Treatment Benefit Scheme
At Truly Dental we are registered providers of the Treatment Benefit Scheme - making it easy for you to avail of the benefits from your PRSI contributions.
Simply contact our front of house team, provide your PPS number and Date of Birth, and we can check your eligibility there and then.
The Treatment Benefit Scheme provides PRSI workers with one free dental examination per year along with either:
- One subsidised Scale and polish treatment
OR
- One subsidised Periodontal treatment
The decision to have a scale and polish treatment or periodontal treatment is determined by your individual oral health needs. Periodontal treatment is also referred to as deep cleaning of the gums and teeth- it is carried out under local anaesthetic in cases where a regular scale and polish would be insufficient at restoring gum health. Your dentist will advise you which treatment is best suited to you following your oral examination.
| Treatment Type | Covered by PRSI? |
| Dental Examination | YES - 1 examination covered per calendar year |
| Scale & Polish (Teeth cleaning) |
YES - 1 per calendar year at subsidised cost of €15. Patients can avail either of this OR Periodontal treatment instead. |
| Periodontal Treatment (Deep cleaning of teeth and gums) |
YES - 1 partially subsidised treatment per calendar year. Patients can avail either of this OR a Scale & Polish treatment instead |
| Dental Filling | No |
| Tooth Extraction | No |
The Treatment Benefit Scheme is a government scheme which is run by the Department of Employment Affairs and Social Protection. It provides dental, optical, and aural services to employed, self-employed, and retired people who have the required number of PRSI contributions. Your PRSI status will determine whether or not you are entitled to treatment.
Whether or not you are qualified for dental treatment depends on the number of PRSI contributions you have made - which will differ depending on your age.
1) Aged under 21
You will need 39 contributions to be covered for dental treatment under PRSI
2) Aged between 21-24
You will need at least 39 paid or credited contributions in the governing contribution year*
OR 26 paid contributions in each of the second and third contribution years**
3) Aged between 25-65
You must have paid 260 contributions AND at least 39 paid or credited contributions in the governing contribution year*
OR 26 paid contributions in each of the second and third contribution years**
4) Aged 66+
You must have 260 PRSI contributions paid at any time and 39 paid or credited contributions in the relevant tax year*** or the year immediately before it.
OR You must have 260 PRSI contributions paid at any time and 26 paid contributions in the relevant tax year*** and the year immediately before it.
If your spouse, civil partner or cohabitant doesn’t have enough PRSI contributions they may still be eligible on your social insurance record. Please do check with us if you think this may be the case.
*for claims made in 2023 the last contribution year is 2021
** for claims made in 2023 the second last contribution year is 2021
and the third last contribution year is 2020
***The relevant tax year is the second last completed tax year
before reaching 66 years of age. Example: You turned 66 in 2012 so
the relevant tax year is 2010.
More information can be found here.
Simply call us today and our friendly front of house team can check your eligibility on your behalf- all we need is your PPS number and your Date of Birth.
Our team will then tell you if your claim is:
1. Approved: meaning you are entitled to an Exam, Scale and polish for just €15.
2. Pending: meaning your eligibility requires some further checks by a welfare administrator prior to approval. You may still be eligible for an exam, scale and polish for €15 but we will not be made aware of this until a later date.
3. Not approved: you can still choose to take important action towards your oral health today by making a private appointment for an exam, scale and polish.
Since 2019 self employed people, business owners, and farmers have been eligible for PRSI entitlements - so long as the required PRSI contributions are met. Many of your employees will be unaware of their PRSI entitlements and so you should do your best to encourage them to avail of this scheme.
The recommended interval between Dental Check ups and Scale and Polish Treatments is 6 months. Availing from your PRSI subsidised treatment will allow problems to be identified as early as possible- allowing for timely intervention and preventing the development of future dental problems which can be complicated, time consuming and costly to fix.
Don’t let your PRSI dental entitlements go to waste. You can only avail of these benefits once per calendar year- even if you forgot to claim in the previous year.
Call us with your PPS number and Date of Birth and ask our team to check if you are eligible for treatment covered by PRSI today.
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