By treatment location: At Maccabi Dent and affiliated clinics - at the clinic At public hospitals - collected upon issuance of financial authorization Via mobile dental clinic - upon arrival for treatment or by phone Treatments at affiliated public hospitals, subject to a referral from a Maccabi Dent doctor and prior approval: A Maccabi Dent doctor will send the approval request to a Maccabi Dent professional, who will update you upon receiving the approval. To obtain financial authorization for treatment at an affiliated public hospital, the following documents must be submitted to Maccabi: An invitation letter from the hospital, including treatment codes Medical summary signed by a dentist Approval from Maccabi Dent for treatment at a public hospital

Dental Treatments for Ages 72 and Over

Who is eligible?

Maccabi members aged 72 and over.

What does Maccabi provide?

A variety of preventive and preservative treatments, including:

Annual examination and bitewing x-rays (two)
Annual doctor's examination
Consultation with specialists to adjust a treatment plan.
2 bitewing x-rays - once a year
Scaling - once every six months
Root planing - for a given mouth quadrant, up to 4 treatments over two consecutive years
Fluoride treatment, once a year
Status x-rays/parallel status x-rays or panoramic x-ray - once every two years
First aid treatments
Restoration (composite and amalgam fillings)
Dental extraction (including surgical extraction, hemisection and removal of lesions around the root tip)
Root canal treatment or retreatment (including removal of lesions around the root tip)
Episectomy (including removal of lesions around the root tip)
CT scan

Restorative dental treatments, including:

Permanent and temporary crowns - up to three to fit dentures
Installation of implants - up to four to secure complete lower dentures
Replacement of fasteners and rubber bands - for implants done under the health plan
Complete and partial immediate dentures
Partial dentures
Complete dentures

Mobile Dental Clinics

Plan members residing in institutions with over 150 residents are eligible for dental care via mobile clinic, according to the treatments listed in the plan and at the doctor’s discretion.

Additional benefits

Gingivitis treatments (periodontia) for ages 72 and over

Gingivitis treatments and additional aesthetic dental treatments for ages 72 and over

How much does it cost?

