ISODET Dental Provision

All queries relating to ISODET dental support from local host nation civilian dentists are to be addressed to the DPHC (Overseas) Dental ISODET manager following email: This email address is being protected from spambots. You need JavaScript enabled to view it.

ISODET Manager
DPHC Overseas
DMS Whittington
Lichfield STAFFS WS14 9PY

SfB Telephone: +443001527181

Provision of Dental Treatment to Personnel and Entitled Dependants in ISODETS.

Before you arrange any Dental appointments, please read all this information and refer to 2020DIN01-091.

As there are no Service provision for dental care by Defence Primary Healthcare (DPHC) (Dental) in ISODET locations, personnel are authorised to seek dental treatment from local civilian dental practitioners. Dental treatment is accessed via One HMG Healthline (HEALIX) and provided by local Host Nation dental practitioners.
Prior to attending any dental appointments, contact should be made with One HMG Healthline who will provide further clarification on their processes to follow and they will also provide the relevant forms and paperwork to take to your appointment, including the proposed treatment plan form for the dentist to complete and, if necessary, the cashless billing patient identification form. They will also explain what treatments would need prior authority, so that you don’t proceed with treatment, the cost for which you may subsequently become liable, if deemed unjustified. Contact with the One HMG Healthline on +44 (0) 2084817800, or email

This email address is being protected from spambots. You need JavaScript enabled to view it.

A clearance code can be obtained from your MOD Gateway lead (MOD parent depts / Chain of Command) and registrants (patients) can generate their own username and password at the following link for the One HMG Healthline, which will help with your overall healthcare.

One HMG Healthline will make payment direct with the practices which have cashless billing established. However, at present, cashless billing arrangements are currently being established between One HMG Healthline and selected practices in overseas locations. If One HMG Healthline advises that this has not yet been established in your location, costs for dental care is recovered through unit admin / NSE.

Prior authorisation for all ‘non-routine' dental treatment must be obtained from One HMG Healthline before the treatment can be carried out. Further details can be found in 2020DIN01-091. Patients are strongly recommended to acquaint themselves with this document prior to booking any dental appointments. All treatment requires authorisation from One HMG Healthline for funding before undertaking the treatment.

If One HMG Healthline is not available in your current location approval must be obtained from DPHC (Overseas) using 2021DIN01-113

Unless exempt, entitled civilians will pay NHS patient contribution costs towards their dental treatment, with these costs being reclaimed from the unit admin. The patient contribution paid to the MOD is equivalent to NHS dental charges. SP do not pay a patient contribution and can claim back all dental charges.

What sort of treatment do you need?

There are three types of treatment: Emergency, routine and non-routine treatment.

Emergency dental treatment is defined in 2020DIN01-091 and 2021DIN01-113 and is classed as urgent treatment required for the relief of acute pain, haemorrhage or infection. Emergency treatment may be undertaken without delay or prior notice being given, however, patients are strongly advised to contact One HMG Healthline (HEALIX) or DPHC(O) before attending treatment where possible.

Routine dental treatment

IAW 2020DIN01-091 and 2021DIN01-113 routine dental treatment includes the following treatments:

Dental examination / inspection / check-up. Radiographs (intra-oral of no more than 1 x OPG, 2 x bitewings and 4 x periapical).Routine restorations to a maximum of two. If more than two restoration are proposed, prior authorisation must be obtained before any fillings are carried out.

Non - surgical periodontal treatment (scale, polish - one course of treatment). Straightforward extraction of no more than two teeth (excluding wisdom teeth).Root canal treatment (non-surgical).Repairs to dentures. Fissure sealants for children.

Prior approval from One HMG Healthline/DPHC(O) is not required for emergency, however, authority for routine treatment should go through One HMG Healthline to arrange any cashless billing arrangements.

Adult patients should not normally require more than one dental examination and course of routine dental treatment 12 months. Child patients should not normally require more than one dental examination and course of routine dental treatment every six months.

 

Non-routine dental treatment

IAW 2020DIN01-091 and 2021DIN01-113 non-routine dental treatment includes the following treatments:

All requests for adult dental inspections at less than 12-month intervals and less than 6-month intervals for Under 18’s.

All requests for more than two restorations proposed. All requests for continued periodontal therapy following the first course of treatment and reviews.

All appliances made by a dental laboratory (veneers, inlays/onlays, crowns, bridges, full and partial dentures, soft and hard splints, anti-snoring devices and mouthguards). Elective replacement of amalgam (silver) restorations with composite (tooth-coloured, ‘white’) restorations.

Fissure sealants for adults. All orthodontic treatment.

Extraction of all third molars (wisdom teeth). Surgical periodontal therapy. Surgical endodontic therapy.

