2024-11-06 17:25:00
The High Authority for Health (HAS) ruled on Wednesday for the reimbursement of dental implants, a type of prosthesis deeper than crowns or dentures, which are already partially covered by Social Security.
The HAS, which assessed the “Implanto-prosthetic care” in case of missing teeth, “comes out today in favor of reimbursement for these acts in the general population”, she announced in a press release.
At present, Social Security only reimburses relatively light prostheses: dentures, when all the teeth are missing, and bridges and crowns when it is a question of replacing or concealing an isolated tooth.
Nearly a million implants per year in France
The implants go deeper. While a bridge, for example, simply rests on the surrounding teeth, an implant penetrates the gum. These implants are currently not reimbursed even though nearly a million will be carried out per year in France in 2023, according to figures from the HAS.
Or, “the number of people affected by the loss of one or even all of their teeth is likely to increase”, underlines the authority, therefore calling for reimbursement in the name of improving access to care.
The HAS, which gives recommendations independently of the government but is often followed by it, also sets a precise course of care in order to combat abuses from dental centers to “low cost”.
If these recommendations are followed, however, the question will arise of the exact extent of the support. Currently, the reimbursement of dentures is capped by Social Security, which effectively leaves a large part of it to the patient’s mutual insurance company.
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**Interview with Dr. Claire Dubois, Dental Health Specialist**
**Interviewer:** Thank you for joining us today, Dr. Dubois. There’s been a recent ruling from the High Authority for Health regarding the reimbursement of dental implants. Can you explain what this means for patients?
**Dr. Dubois:** Thank you for having me. The decision made by the High Authority for Health is significant. It opens up the possibility for patients to receive reimbursement for dental implants, which have often been a substantial out-of-pocket expense. This ruling helps to alleviate some of the financial burdens associated with dental health care and makes these necessary procedures more accessible.
**Interviewer:** What should patients be aware of regarding the reimbursement process?
**Dr. Dubois:** It is crucial for patients to understand that before undergoing any dental implant procedure, they must present a detailed estimate to their health insurance provider, specifically their mutual insurance, or “mutuelle.” This step is essential as the insurance provider will evaluate the proposal and decide on the reimbursement terms. Patients should ensure that their dentist provides a comprehensive plan that details all costs associated with the procedure.
**Interviewer:** Are there specific conditions that must be met for patients to qualify for reimbursement?
**Dr. Dubois:** Yes, there are conditions. The procedure must be deemed medically necessary, and the implants should be performed by accredited dental professionals. Additionally, the insurance company may have specific guidelines that need to be adhered to regarding the types of implants eligible for reimbursement.
**Interviewer:** What advice would you give to patients considering dental implants?
**Dr. Dubois:** My advice would be to conduct thorough research and consult with a dental professional to understand the procedure and its benefits fully. Patients should also proactively engage with their insurance provider to clarify coverage details, as this can vary significantly between different mutual insurance plans. Keeping communication open will help ensure a smoother reimbursement process.
**Interviewer:** Thank you, Dr. Dubois, for shedding light on this important change in dental healthcare.
**Dr. Dubois:** You’re welcome! I’m glad to help educate patients about their options and the best ways to navigate their dental care and insurance.