Treatments are provided with a reduced deductible

Deductible required (maximum amount)	Limit/quota	Service
72.59 NIS		*First Aid
Exempt	Once a year	Periodic doctor’s examination including consultation and preparation of a treatment plan within the insurance program
Exempt		Routine and follow-up examinations as part of medical treatment
Exempt	Within a yearly examination	2 bitewing x-rays
36.30 NIS	Once every two years	Status x-rays (including periapical x-rays and parallel status x-rays)
36.30 NIS	Once every two years	Panoramic x-ray
36.30 NIS	Even if done as part of another treatment	CT scan (either upper or lower jaw)
Exempt	Once every 6 months	Scaling
108.89 NIS	Up to 4 treatments over two years (one full mouth treatment once in two years)	Root planing - treatment for a given mouth quadrant
18.15 NIS	Once a year	Preventive fluoride or fluoride varnish treatment with local application
36.30 NIS		Dental extraction (including removal of lesions around the root tip)
72.59 NIS		Surgical dental extraction (including removal of lesions around the root tip)
36.30 NIS		Hemisection
145.18 NIS		Root canal treatment (including treatment of lesions around the root tip)
145.18 NIS		Root canal retreatment (including treatment of lesions around the root tip)
145.18 NIS		Episectomy (including periapical lesion removal)
36.30 NIS		Restoration (composite and amalgam)
36.30 NIS		Immediate restoration
217.78 NIS		Preparation of complete and partial immediate dentures (upper and lower), including measurement and adjustment
326.66 NIS	Excluding cases where only one molar tooth is missing in the jaw. No more than once in 4 years per jaw	Partial dentures (including measurement, fitting, laboratory fabrication, and mesh if necessary). Within the 4 years after receiving the denture, the following will also be provided: a. Permanent crown (porcelain or acrylic) - including a temporary crown prior to each permanent crown, as well as repair and replacement if needed, for fitting partial dentures only b. Acrylic temporary crown
217.78 NIS	Up to 3 crowns to fit each partial denture, including a temporary crown before each permanent crown, and replacement if necessary.	Partial dentures (including measurement, fitting, laboratory fabrication, and mesh if necessary). Within the 4 years after receiving the denture, the following will also be provided: a. Permanent crown (porcelain or acrylic) - including a temporary crown prior to each permanent crown, as well as repair and replacement if needed, for fitting partial dentures only b. Acrylic temporary crown
108.89 NIS	Up to 3 crowns to fit each partial denture	Partial dentures (including measurement, fitting, laboratory fabrication, and mesh if necessary). Within the 4 years after receiving the denture, the following will also be provided: a. Permanent crown (porcelain or acrylic) - including a temporary crown prior to each permanent crown, as well as repair and replacement if needed, for fitting partial dentures only b. Acrylic temporary crown
326.66 NIS	No more than once in 7 years per jaw	Preparation of complete dentures (upper and lower), including measurement, fitting, laboratory fabrication, and mesh for a lower denture if necessary.
Exempt for the first 4 sessions. 36.30 NIS per each additional session	A maximum 9 sessions every 7 years for complete dentures (or every 4 years for partial dentures)	A doctor's visit for fitting dentures and removing pressure points
72.59 NIS	A maximum of twice every 7 years for complete dentures	Soft liners in the lab, or hard liners in the clinic or lab
72.59 NIS	A maximum of 3 times every 7 years for complete dentures	Soft/temporary liner in the clinic
72.59 NIS	A maximum once every 7 years for complete dentures	Denture base restoration
36.30	A maximum of once every 7 years for complete dentures (or every 4 years for partialdentures)	Repairing fractures and/or adding teeth to dentures
72.59 NIS		Flipper
108.89 NIS		Root coping
36.30 NIS		Deepening the vestibule for dentures
36.30 NIS		Alveoloplasty
108.89 NIS per implant	Only if possible without preparatory treatment undefined within the health plan	Installation of up to 4 implants to secure complete lower dentures, including connectors, couplings, and elastics
36.30 NIS		Removal and replacement of a failed implant made within the plan to secure complete lower dentures on the implants
36.30 NIS	Once every two years	Replacement of spherical connectors or locators on implants for complete lower dentures
36.30 NIS	Once every 6 months	Replacement of elastics for spherical connectors or locators on implants to secure complete lower dentures

72.59 NIS

*First Aid

Exempt

Once a year

Periodic doctor’s examination including consultation and preparation of a treatment plan within the insurance program

Exempt

Routine and follow-up examinations as part of medical treatment

Exempt

Within a yearly examination

2 bitewing x-rays

36.30 NIS

Once every two years

Status x-rays (including periapical x-rays and parallel status x-rays)

36.30 NIS

Once every two years

Panoramic x-ray

36.30 NIS

Even if done as part of another treatment

CT scan (either upper or lower jaw)

Exempt

Once every 6 months

Scaling

108.89 NIS

Up to 4 treatments over two years (one full mouth treatment once in two years)

Root planing - treatment for a given mouth quadrant

18.15 NIS

Once a year

Preventive fluoride or fluoride varnish treatment with local application

36.30 NIS

Dental extraction (including removal of lesions around the root tip)

72.59 NIS

Surgical dental extraction (including removal of lesions around the root tip)

36.30 NIS

Hemisection

145.18 NIS

Root canal treatment (including treatment of lesions around the root tip)

145.18 NIS

Root canal retreatment (including treatment of lesions around the root tip)

145.18 NIS

Episectomy (including periapical lesion removal)

36.30 NIS

Restoration (composite and amalgam)

36.30 NIS

Immediate restoration

217.78 NIS

Preparation of complete and partial immediate dentures (upper and lower), including measurement and adjustment

326.66 NIS

Excluding cases where only one molar tooth is missing in the jaw. No more than once in 4 years per jaw

Partial dentures (including measurement, fitting, laboratory fabrication, and mesh if necessary). Within the 4 years after receiving the denture, the following will also be provided:
a. Permanent crown (porcelain or acrylic) - including a temporary crown prior to each permanent crown, as well as repair and replacement if needed, for fitting partial dentures only
b. Acrylic temporary crown

217.78 NIS

Up to 3 crowns to fit each partial denture, including a temporary crown before each permanent crown, and replacement if necessary.

