PhilHealth’s ₱1000 Dental Care Package: Oral health is a crucial part of overall well-being, yet many Filipinos struggle to access affordable dental care. To bridge this gap, PhilHealth has introduced the ₱1000 Dental Care Package, an initiative designed to make dental services more accessible for Filipinos. This package offers preventive oral healthcare solutions, ensuring that more people can maintain good oral hygiene without financial stress.
PhilHealth’s ₱1000 Dental Care Package
| Feature | Details |
|---|---|
| Package Name | PhilHealth ₱1000 Dental Care Package |
| Coverage Amount | Up to ₱1000 per year |
| Eligibility | All PhilHealth-registered members under the Konsulta Package |
| Services Covered | Oral exam, dental cleaning, fluoride application, pit & fissure sealants, restorations, extractions |
| Co-Payment | Free for public providers; capped amounts for private dentists |
| How to Avail | Visit a PhilHealth-accredited provider & schedule an appointment |
| Official Resource | PhilHealth Official Circular |
Moreover, it promotes overall well-being, as good oral health is linked to better nutrition, clearer speech, and improved self-esteem.
Why Is This Dental Care Package Important?
Many Filipinos face dental health issues due to the high cost of services and lack of awareness. According to the Department of Health (DOH), 7 out of 10 Filipinos suffer from tooth decay, while 50% of children have untreated cavities. Poor oral hygiene can lead to serious health problems like gum disease, infections, and even heart complications. Studies have shown that individuals with severe dental problems may also experience issues such as malnutrition, speech difficulties, and decreased self-confidence.
PhilHealth’s initiative aims to make dental care more affordable and preventive rather than reactive, ensuring people get regular checkups before problems become severe. By addressing oral health concerns early on, individuals can prevent costly and painful procedures in the future.
What Does the PhilHealth Dental Care Package Cover?
PhilHealth’s ₱1000 Dental Care Package provides preventive dental care services. The package is divided into three primary benefits:
1. First Visit: Preventive Dental Care (₱300 coverage)
- Oral Examination – A thorough check-up to assess oral health and detect early signs of tooth decay and gum disease.
- Teeth Cleaning (Prophylaxis) – Removal of plaque, tartar, and stains to prevent cavities and gum inflammation.
- Fluoride Varnish Application – Strengthens teeth, makes them more resistant to decay, and slows down the progression of existing cavities.
2. Second Visit: Follow-Up Preventive Care (₱300 coverage)
- Scheduled at least four months after the first visit.
- Includes cleaning, fluoride application, and an oral check-up to ensure continued oral health.
- Dentists may provide dietary counseling and oral hygiene instructions to improve long-term dental care habits.
3. Additional Dental Treatments (₱200 per tooth, up to 2 teeth annually)
- Pit and Fissure Sealants – A protective barrier applied to molars and premolars, preventing bacteria from causing decay.
- Class V Restorations – Treatment for exposed tooth roots or areas prone to cavities, restoring tooth function and aesthetics.
4. Emergency Dental Services (Extraction & Consultations)
- Tooth extraction in case of severe damage, infection, or advanced decay.
- Professional consultations for oral health issues, including pain management and treatment recommendations.
- Patients experiencing trauma-related dental injuries may also be eligible for emergency treatment.
Who Can Avail the PhilHealth Dental Package?
All registered PhilHealth members can access this package under the Konsulta Package, which includes primary healthcare services. This means that both employed and voluntary members, including senior citizens, indigents, self-employed individuals, and dependents, can use this benefit.
Additionally, members with pre-existing dental conditions can still avail of the services covered under the package, ensuring that everyone has access to essential oral health care.
Tip: Ensure your PhilHealth membership is active and updated to avoid issues during claim processing.
How to Avail the PhilHealth ₱1000 Dental Care Package
Step 1: Check Your PhilHealth Membership Status
- Verify if you are registered under a PhilHealth Konsulta Provider (KPP).
- Log in to PhilHealth Member Portal to check your status.
- If you are not yet enrolled, visit your nearest PhilHealth office or coordinate with your employer or local government unit.
Step 2: Find an Accredited PhilHealth Dental Provider
- Visit PhilHealth’s Official Website to find a list of accredited dentists and clinics.
- You can also ask your barangay health center or local hospital for assistance in finding a qualified provider.
Step 3: Schedule an Appointment
- Contact the selected dental provider and book an appointment.
- Mention that you are using the PhilHealth Dental Package to avoid confusion and confirm service availability.
Step 4: Visit the Clinic and Get Treated
- Bring your PhilHealth ID, Member Data Record (MDR), and a valid government ID.
- Undergo the first round of services (examination, cleaning, fluoride application).
- Follow your dentist’s recommendations for better oral hygiene and future visits.
Step 5: Schedule Your Follow-Up Visit
- After at least four months, return for the second cleaning session.
- If you need additional treatment, ensure you schedule it accordingly.
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How Much Does It Cost? (Co-Payment Details)
If You Visit a Public Dentist:
No co-payment required (100% covered by PhilHealth).
If You Visit a Private Dentist:
Maximum co-payment amounts:
- Oral exam & cleaning: ₱1,500 per visit
- Pit & fissure sealants or restorations: ₱600 per procedure
- Tooth extraction: ₱600
Note: The co-payment amount depends on the clinic. It is advisable to confirm charges before the appointment.
