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{{זכות/תחילת טור ימני}}
 
{{זכות/תחילת טור ימני}}
 
{{דגשים  
 
{{דגשים  
| מידע = The health plans provide funding towards dental care for 3 types of patients that have been included in the [[The Healthcare Basket|healthcare basket]]
+
| מידע  = קופת החולים משתתפת במימון טיפולי שיניים מיוחדים ב-3 מקרים: פגיעה בהתפתחות עצמות הפנים, פגם מולד במשנן ובעלי חיך ושפה שסועים מלידה
 +
 
 +
| מידע = The health plans provide funding towards dental care for 3 special types of patients: those with facial nerve development damage, those with cleidocranial dysplasia, and those with cleft lip and palate from birth
 
| איסור = <!-- דוגמה: אסור לעשות -->
 
| איסור = <!-- דוגמה: אסור לעשות -->
 
| חשוב  = <!-- דוגמה: חשוב לדעת -->
 
| חשוב  = <!-- דוגמה: חשוב לדעת -->
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}}<!-- פרמטרים סטנדרטיים: מידע/איסור/חשוב/פיצוי/שאלה/ממשל. ראו [[תבנית:דגשים]] למידע על אפשרויות הפרמטרים בתבנית -->
 
}}<!-- פרמטרים סטנדרטיים: מידע/איסור/חשוב/פיצוי/שאלה/ממשל. ראו [[תבנית:דגשים]] למידע על אפשרויות הפרמטרים בתבנית -->
  
<!-- כאן יש להכניס הסבר כללי לגבי הזכות. -->
+
The health plans provide funding towards dental care for 3 special types of patients: those with facial nerve development damage, those with congenital dental defects, and those with cleft lip and palate from birth.
  
 
{{זכות/סיום הקדמה}} <!-- תבנית זו דואגת לכך שהכותרת הבאה בתור תתחיל רק מתחת לתוכן העניינים -->
 
{{זכות/סיום הקדמה}} <!-- תבנית זו דואגת לכך שהכותרת הבאה בתור תתחיל רק מתחת לתוכן העניינים -->
  
* Most dental and periodontal care for youth and adults is not included in the [[The Healthcare Basket|healthcare basket]] (the basket only covers [[:he:טיפולי שיניים חינם לילדים|dental care for children]] up to age 10), except for cases in which the treatment has been medically established to be necessary and life-saving.
+
* Most dental and periodontal care for youth and adults is not included in the [[The Healthcare Basket|healthcare basket]] (the basket only covers [[:he:טיפולי שיניים חינם לילדים|dental care for children]] up to age 12), except for cases in which the treatment has been medically established to be necessary and life-saving.
* Additionallly, in 2010, 3 cases of special patients who are entitled to dental and periodontal care were included in the healthcare basket:
+
* In 2010, 3 cases of special patients who are entitled to dental and periodontal care were included in the healthcare basket:
 
** Special dental treatments for patients with facial nerve development damage
 
** Special dental treatments for patients with facial nerve development damage
** Special dental treatments for those with congenital dental defects
+
** Special dental treatments for those with cleidocranial dysplasia
 
** Special dental treatments for those with cleft lip and palate from birth
 
** Special dental treatments for those with cleft lip and palate from birth
  
 +
== Who is Eligible? == <!--מי זכאי-->
 +
* Those found to be eligible for treatment following diagnosis by a dental specialist.
 +
 +
== How to Claim It? == <!--תהליך מימוש הזכות-->
 +
* After a diagnosis has been performed by a relevant specialist, the dental treatments described above are performed by dental specialists with experience treating these specifics types of patients.
 +
* The co-payment amounts vary depending on the type of treatment. Patients should contact their health plan for details.
 +
* 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 provider their primary care clinic (branch) with original receipts and invoices. Reimbursements are given up to a pre-defined 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==
 
==Dental Care for Those with Facial Nerve Development Damage==
 
* Treatment may be provided following diagnosis from a surgical specialist, orthodontist or maxillofacial surgeon.  
 
