PRSI Entitlements

PRSI Entitlements

Do you pay PRSI contributions? You may be entitled to an Exam, Scale & Polish for only €15 under your PRSI entitlements.

Alternatively, if you have either a Medical Card Holders or Dental Insurance check your entitlements now.

PRSI Entitlements

Did you know that as a PRSI payer, you may be entitled an Exam, Scale and Polish for only €15?

Approximately two million people in Ireland pay PRSI, but surprisingly only 25% of those eligible claim their entitlements of an Exam, Scale and Polish.

It is important to note that not all dentists are registered providers of the PRSI dental scheme but if they are, you should be entitled to claim an annual free check-up, as well as a subsidised Scale and Polish (cleaning) for €15.

Visiting your dentist at least once a year for a check-up is important to ensure that any issues are detected early, before they become bigger and often expensive problems. Regular cleaning of the teeth by a dental professional is also essential to remove plaque and tartar both above and below the gumline, eliminating bacteria that lead to cavities, bad breath and gum disease.

The Treatment Benefit Scheme is run by the Department of Employment Affairs and Social Protection (DEASP) and provides dental, optical and aural services to qualified people. The Treatment Benefit Scheme is available to insured workers, the self-employed and retired people who have the required number of PRSI contributions.

Under the Treatment Benefit Scheme, you may qualify for:

  • Dental benefit
  • Optical benefit
  • Hearing aids

There is a number of criteria for claiming PRSI entitlements the main one being, you must have paid Class A, E, P, H or S social insurance contributions. The amount of social insurance you need depends on your age.

A spouse, civil partner or cohabitant may, of course, qualify in their own right if they have enough social insurance contributions. If your spouse, civil partner or cohabitant does not have enough social insurance contributions he/she may still qualify for Treatment Benefit on your social insurance record. To do this, you must qualify for Treatment Benefit and your spouse, civil partner or cohabitant must be dependent on you.

Frequently Asked Questions

There is a number of criteria for PRSI entitlement eligibility. Your eligibility can depend on the amount on the amount of PRSI contributions paid, as well as your age can determine if you can claim this PRSI entitlement. More detailed information can be found on Welfare.ie.

As of March 27th 2017 the scheme was extended to cover the self-employed who have paid sufficient contributions, and their dependent spouses.

If you have any questions around you or your spouse being eligible, you can contact the Department of Social Protection on 074 91 64480, or via their website www.welfare.ie.

Call your local Dental Care Ireland practice where one of our receptionists will check on the Welfare Partners website to see if you are eligible for an Exam, Scale and Polish for €15. In order for us to find out if you are eligible, our receptionist will require your consent to check, your PPSN and date of birth.

There are three results that can come from this check; approved, pending and not approved.

  • If your claim is “approved“, you will be able to claim your Exam, Scale and Polish for that calendar year for only €15.
  • If your claim is “pending“, this can be for a number of reasons such as; large volume of checks being processed by the site at the time, or it can be that your eligibility requires further checks by a welfare administrator. This may also mean we are unsure of eligibility prior to your appointment. As a result of this, we will be obliged to charge you full private fees on the day of your appointment. If/when we receive confirmation of your eligibility we will reimburse you the excess paid for the private fee, meaning you get your Exam, Scale and Polish for €15.
  • If your claim is “not approved“, we can still make you an appointment privately if you wish. All our practices are accepting new patients and would be more than happy to accommodate you.

Contact information for all of our practices can be found here.

There is a number of dental entitlements available now for both employed and self-employed PRSI payors:

  • A full dental Examination
  • Subsidised Scale and Polish (capped cost of €15.00)
    • OR alternatively, a part subsidised “Protracted Periodontal Treatment”. This is a deep cleaning, often done under local anaesthetic, where a regular Scale and Polish would not be sufficient to restore optimum gum health.

These entitlements will be available to those eligible once per calendar year, meaning that you may claim once between the 1st of January and the 31st of December each year – not once every 12 months. Be sure to claim your entitlements before the end of 2018!

No, unfortunately not.  These benefits are only available once per calendar, meaning January to December – They cannot roll over.

Yes you can, but specific practices may or may not have a hygienist providing this service, so best to check with your local Dental Care Ireland practice. Dental Care Ireland contact numbers can be found here.

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