Are Dentures Covered by BPJS Health? Complete Guide – Dentures are a solution for those who experience tooth loss or severe tooth decay.
However, The cost of installing dentures can be quite high, especially for types of permanent dentures. Many people wonder whether BPJS Health covers the costs of installing dentures, considering that BPJS aims to provide more affordable access to health services.
This article will discuss in depth the scope of BPJS services related to the installation of dentures, procedure, and what to expect from this service.
Does BPJS Health Cover the Cost of Dentures?
The answer is yes, BPJS Health does cover the costs of installing dentures, but with certain conditions and limitations. The BPJS Health program includes dental health services, including fitting dentures, However, not all types of dentures are fully covered by BPJS.
BPJS only covers installation costs dentures for certain types, namely loose dentures. Dental implants and other types of permanent dentures are not covered by BPJS, so if you want to get a type of denture that is more durable and aesthetic, such as implants or crowns, You have to prepare additional costs.
Terms and Conditions for Installing Dentures with BPJS
As with other services covered by BPJS, There are terms and conditions that must be met to get dentures installed. Following are some of the provisions:
- Types of dentures: BPJS only covers the installation of removable dentures, not permanent teeth such as implants or bridges.
- The number of teeth replaced: BPJS limits the number of false teeth that can be installed. In the BPJS program, each participant can only get the maximum 1 a set of dentures come out every two years, for both the upper and lower jaw.
- Health facilities class (health facilities): The procedure for installing dentures must be carried out at a first-level health facility (health center or clinic) which collaborates with BPJS Health. Referral to a specialist hospital is only given if there are more complex cases.
Procedure for Obtaining Denture Services Through BPJS
To get denture installation services covered by BPJS, Participants must go through several stages. Here are the steps:
- Visit the First Level Health Facility: You have to go to a community health center or dental clinic that collaborates with BPJS Health.
- Dentist Examination: The dentist will check the health condition of your mouth and teeth to determine whether you qualify for dentures covered by BPJS.
- Installation of dentures: Once approved, The dentist will print removable dentures that fit the shape of your jaw and install them in a few sessions.
Please remember that installing dentures cannot be done instantly. The process of printing and manufacturing dentures takes time, so you have to be patient.
How much does BPJS cover for dentures??
BPJS Health covers part of the cost of installing removable dentures. However, There is a limit to the amount of costs that BPJS will cover. In general, BPJS provides a subsidy of around IDR 1 million to IDR 1.5 million for the installation of removable dentures. If the cost of making dentures exceeds this limit, participants must cover the remainder independently.
For more complex types of dentures or more expensive materials, additional costs can be quite significant. Therefore, It is important for BPJS participants to consult first with the dentist at the health facility concerned regarding the details of the costs and subsidies provided.
Advantages and Disadvantages of Dentures Covered by BPJS
Get dentures via BPJS has advantages, especially in terms of more affordable costs. However, there are also some limitations to be aware of.
Advantage:
- Lower costs: BPJS helps reduce the cost of installing dentures.
- Easy access: Services are available at many first-level health facilities that collaborate with BPJS.
- Legal and standardized process: You get medical services according to applicable standards.
Deficiencies:
- Limited types of dentures: BPJS only covers loose dentures, not implants or other types of permanent dentures.
- Material quality: The materials used for BPJS covered dentures may not be as good as the materials used in more expensive denture services.
- Limitation on the number of teeth: There is a limit to the number of teeth that can be implanted in a certain period of time, which may not be enough for some people who need more intensive care.
Conclusion
BPJS Health does cover installation dentures, but limited to the type of removable denture. The costs covered by BPJS also have limits, So participants have to prepare additional costs if they want to get better quality dentures or permanent types such as implants. To get this service, Participants must follow the procedures set by BPJS, starting from examinations at health facilities to installing dentures. Although there are some limitations, This service can be a solution for many people who need dentures at a more affordable cost.
#Information: For now, Denture services and other services at Alldent cannot yet use BPJS Health.