* Treatment may be provided following diagnosis from a surgical specialist, orthodontist or maxillofacial surgeon.  
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** Orthodontic and surgical treatment
 
** Orthodontic and surgical treatment
  
==Dental Care for Those with Congenital Dental Defects==
+
==Dental Care for Those with Cleidocranial Dysplasia==
 
* Treatment may be provided following diagnosis from a doctor or dental specialist.
 
* Treatment may be provided following diagnosis from a doctor or dental specialist.
 
* The basket includes:
 
* The basket includes:
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** Pre-rehabilitation surgical 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
 
** Rehabilitation treatment in the area of the cleft
 
== Who is Eligible? == <!--מי זכאי-->
 
* Anyone eligible for treatment according to the conditions and diagnoses detailed above.
 
 
== How to Claim It? == <!--תהליך מימוש הזכות-->
 
* After a diagnosis has been performed by a relevant specialist, the dental treatments described above are performed by dental specialists with experience treating these specifics types of patients.
 
* The co-payment amounts vary depending on the type of treatment. Patients should contact their health plan for details.
 
* 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 provider their primary care clinic (branch) with original receipts and invoices. Reimbursements are given up to a pre-defined maximum ceiling. Policyholders should contact their health plan for the most up-to-date ceiling information.
 
  
 
== Please Note == <!--חשוב לדעת-->
 
== Please Note == <!--חשוב לדעת-->
* Health plans provide funding towards treatments of diseases of the mouth.
+
* The health plans provide funding towards treatments of diseases of the mouth.
 +
* The health plans also provide [[new:Dental Care Funding for Cancer Patients|dental care funding for cancer patients]].
 
<!--== Legal Precedents ==--> <!--תקדימים משפטיים-->
 
<!--== Legal Precedents ==--> <!--תקדימים משפטיים-->
 
== Aid Organizations == <!--ארגוני סיוע-->
 
== Aid Organizations == <!--ארגוני סיוע-->

Revision as of 17:25, 6 June 2013

Template:זכות/תחילת טור ימני

The health plans provide funding towards dental care for 3 special types of patients: those with facial nerve development damage, those with cleidocranial dysplasia, and those with cleft lip and palate from birth

The health plans provide funding towards dental care for 3 special types of patients: those with facial nerve development damage, those with congenital dental defects, and those with cleft lip and palate from birth.

Template:זכות/סיום הקדמה

  • Most dental and periodontal care for youth and adults is not included in the healthcare basket (the basket only covers dental care for children up to age 12), except for cases in which the treatment has been medically established to be necessary and life-saving.
  • In 2010, 3 cases of special patients who are entitled to dental and periodontal care were included in the healthcare basket:
    • Special dental treatments for patients with facial nerve development damage
    • Special dental treatments for those with cleidocranial dysplasia
    • Special dental treatments for those with cleft lip and palate from birth

Who is Eligible?

  • Those found to be eligible for treatment following diagnosis by a dental specialist.

How to Claim It?

  • After a diagnosis has been performed by a relevant specialist, the dental treatments described above are performed by dental specialists with experience treating these specifics types of patients.
  • The co-payment amounts vary depending on the type of treatment. Patients should contact their health plan for details.
  • 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 provider their primary care clinic (branch) with original receipts and invoices. Reimbursements are given up to a pre-defined 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 maxillofacial surgeon.
  • The basket includes:
    • Preservative dental treatment prior to orthodontic treatment
    • Orthodontic and surgical treatment

Dental Care for Those with Cleidocranial Dysplasia

  • Treatment may be provided following diagnosis from a doctor or dental specialist.
  • The basket includes:
    • Preservative dental treatment prior to orthodontic treatment
    • Orthodontic and surgical treatment

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

Please Note

  • The health plans provide funding towards treatments of diseases of the mouth.
  • The health plans also provide dental care funding for cancer patients.

Aid Organizations

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

Government Agencies

Laws and Regulations

Additional Publications

Sources

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Template:זכות/טפסים

Template:זכות/סיום טור שמאלי