Introduction:

People with specific injuries and disorders are entitled to various dental treatments, based on the terms of eligibilty
Depending on the case, the treatments are given free of charge or for a deductible fee
For more information, see the Kol HaBriut website


In general, dental care is not included in The Healthcare Basket for people over age 18. However, patients that have specific injuries and disorders should be entitled to various dental treatments, based on the terms of eligibility.

Who is Eligible?

  • Those afflicted with one of the following:
    • Those with facial bone developmental damage (Hemifacial Microsomia)
    • Those with congenital dental defects of cleidocranial dysplasia
    • Those with cleft lip and palate from birth
    • Those with Treacher Collins disorder
    • Those born with a significant number of teeth missing.
    • Those with congenital structural injury to the structure and material of the tooth.
    • Those with a birth defect causing premature closure of the cranial seams (Craniosynostosis)

How to Claim It?

  • First, a diagnosis must be performed by a dental specialist.
  • According to the diagnosis the patient is treated by a specialist in these medical conditions.
  • The co-payment amounts vary depending on the type of treatment. Patients should check with their health plan.
  • In order to receive a reimbursement for treatment not performed by the health plan, health plan approval of the treatment must be obtained in advance by submitting a request to the primary care clinic (branch) to which the policyholder belongs.
  • After treatment, policyholders should provide their primary care clinic (branch) with original receipts and invoices. Reimbursements are given up to a pre-determined maximum ceiling. Policyholders should contact their health plan for the most up-to-date ceiling information.

Types of Cases and Treatments

Dental Care for Those with Facial Nerve Development Damage

  • Treatment may be provided following diagnosis from a surgical specialist, orthodontist or maxilla-facial surgeon.
  • The basket includes:
    • Preservative dental treatment prior to orthodontic treatment
    • Orthodontic and surgical treatment
  • For more information see the Kol HaBriut website

Dental Care for Those with Cleidocranial Dysplasia

  • Treatment may be provided following a diagnosis of the cleidocranial dysplasia genetic defect, from a doctor or dental specialist.
  • The basket includes:
    • Preservative dental treatment prior to orthodontic treatment
    • Orthodontic and surgical treatment
  • For more information see the Kol HaBriut website

Dental Care for Those with Cleft Lip and Palate

  • Treatment may be provided to patients up to age 25 who were born with a cleft lip and palate, following diagnosis from a doctor or dental specialist.
  • The basket includes:
    • General preservative treatment
    • Preservative treatment in the area of the cleft
    • Pre-rehabilitation surgical treatment in the area of the cleft
    • Rehabilitation treatment in the area of the cleft
  • For more information see the Kol HaBriut website

Patients with Treacher Collins Syndrome

  • These patients are entitled to dental care in the areas of prevention, preservation, orthodontics and oral rehabilitation.
  • This right is for patients up to age 30.
  • For more information see the Kol HaBriut website

Patients with a Congenital Absence of Multiple Teeth

  • The treatment consists of a round of dental treatments that including prevention, preservation, orthodontics and oral rehabilitation.
  • Prevention and preservation treatments are for patients up to age 30.
  • Patients are eligible to complete the series of orthodontic and rehabilitative treatments until age 40, provided they began the treatment before age 30.
  • For more information see the Kol HaBriut website

Patients with a Congenital Structure Disorder in the Structure and Tooth Material

  • Patients who have teeth that are directly affected by Amelogenesis imperfecta or Dentinogenesis imperfecta are entitled to preservative and rehabilitative dental treatments including:
    • Check-ups by a specialist and x-rays, as necessary.
    • Dental preservation treatments (tooth decay treatments, fillings, extractions, root canal, crowns).
    • A round of dental rehabilitation treatment (permanent crowns or bridges).
  • Treatments are given to people up to age 25.
  • For more information see the Kol HaBriut website

Patients with Premature Closure of Cranial Sutures

  • The treatment consists of a round of dental treatments including prevention, preservation, orthodontics and oral rehabilitation.
  • The right is given to patients up to age 40 who have a disorder that causes the premature closure of cranial sutures (such as Pfeiffer, Apart and Crouzon disorders).
  • For more information see the Kol HaBriut website

Please Note

Aid Organizations

  • For a comprehensive categorized listing of healthcare organizations offering assistance and support, click here.

Government Agencies

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Additional Publications

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