DOHA: Many more private clinics and specialised dental centres have joined the National Health Insurance Scheme — Seha — provider network, as dental services are being covered from today.
All Qataris covered under Seha can now get the full range of medically necessary dental treatments at a large number of hospitals and clinics.
Hamad Medical Corporation and Primary Health Care Corporation facilities will not offer dental services under Seha at this time although patients may still seek treatment from these providers using the HMC health card.
From today, all basic dental services and emergency treatments will be fully covered by Seha and do not require any co-payments from members.
However, a small number of specified procedures require prior authorisation by National Health Insurance Company and a second opinion from a member of the panel of experts nominated by Qatar Council of Health Practitioners, NHIC said yesterday.
The treatments include indirect veneers, tooth implants, and orthodontic procedures.
If, based on international expert guidelines, treatment is medically necessary, then it is fully covered without any co-payments.
In cases where a treatment is medically necessary but an equally effective lower-cost alternative exists, members are free to choose the higher-cost treatment, provided this is not for cosmetic purposes.
Lower-cost treatments will be covered in full by Seha in such cases. Should a member select a higher-cost procedure, Seha will cover such treatments up to QR5,000 per year. Treatments above this limit will be subject to a 10 percent member co-payment for amounts above QR5,000.
Purely cosmetic procedures and teeth whitening are not covered by Seha.
Seha members are able to access dental treatment at all network providers with dental clinics, including Al Ahli Hospital, Al Emadi Hospital, Al Esraa Medical Centre, Doha Clinic hospital, Al Hayat Medical Centre, Al Jazeera Medical Centre, Apollo Clinic, Atlas Medical Centre, Atlas Polyclinic, Bin Muftah Medical Centre, Future Dental Centre, Future Medical Centre and Ocean Medical Centre.
A number of specialised dental clinics have been added to the Seha network, giving members more choice when seeking treatment. These are three branches of Gulf Dental Centre and four branches of Madina Dental Centre in addition to Teba Specialised Dental Centre, Dr Marwan Kalla Dental Centre, Doha Specialised Dental Centre and Najat Dental Centre.
Members may also visit three new providers that have joined the Seha network – Al Shefa Polyclinic, Al Salam Medical Polyclinic Centre and Al Shorook Medical Centre – to access treatment and broader healthcare services.
Additional providers — specialised dental clinics and broader health clinics — will be added to the network over the coming days and weeks, including Magrabi Eye, Ear and Dental Centre which is scheduled to join the network on July 1. A full list of service providers is available at www.seha.qa.
“Our aim is to provide Seha beneficiaries access to the best possible healthcare services, of which dental forms an important component. We have developed Seha’s dental coverage based on best practices from around the world with a comprehensive set of services included within the scheme,” said Dr Faleh Mohamed Hussain Ali, Acting CEO, NHIC.
The Peninsula
