Dental Insurance: How To Get Orthodontics Covered?

In Hong Kong, there are around 2,200 dentists, but only 3-4% are qualified as Specialists in Orthodontics. It is important to note that an Orthodontist and general Dentist do not provide identical services. Orthodontists in Hong Kong are experts in their field, specializing in the diagnosis, prevention, and treatment of dental and facial irregularities to help correctly align teeth, bites, and jaws, including straightening crooked teeth.

 

Cost of orthodontic care in Hong Kong

 

The cost of dental care is high in Hong Kong. Unfortunately, the Hong Kong government does not subsidise dental care and only provides emergency dental services for pain relief and extraction, at designated clinics. Many are forced to turn to private clinics, which are often very expensive, particularly if you are looking for orthodontic services. Treatment costs can vary depending on the type of appliances used, the severity of the case, and whether your treated by a dentist or an Orthodontist in Hong Kong and generally ranges from HK$30,000 to $150,000.

 

Orthodontic care is rarely covered by insurance

 

Because of this, many people seek dental insurance. In general, dental insurance is linked with medical health insurance plans. Even so, most insurance plans do not cover orthodontic care, only a handful of high-end international plans provide some coverage. However, they are oft­en limited by benefit caps, waiting periods, and age requirements.

 

Need health insurance?

 

What to know about dental coverage in Hong Kong:

 

According to AD MediLink, individual or company health insurance may cover dental care but make a note of the following points while reviewing your options.

Waiting periods: 

A dental plan which is added to medical insurance plans will come with a waiting period between 6 to 12 months or more, and some are as low as three months.

 

Coverage varies from provider to provider, take note of premiums and limits:

Insurance plans that cover major dental care will usually have more costly premiums attached to them. Be sure to read through the coverage to ensure you are aware of what is included and what is not.

 

Many of the more expensive dental treatments will often have limits attached to them such as a lifetime limit, which only allows you to claim up to a certain amount over the life of the plan. Or other plans may set a limit to the number of visits each year, which is typical for scheduled treatments and check-ups.

Cosmetic work is usually not covered:

Cosmetic work such as braces for crooked teeth, for example, is usually not covered unless an orthodontist indicates it is medically necessary.

 

Age limits:

Some plans require age eligibility to commence orthodontic work before or after a certain age, usually the age of 16.

 

What does dental insurance in Hong Kong cover?

 

Certain providers divide dental coverage into two categories with different sub-limits: routine dental and major dental. Below points may differ between providers and may not be the case for some.

Routine dental procedures may include consultations, examinations, cleaning, x-rays, local anesthesia, fillings, root canals, and emergency treatments.

Major dental procedures may include orthodontic work deemed medically necessary, such as braces or tooth adjustments, as well as, periodontitis treatment or gum restoration, gingivitis treatment, crowns, replacements, root scaling, and dentures, for example.

 

What dental coverage can I get in Hong Kong?

 

AD MediLink has compiled a list of the best orthodontic coverage in the Hong Kong market. Please note: these typically only cover a small portion of the actual costs.

 

 

For a full list of Specialists in Orthodontists check here.

 

 

Looking for health insurance with expert advice? Contact AD MediLink now at hello@admedilink.hk or +852 2606 2668 to receive a free quote. Advisors uniquely trained on the Hong Kong healthcare system will be in touch to answer all your enquiries concerning both the public and private sectors.

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This article was independently written by AD MediLink and is not sponsored. It is informative only and not intended to be a substitute for professional advice and should never be relied upon for specific advice.