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 x-rays.
Below is a detailed explanation on how much is claimable:
1. Single Wisdom Tooth Surgery (from $450 - $800)
If your wisdom tooth looks like this on the x-ray, we will be able to claim up to $800 for the surgery. Most of 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 x-ray, we will only be able to claim up to $200 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 $1000)
If you are taking out 2 or 3 wisdom teeth at the same time and at least one of them looks like the second x-ray on top, you can claim a maximum of $1000. 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 $1200)
If you are taking out 2 or 3 wisdom teeth at the same time and at least one of them looks like the first x-ray on top, you can claim a maximum of $1200. 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 $1400)
If you are taking out all 4 of your wisdom teeth where at least one of them looks like the second x-ray, you can claim a maximum of $1400. 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 $1600)
If you are taking out all 4 of your wisdom teeth where at least one of them looks like the first x-ray, you can claim a maximum of $1600. $1600 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 $900 to $1500 claimable
6. Biopsy ($200)
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