Iceland Health contribute to the costs of necessary dental treatment due to serious consequences of congenital defects, accidents and diseases.

Iceland Health contributes to the cost of necessary orthodontics for children and young people.

Pensioners and children can seek dental care in other countries within the EEA, the United Kingdom and Switzerland and subsequently apply for Iceland Health's co-payment of their dental bills.

In certain cases, an approved application must be in place before treatment is granted.

Iceland Health contributes to the cost of necessary dental and orthodontic treatment due to the serious consequences of congenital defects, accidents, and diseases.

• Purchased dental laboratory costs are paid together in proportion to the dentist's work up to a certain maximum.

• In the case of orthodontic treatment, the service must be provided by an orthodontic specialist.

• If jaw surgery is necessary for orthodontic treatment, it is a requirement that this treatment is provided by a specialist in oral and maxillofacial surgery.

It is necessary to apply for co-payment from Iceland Health for this before treatment, other than emergency treatment, begins. Dentists send applications to Iceland Health for their clients.

Dentistry for serious consequences of congenital defects and diseases

Iceland Health contributes to the cost of necessary dental treatment, other than orthodontics, due to the following incidents:

• Congenital absence of one or more adult teeth in front of the 12-year-old molars, cf., Article 12.

• Malformations of the adult teeth in front of the 12-year-old molars leading to severe aesthetic defects or functional complications of the chewing organs.

• Misaligned teeth, including molars, associated with a lesion (cyst or tumour), jawbone necrosis, or jaw relocation surgery.

• Teeth, other than molars, which are likely to cause or have caused damage to nearby adult teeth or their connective tissues or prevent their eruption.

• Severe symptoms from the jaw joints or chewing muscles.

• Severe acid damage of the enamel and dentin of the adult in front of the 12-year-old molars.

• Severe degradation of the connective tissues of the teeth in front of 12-year-old molars.

• Severe tooth decay, in front of the 12-year-old molars resulting from permanently reduced saliva production caused by radiotherapy, Sjögren's disease or medications.

• Other similar serious cases.

Dentistry and orthodontics due to serious consequences of congenital defects and diseases

Health insurance pays 95% of the cost of necessary and timely dental and orthodontic treatment for the following cases according to the price list and with the limitations stated therein:

• Severe tooth misalignment due to a cleft in the upper dental arch or cleft palate.

• Syndromes (craniofacial syndromes/deformities) that causes dental problems comparable to severe cases covered by the first number.

• Congenital absence of one or more incisors or canines in the upper jaw or absence of two adjacent adult teeth in front of the 12-year-old molars.

• A discrepancy in the growth of bones in the skull and jaw that has caused dental problems comparable to severe cases that fall under the above headings. Reimbursement is only granted if the treatment plan includes orthognathic (jaw) surgery.

Iceland Health contributes to the cost according to the tariff with the limitations stated therein. 

If tooth damage occurs, it is important to report it. 

• The injured person or the child's guardian must report the damage to their insurance company. 

• A dentist who first treats an individual after an accident sends Iceland Health an injury certificate. 

• First, apply for compensation for dental injuries from an insurance company. If neither the insurance company nor accident insurance pays compensation, then you can apply for Iceland Health to subsidize dental care. 

Dental damage due to accidents 

If a tooth injury is liable for compensation from Iceland Health, Iceland Health will pay: 

• Children under 18 years old: 100% cost. 

• 18 years and older: 80% of the cost according to the price list with restrictions on dentistry (not orthodontics). 

Serious dental damage due to accidents 

Serious tooth damage can be, for example, if 4 or more adult teeth are lost. 

If a tooth injury is liable for compensation from Iceland Health, Iceland Health will pay 95% of the cost with limitations. 

Tooth damage in occupational accidents 

The rules of accident insurance apply to tooth damage in work accidents. In serious cases, the cost is paid from the dentist's price list.  

Tooth damage due to assault 

Dental damage due to assault is not covered by Iceland Health. Compensation for such compensation shall be applied to the aggressor or the compensation fund for victims of violence from the Ministry of Justice. 

Cost of treatment 

Dentists are parties to agreements with Iceland Health and are familiar with the rules on reimbursement. They assess what treatment an individual needs and can check Iceland Health's co-payments before treatment begins. 

In the case of treatment that is paid for by Iceland Health, dentists work according to the price list of Iceland Health. 

The dentist has a duty to inform the individual of the cost of the treatment before treatment begins.  

Reimbursement from Iceland Health 

This is not a direct refund to an individual. Health insurance pays its share of the cost directly to the dentist, who charges the individual what they must pay.