108.89 NIS

Up to 3 crowns to fit each partial denture

326.66 NIS

No more than once in 7 years per jaw

Preparation of complete dentures (upper and lower), including measurement, fitting, laboratory fabrication, and mesh for a lower denture if necessary.

Exempt for the first 4 sessions. 36.30 NIS per each additional session

A maximum 9 sessions every 7 years for complete dentures (or every 4 years for partial dentures)

A doctor's visit for fitting dentures and removing pressure points

72.59 NIS

A maximum of twice every 7 years for complete dentures

Soft liners in the lab, or hard liners in the clinic or lab

72.59 NIS

A maximum of 3 times every 7 years for complete dentures

Soft/temporary liner in the clinic

72.59 NIS

A maximum once every 7 years for complete dentures

Denture base restoration

36.30

A maximum of once every 7 years for complete dentures (or every 4 years for partialdentures)

Repairing fractures and/or adding teeth to dentures

72.59 NIS

Flipper

108.89 NIS

Root coping

36.30 NIS

Deepening the vestibule for dentures

36.30 NIS

Alveoloplasty

108.89 NIS per implant

Only if possible without preparatory treatment undefined within the health plan

Installation of up to 4 implants to secure complete lower dentures, including connectors, couplings, and elastics

36.30 NIS

Removal and replacement of a failed implant made within the plan to secure complete lower dentures on the implants

36.30 NIS

Once every two years

Replacement of spherical connectors or locators on implants for complete lower dentures

36.30 NIS

Once every 6 months

Replacement of elastics for spherical connectors or locators on implants to secure complete lower dentures

* Definition of first aid - immediate care, including pain relief, prescribing medication, or providing surgical treatment for acute inflammation, caries removal, and temporary restoration

Where is the service provided?

Within the Maccabi Dent network and at affiliated dental clinics

At affiliated public hospitals

Mobile Dental Clinics

At the individual’s residence.

Additional details - by phone (1700-50-2424) or WhatsApp (03-9564139)

Next steps

Payment method

By treatment location:

At Maccabi Dent and affiliated clinics - at the clinic
At public hospitals - collected upon issuance of financial authorization
Via mobile dental clinic - upon arrival for treatment or by phone

Treatments at affiliated public hospitals

Treatments at affiliated public hospitals, subject to a referral from a Maccabi Dent doctor and prior approval:

A Maccabi Dent doctor will send the approval request to a Maccabi Dent professional, who will update you upon receiving the approval.
To obtain financial authorization for treatment at an affiliated public hospital, the following documents must be submitted to Maccabi:

An invitation letter from the hospital, including treatment codes
Medical summary signed by a dentist
Approval from Maccabi Dent for treatment at a public hospital

Additional information

Payments are to be once per treatment, regardless of the number of visits needed to complete it.
Members residing in remote communities (30 km or more from a clinic covered by the agreement) are eligible for refunds on treatments at a private clinic, upon prior approval from Maccabi. A refund request for treatment at a private clinic must be submitted to your medical center via email, mail, or in person at the medical center offices. No refund will be provided for treatment at a private clinic in a locality where an affiliated clinic is available.

If you are eligible for medical treatment, reimbursement, or a deductible for medical expenses due to the following situations, the service will be provided outside of the supplementary health services framework:

Traffic accident victims recognized by the National Insurance Institute
IDF veterans with a disability of at least 20%
Victims of terror and related violence recognized by the National Insurance Institute
Cosmetic surgeries/treatments

If the needed medical service is not because of the aforementioned circumstances, a doctor's letter confirming this must be sent to the medical center office (branch) for approval to receive the service. The letter can be submitted in a designated envelope and sent by mail or emailed to the medical center.

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