Accessing orthodontic treatment in another EU member State under the Cross Border Directive (CBD)
Referral for orthodontic assessment and/or treatment:
In line with normal procedures in the HSE dental service, a patient may be referred by a primary care clinician for initial orthodontic assessment. In general this referral takes place around the ages of 11-13 years of age (circa 6th class or first year in secondary school) but can be provided anytime up to 16 years of age in accordance with the legislation . Patients are referred by the primary care clinician to a specialist or consultant orthodontist for the assessment.
If your child has been referred by a HSE primary care clinician for Orthodontic Assessment with a view to Orthodontic Treatment, the assessment abroad must be done in line with the HSE’s Orthodontic Assessment Tool. (Where Orthodontic Assessment has already been carried out in Ireland, claim for assessment abroad is not eligible for reimbursement under the scheme). The HSE’s orthodontic assessment tool enables the consultant orthodontist to measure the patient’s orthodontic condition against specific criteria and assign/identify the category or classification of the necessary treatment. Children over the age of 14 years of age identified as Category 4 on the HSE’s orthodontic treatment assessment tool and children identified as category 5 are eligible for orthodontic treatment as public patients.
Patients requiring primary care non-surgical orthodontic care are eligible to apply for reimbursement of orthodontic fees in line with the provisions of the Cross Border Directive.
The HSE will reimburse orthodontic fees up to a maximum of €2,200, or the cost of the treatment abroad, whichever is the lesser.
Assessment for eligibility for orthodontic treatment (categorisation) as per the HSE Orthodontic Assessment Tool (please see link below).
Orthodontic Assessment Reimbursement
€100 maximum reimbursement. (Where Orthodontic Assessment has already been carried out in Ireland, claim for assessment abroad is not eligible for reimbursement under the scheme)
Orthodontic Treatment Reimbursement
€1,800 maximum reimbursement which can be claimed as invoices and receipts are submitted.
Treatment Completion Reimbursement – at end of retainer phase
€300 maximum reimbursement
Total maximum Orthodontic Healthcare reimbursement
€2,200 maximum (+€100 assessment + €1,800 treatment + €300 retainer phase = €2,200)
Details are available from the National Contract Point via telephone 056 778 4547 or 056 778 4546 or 056 778 4556 or the HSE Cross Border Directive website www.hse.ie/crossborderdirective