HSE Grant

HSE Orthodontic Grant in Kilkenny, Carlow and Portlaoise

The government recently released figures stating that 11,000 children who are eligible for HSE braces have to wait more than 12 months before they can start treatment (www.irishtimes.com 9th March 2015).

Often a child, who ideally would be treated in their early teens as teeth are growing, has treatment delayed until all the adult teeth have developed.

If your child needs braces and is on a HSE treatment waiting list you may be eligible for a grant towards the cost of orthodontic treatment.

Recently the EU rules on treatment waiting lists changed and patients who are on Heath Board waiting lists can choose to be treated privately.  The EU has named this the “Cross Border Directive”.

girl smiling with her HSE grant free clear retainer and braces mould

The amount that the HSE awards towards treatment can vary from case to case but in general the grant can be up to €1,840. To access the grant there are some conditions a potential patient needs to understand.

HSE Grant Frequently Asked Questions

Answer
Any patient on a HSE Orthodontic treatment list is eligible to apply for the Cross Border Directive grant funding. It is important that parents/patients have written confirmation from their local HSE dental clinic that they are on the orthodontic treatment waiting list.

Who can do the treatment to qualify for the grant?
While many dental practices perform forms of limited orthodontic treatment (such as 6-month braces, Invisalign etc) the EU directive insists that treatment can only be carried out by a registered orthodontic specialist. The Dental Council of Ireland has a list of all registered orthodontic specialists (www.dentalcouncil.ie/dentalspecialists) and additional information can be obtained from the Orthodontic Society of Ireland websites (www.orthodontics.ie/find-an-orthodontist).

Who is eligible for grant funding?

Any patient on a HSE Orthodontic treatment list is eligible to apply for the Cross Border Directive grant funding. It is important that parents/patients have written confirmation from their local HSE dental clinic that they are on the orthodontic treatment waiting list.

Who can do the treatment to qualify for the grant?
While many dental practices perform forms of limited orthodontic treatment (such as 6-month braces, Invisalign etc) the EU directive insists that treatment can only be carried out by a registered orthodontic specialist. The Dental Council of Ireland has a list of all registered orthodontic specialists (www.dentalcouncil.ie/dentalspecialists) and additional information can be obtained from the Orthodontic Society of Ireland websites (www.orthodontics.ie/find-an-orthodontist).

Answer
Any patient on a HSE Orthodontic treatment list is eligible to apply for the Cross Border Directive grant funding. It is important that parents/patients have written confirmation from their local HSE dental clinic that they are on the orthodontic treatment waiting list.

Who can do the treatment to qualify for the grant?
While many dental practices perform forms of limited orthodontic treatment (such as 6-month braces, Invisalign etc) the EU directive insists that treatment can only be carried out by a registered orthodontic specialist. The Dental Council of Ireland has a list of all registered orthodontic specialists (www.dentalcouncil.ie/dentalspecialists) and additional information can be obtained from the Orthodontic Society of Ireland websites (www.orthodontics.ie/find-an-orthodontist).

What does Castle Orthodontics offer?

Castle Orthodontics mission is to promote the appropriate and timely treatment of all patients (both HSE and Private). We recognise that any prolonged delay in commencing treatment can have a serious impact on the dental and psychological well being of patients. Castle Orthodontics is keen to offer any HSE patient the opportunity to begin treatment immediately. On the first week of each month, Dr Brian Halton has a clinic in Belfast treating both private and Health Board patients. As Dr Halton is a registered Orthodontic Specialist and the Belfast clinic is considered to be “outside the jurisdiction” allowing HSE patients to qualify for the Cross Border Directive grant funding.

Answer
Any patient on a HSE Orthodontic treatment list is eligible to apply for the Cross Border Directive grant funding. It is important that parents/patients have written confirmation from their local HSE dental clinic that they are on the orthodontic treatment waiting list.

Who can do the treatment to qualify for the grant?
While many dental practices perform forms of limited orthodontic treatment (such as 6-month braces, Invisalign etc) the EU directive insists that treatment can only be carried out by a registered orthodontic specialist. The Dental Council of Ireland has a list of all registered orthodontic specialists (www.dentalcouncil.ie/dentalspecialists) and additional information can be obtained from the Orthodontic Society of Ireland websites (www.orthodontics.ie/find-an-orthodontist).

What will happen if I have a broken bracket or emergency?

Broken orthodontic braces and appliances can cause discomfort and harm the progress of treatment. In addition to the Belfast clinic, Dr Halton and Dr Ian Fitzgerald operate clinics in Kilkenny, Carlow and Portlaoise.

During the course of treatment, should a Cross Border Directive grant-funded patient have an orthodontic emergency, they will be offered emergency treatment in Belfast or at any of Castle Orthodontic’s Portlaoise, Kilkenny or Carlow clinics.

To comply with the rules & regulations of the Cross Border Directive, Belfast registered patients should only request an appointment in Carlow, Kilkenny or Portlaoise for relief of pain, repair of damaged or broken braces and emergency care due to exceptional personal circumstances.

 

Answer
Any patient on a HSE Orthodontic treatment list is eligible to apply for the Cross Border Directive grant funding. It is important that parents/patients have written confirmation from their local HSE dental clinic that they are on the orthodontic treatment waiting list.

Who can do the treatment to qualify for the grant?
While many dental practices perform forms of limited orthodontic treatment (such as 6-month braces, Invisalign etc) the EU directive insists that treatment can only be carried out by a registered orthodontic specialist. The Dental Council of Ireland has a list of all registered orthodontic specialists (www.dentalcouncil.ie/dentalspecialists) and additional information can be obtained from the Orthodontic Society of Ireland websites (www.orthodontics.ie/find-an-orthodontist).

