc can be paid for with Medisave.

Below is a detailed explanation on how much is claimable for each type of surgery:

1. Single Wisdom Tooth Surgery (maximum $950)

If your wisdom tooth looks like this on the xray, we will be able to claim up to $950 for the surgery. $600 is well within our charges for this surgery. If you present at our clinic for the removal of this tooth, we will take no cash from you.

If your wisdom tooth looks like this on the xray, we will only be able to claim up to $350 for the surgery. If you present at our clinic to remove this tooth, we may not be able to charge within the limit. Figure on paying about $200 in cash.


If your wisdom tooth looks like this, we will not be able to claim anything for you regardless of how difficult the extraction is. Sorry, we don't make the rules.

Surgical excision of 2-3 wisdom teeth (Max $1550)

If you are taking out 2 or 3 wisdom teeth at the same time and at least one of them looks like the second xray on top, you can claim a maximum of $1550. This may not cover you fully when all 3 extractions are difficult. You may need to fork out $200-$300.

Surgical excision of 2-3 wisdom teeth (Max $1850)

If you are taking out 2 or 3 wisdom teeth at the same time and at least one of them looks like the first xray on top, you can claim a maximum of $1850. This is within the range of our charges. You will not need to fork out cash even if both lower teeth require surgery.

Surgical excision of 4 or more roots/wisdom teeth (Max $2150)

If you are taking out all 4 of your wisdom teeth where at least one of them looks like the second xray, you can claim a maximum of $2150. If the upper teeth are simple extractions, $1400 will be well within our charges for the entire treatment. You will not need to fork out any money.

Surgical excision of 4 or more roots/wisdom teeth (Max $2600)

If you are taking out all 4 of your wisdom teeth where at least one of them looks like the first xray, you can claim a maximum of $2600. $2600 should cover everything. You will not need to fork out any money.

2. Surgical excision of soft tissue tumour ($200)

3. Drainage of Pus ($150-$200)

4. Root Canal Surgery (surgical removal of root tip after failure of root canal treatment) ($800)

5. Implant Surgery excluding crown $1250 to $2150 claimable

6. Biopsy ($200)

1 comment:

  1. We take this opportunity to introduce Dental Lifeline as a premier dental practice in Chandigarh and its twin city Mohalli. At our clinics , we provide comprehensive dental services in a warm, nurturing environment Dental Clinics in Chandigarhwhere you shall feel free to express your concerns and needs. Our services are taken care of by our team of qualified, caring specialists, who will formulate a custom treatment plan suited to your needs. Your comfort and satisfaction are the essence of our practice as we help you smile your way to good health

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