Iceland Health
Dentistry
Iceland Health contributes to the dental costs of children, pensioners and for congenital defects, accidents, and diseases.
Iceland Health pays 100% of dental costs up to the age of 18 for both general dental repairs and anaesthesia in accordance with the agreement on dental treatment and with the limitations stated therein. The annual fee for children with a dentist is ISK 3,500.
General dentistry includes:
Dental examination.
Dental diagnosis.
X-rays.
Regular check-ups.
Dental procedures.
Root canals.
Periodontics.
Tooth extraction.
Iceland Health does not pay the facility fee for dental repairs under anaesthesia.
Family dentist
The child must be registered with a family dentist.
For example, a family dentist takes care of:
Inviting children to regular check-ups (at least every 2 years)
To record the condition of the teeth and oral cavity.
Take care of prevention.
To take care of general dentistry.
Other dentists can also take care of the child. It is possible to register a child with a family dentist at a dental clinic or at Heilsugæslan on My Pages.
Iceland Health pays 100% of the dental costs for necessary treatments due to serious consequences of birth defects, diseases or accidents that occur before the age of 18 but cannot be attended to until after full bone development has been reached.
This authorisation is valid until the individual reaches 30 years of age.
The dentist sends the application to Iceland Health electronically before treatment begins.
Iceland Health pays part of the cost of molar extraction if they cause or are likely to cause serious problems in individuals 18 years of age and older.
Pensioners are both those who have over 75% disability and individuals 67 years of age and older.
Iceland Health pays 75% of dental costs for general dental repairs in accordance with the agreement on dental treatment and with the limitations stated therein.
General dentistry includes:
Dental examination.
Dental diagnosis.
X-rays.
Regular check-ups.
Dental procedures.
Root canals.
Periodontics.
Tooth extraction.
Loose dentures.
Dentures
Iceland Health pays 75% of both the cost of the dentist and the dental technician for the construction of dentures (full dentures, implant dentures, or partial denture) for pensioners every six years. Relining of dentures is also paid for every three years.
Payments are made without application for pensioners, but otherwise only after approval of the application.
Fixed prostheses and dental implants in a dentate jaw:
The cost of dental implants or other fixed prostheses in a dentate jaw, may be contributed to pensioners.
Dentate Jaw: One or more natural teeth present in either the upper or lower jaw.
Up to ISK 146.677 may be granted for dental implants or other fixed dental prosthesis in dentated jaw located in front of the 12-year molars in each 12-month period, which is based on the date of treatment.
You do not need to apply for the grant. The dentist reduces the bill by the amount.
Individuals who have fully utilised an older grant for fixed dental prosthesis and dental implants before 1 July 2024 may be entitled to a difference between current amount and what they have previously been paid, provided that the treatment is new (on different teeth/dental positions than previously funded) and that treatment is provided after 1 July 2024.
Iceland Health does not contribute to the cost of restoration of dental implants or fixed dentures if less than ten years have passed since a dental implant or fixed denture was placed on the same tooth or denture.
Iceland Health does not contribute to the cost of restoration of dental implants or fixed dental prosthesis if less than ten years have passed since a dental implant or fixed dental prosthesis was placed on the same tooth or dental postition.
Dental implants in an Edentulous Jaw:
Iceland Health pays 75% of the pensioner's cost of inserting dental implants into an edentulous palate in support of dentures. It is also permitted to contribute to the cost of fixed dentures.
Edentulous Jaw: No natural teeth present in the upper or lower jaw.
The dentist applies for payment participation for the client and waits for approval before treatment begins.
If the application is approved, Iceland Health will subsidize the first 2 dental implants in the lower jaw and the first 4 dental implants in the upper jaw.
Iceland Health does not contribute to the cost of implantation of dental implants in toothed and edentulous gums during the same 12-month period.
Iceland Health does not contribute to the cost of dental implants in toothed jaw and edentulous jaw during the same 12-month period.
Iceland Health pays 100% of the cost of general dentistry according to the tariff of those who fall under the definition of chronically ill individuals.
The chronically ill include people with disabilities and elderly who are chronically ill and stay in hospitals, nursing homes, or nursing rooms in geriatric institutions.
A long-term ill person is an old-age or disability pensioner who has been in hospital on a fixed budget for more than a month and who has been in hospital for more than six months in the past twelve months. The same applies if it is clear from the outset that the stay in question is a permanent stay in a nursing home or in the nursing facility of a geriatric institution.
Iceland Health pays 100% of the cost of general dentistry according to the price list for those who are 18 years of age or older and have been diagnosed with intellectual disabilities.
Intellectual disability must be confirmed as the diagnosis of mild, moderate, severe or severe intellectual disability(F70-73 according to the ICD-10 classification system of health services).
An application for increased payment participation must be made to Iceland Health for them.
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 Iceland Health 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.
If you cannot find the information you need, you can send an inquiry to Iceland Health