Can the HSE refuse my claim or the Revenue Commissioners fail to refund my tax?

Yes, both the HSE and the Revenue Commissioners constantly change the rules and regulations affecting grants and rebates.  We at Castle Orthodontics DO NOT guarantee your eligibility for the previously mentioned refunds and grants.

Castle Orthodontics promises to treat every patient, (both privately funded or subsidised by insurance payments, tax refunds or grants), to the best of our clinical and professional ability.

We will assist in any way to ensure that our patients receive any grants and refunds to which they are entitled. We have made the above information public as we believe it is not widely known that there are alternative avenues for funding Orthodontic treatment.

 

Answer
Any patient on a HSE Orthodontic treatment list is eligible to apply for the Cross Border Directive grant funding. It is important that parents/patients have written confirmation from their local HSE dental clinic that they are on the orthodontic treatment waiting list.

Who can do the treatment to qualify for the grant?
While many dental practices perform forms of limited orthodontic treatment (such as 6-month braces, Invisalign etc) the EU directive insists that treatment can only be carried out by a registered orthodontic specialist. The Dental Council of Ireland has a list of all registered orthodontic specialists (www.dentalcouncil.ie/dentalspecialists) and additional information can be obtained from the Orthodontic Society of Ireland websites (www.orthodontics.ie/find-an-orthodontist).

Where can you get treatment?

The Cross Border Directive scheme insists that patients will only be awarded the grant if they seek treatment “outside the jurisdiction”…. this means that you cannot be treated locally and must seek treatment in the UK or Europe.

This may be problematic as orthodontic adjustments are needed every 4-6 weeks over a 2-3 year period. If broken appliances are ignored they can impact the progress of treatment.

The EU recognises Northern Ireland as part of the United Kingdom and as such qualifies as “outside the jurisdiction” of the HSE.

This avoids patients having to go overseas to the UK or Europe and still qualify as having treatment “Outside the Jurisdiction”.

Answer
Any patient on a HSE Orthodontic treatment list is eligible to apply for the Cross Border Directive grant funding. It is important that parents/patients have written confirmation from their local HSE dental clinic that they are on the orthodontic treatment waiting list.

Who can do the treatment to qualify for the grant?
While many dental practices perform forms of limited orthodontic treatment (such as 6-month braces, Invisalign etc) the EU directive insists that treatment can only be carried out by a registered orthodontic specialist. The Dental Council of Ireland has a list of all registered orthodontic specialists (www.dentalcouncil.ie/dentalspecialists) and additional information can be obtained from the Orthodontic Society of Ireland websites (www.orthodontics.ie/find-an-orthodontist).

How much will treatment cost?

Castle Orthodontics offers a wide range of treatments ranging in cost from €1,200 to €4,800 depending on the severity and duration of treatment.

Fees can be spread over the course of treatment and patients/parents can choose to pay weekly (€50 per week), monthly (€200 per month) or quarterly (€600 per 3 months).

Patients who qualify for HSE orthodontic treatment are usually the most severe cases and typically take a full 2-3 years to complete. Treatment fees are tax-deductible, allowing parents to claim back 20% in addition to the Cross Border Directive grant.

 

Typical fees/allowances

Cost of Full orthodontic treatment €4,800
Tax refund (Med II form) (€ 960)
Cross Border Directive grant (€1,840)
Treatment costs after grant/refunds €2,000

 

Answer
Any patient on a HSE Orthodontic treatment list is eligible to apply for the Cross Border Directive grant funding. It is important that parents/patients have written confirmation from their local HSE dental clinic that they are on the orthodontic treatment waiting list.

Who can do the treatment to qualify for the grant?
While many dental practices perform forms of limited orthodontic treatment (such as 6-month braces, Invisalign etc) the EU directive insists that treatment can only be carried out by a registered orthodontic specialist. The Dental Council of Ireland has a list of all registered orthodontic specialists (www.dentalcouncil.ie/dentalspecialists) and additional information can be obtained from the Orthodontic Society of Ireland websites (www.orthodontics.ie/find-an-orthodontist).

Can I attend someone other than Dr. Brian Halton to qualify for the grant?

Yes, a HSE eligible patient can attend any Specialist Registered Orthodontist and still qualify for the Cross Border Directive grant funding.

Most Northern Irish orthodontists do not operate clinics both North and South of the border, so registering for treatment with one will commit a patient to complete all treatment visits only with that orthodontist.

What is unique about Castle Orthodontics is that we operate in all 4 locations and allows our patients to choose where and when they attend for clinical adjustments.

There is no additional charge or difference in fees between locations, our only aim is to provide the highest standards of care and meet each patients individual needs as completely as possible.

 

Answer
Any patient on a HSE Orthodontic treatment list is eligible to apply for the Cross Border Directive grant funding. It is important that parents/patients have written confirmation from their local HSE dental clinic that they are on the orthodontic treatment waiting list.

Who can do the treatment to qualify for the grant?
While many dental practices perform forms of limited orthodontic treatment (such as 6-month braces, Invisalign etc) the EU directive insists that treatment can only be carried out by a registered orthodontic specialist. The Dental Council of Ireland has a list of all registered orthodontic specialists (www.dentalcouncil.ie/dentalspecialists) and additional information can be obtained from the Orthodontic Society of Ireland websites (www.orthodontics.ie/find-an-orthodontist).

Can I claim the tax or HSE repayment before I start treatment?

No, both the Revenue Commissioners and the Crossborder Treatment Directive insists that the patient/parent must pay for and complete treatment before completing the refund process. 

It is within their power to accept or refuse each application.