The Social Security Office facilitates your access to dental insurance claims without the need for upfront payment. Simply present your ID card; no additional paperwork or documentation is required on your part.

You contribute to the social security fund regularly every month. Besides using it for medical care when you're sick at your affiliated hospital, you can also use the dental benefit of 900 baht per year without needing to make any additional payment or claim. This dental benefit is available annually and cannot be carried over to the following year. Therefore, make sure to utilize your dental benefit before the end of the year for a hassle-free experience.

Have you ever wondered what else you can do with the regular contributions you make to the social security fund every month, apart from using it for healthcare or for covering expenses when you're sick? Another part of it serves as a benefit for dental care. Utilizing the social security dental benefit is available on an annual basis only. Therefore, don't just focus on work and forget to check your entitlement to use the social security dental benefit.

Where can I get social security dental services?

Individuals insured under Articles 33 and 39 are entitled to dental services at both public and private hospitals as well as dental clinics. However, these facilities must have a contract with the Social Security Office to provide social security dental services. Dental procedures can be performed without any upfront payment according to the entitlement received. The clinic will issue a receipt and a doctor's certificate, which can be used to claim reimbursement for medical expenses at the nearby Social Security Office.

What dental services does social security cover?

1.Scaling

2.Dental filling

3.Tooth extraction

4.Wisdom tooth removal

According to the initial notification, the details of dental services covered by social security benefits include the following procedures: scaling, dental filling, tooth extraction, and wisdom tooth removal. Dental clinics provide you with the entitlement to these services, with an annual limit of 900 baht, without the need for upfront payment. However, any treatment costs exceeding this amount are the responsibility of the insured individual.

In addition, you can also claim reimbursement for other treatments (with upfront payment required), such as partially removable dentures.

• You can claim reimbursement for up to the actual amount paid, within the limit of 1,300 baht, for items 1-5.
• For more than 5 items, you can claim reimbursement for up to the actual amount paid, within the limit of 1,500 baht.

In the case of removable dentures for the entire mouth.

• Dentures that are removable for either the upper or lower jaw. You can claim reimbursement for up to the actual amount paid, within the limit of 2,400 baht (within a period of 5 years from the date of denture placement).
• Dentures that are removable for both the upper and lower jaws. You can claim reimbursement for up to the actual amount paid, within the limit of 4,400 baht (within a period of 5 years from the date of denture placement)

3 steps for using social security dental benefits: Online application, Part that requires upfront payment.

Step 1: Log in to the social security system.

1.1 Go to the website of the Social Security Office.

1.2 Log in as an insured person at the top right corner by entering your username (ID card number) and password. If you don't have an account yet, you can click on 'Register'.

Step 2: Requesting reimbursement for social security dental treatment.

2.1 Click on the 'Dental System' located at the bottom

2.2 The system will take you to the main page. Before proceeding with the reimbursement request, click on 'Save/Edit Insured's Phone Number' to enter your current phone number and wait for the OTP verification.

2.3 Click on 'Record Dental Notification' to request reimbursement for dental treatment: Enter details such as ID card number, date of entitlement usage, and benefits.

Additionally, you will be prompted to fill in the 'SSO responsible office' where you prefer to submit documents in Step 3.

2.4 After completing all the required information, click the 'Confirm Reimbursement' button to submit the reimbursement request.

Step 3: Submitting documents to the Social Security Office.

Submitting online doesn't eliminate the need to visit the Social Security Office. It's different from regular submissions to prevent document forgery. By submitting online ahead of time, it saves time and eliminates the need to wait in queues. Once notified of your visit, you can directly submit documents without a prolonged document inspection process.

How long does it take to claim Social Security dental benefits?

You can apply for benefits from the Social Security Office within 1 year from the date of receiving medical services, based on the date indicated on the doctor's certificate.

You can receive social security benefits within how many days?

Normally, it takes 1-2 weeks. If all documents are complete, sometimes you can receive it in just 3 days. So, if you've been waiting for more than 2 weeks and haven't received anything yet, make sure to contact the Social Security Office right away.

Source: https://www.sso.go.th/