Elective treatments that is not clinically necessary including elective surgical procedures eg frenectomy, hemisecton or coronectomy.

These non-routine procedures must not be undertaken without professional advice and authorisation from the One HMG Healthline or DPHC(O) prior to the start of treatment.

 

Orthodontic treatment

Any orthodontic treatment commenced without approval will not be eligible for funding at public expense. Retrospective claims will not be reimbursed.

Orthodontic treatment requests for orthodontic care are non-routine and will be considered for entitled personnel under the age of eighteen (18) with a clear health need for treatment; this is in line with NHS regulations. Prior approval from One HMG Healthline is required for all Orthodontic treatment. Treatment proposals and supportive evidence must be submitted in accordance with 2020DIN01-091.

What do I need to do?

Prior to attending any dental appointments, contact should be made with One HMG Healthline who will provide further clarification on their processes to follow and they will also provide the relevant forms and paperwork to take to your appointment, including the proposed treatment plan form for the dentist to complete and, if necessary, the cashless billing patient identification form. They will also explain what treatments would need prior authority, so that you don’t proceed with treatment, the cost for which you may subsequently become liable, if deemed unjustified. Contact with the One HMG Healthline on +44 (0) 2084817800, or email This email address is being protected from spambots. You need JavaScript enabled to view it.

If you require emergency or routine treatment and you are not within a reasonable travelling time from a DPHC(D) dental centre, you are entitled to make an appointment to see a local civilian dentist.

Please refer to the guidance and policies below for all overseas dental care from Host Nation providers

  • HEALIX GUIDE
  • 2020DIN01-091 One HMG Overseas Commercial Healthcare Contract with Foreign & Commonwealth Office (FCO)
  • 2021DIN01-113 Instruction for Service, Entitled Personnel and Civil Servants serving Overseas who receive dental treatment from non-Service sources
  • Dental Fitness Certificate is available from the One HMG Healthline Hub

(NB 2020DIN01-091 and 2021DIN01-113 can be found on DefNet)

One HMG Healthline will make payment direct with the practices which have cashless billing established. However, at present, cashless billing arrangements are currently being established between One HMG Healthline and selected practices in overseas locations. If One HMG Healthline advises that this has not yet been established in your location, costs for dental care is recovered through unit admin / NSE.

Recovery of dental charges is via JPA or your local admin unit/NSE, or directly to the Dental Administrator CEP in EJSU, SHAPE for payment if you are part of the EJSU organisation.

This email address is being protected from spambots. You need JavaScript enabled to view it.

Invoices for routine and emergency treatment do not require authority for payment or to reclaim. Prior approval documentation and/or reference is to be used as the authority for invoices for non-routine treatment to be paid or reclaimed.

If your dentist recommends that you require a course of non-routine dental treatment, then you must obtain prior approval from the One HMG Healthline (HEALIX).

You should inform your dentist that a treatment plan with an estimate of the cost and supportive evidence (x-rays, photographs and BPE score) will be required. These should be submitted to One HMG Healthline (HEALIX).

Failure to submit the complete documentation will result in considerable and unnecessary delay. This procedure does not seek to challenge the local civilian dentist’s professional integrity, dentists often need to provide external funding authorities with details of treatment proposals. This is standard practice and is generally met without question by dentists providing treatment to MOD personnel and their dependants world-wide. Treatment plans will be clinically assessed and may be returned with recommendations and advice.

Patient contributions for spouses and dependants

There are financial costs associated with dental treatment in overseas locations in both DPHC facilities and HN clinics. Entitled dependants and Civil Servants (who are not exempt dental charges under NHS regulations ) are required to pay a patient contribution to the MOD equivalent to current NHS dental charges paid under NHS regulations. The NHS places treatment provision and costs in three bands and emergency care. Each band has an associated cost/patient contribution.

SP do not pay a patient contribution and can claim back all dental charges related to emergency, routine and approved non-routine treatment. Treatment that is not approved or commenced before approval is given will not be funded.

Recovery of costs is via JPA or Unit Administrative Staff. Dental costs should be attributed to RAC NHA002 against the unit’s UIN. Patient contributions should be attributed to RAC RLB013.

Further Information & Professional Advice

Professional advice for any dental query can be obtained from One HMG(HEALIX) or DPHC(O) before going to see a dentist or at any time during and after your treatment.

Further guidance can be obtained within 2021DIN01-113, Instruction for Service, Entitled Personnel and Civil Servants serving Overseas who receive dental treatment from non-Service sources:

MODNET: This email address is being protected from spambots. You need JavaScript enabled to view it. Skype for BusinessTelephone: +443001527181

 

Download a copy of ISODET Dental Provision for reference.