1.5.1.1 - Tillstånd och tillhörande regler samt villkor
Ersättningsreglerna grundas på ett antal tillstånd som är uppdelade under följande huvudrubriker i bilaga 1 till föreskrifterna, HSLF-FS 2024:11:
Undersökningar och utredningar
Hälsofrämjande insatser
Behandlingar vid sjukdoms- och smärttillstånd
Reparativ vård
Rehabiliterande och habiliterande vård.
Tillstånden har en fyrsiffrig kod och rubrik, exempelvis 4002 Kavitet i tand på grund av primärkaries.
För de olika huvudrubrikerna finns generella regler som har samma bokstavsbenämning som respektive område. För A. Undersökningar och utredningar, finns regel A.1, för de övriga finns B-, C-, D- respektive E-regler. Dessa finns angivna i ”Villkor för ersättning” i tredje kolumnen för respektive tillstånd. De fullständiga reglerna återfinns efter samtliga tillstånd inom varje huvudrubrik.
För flertalet tillstånd finns även specifika villkor för att åtgärderna till tillståndet ska vara ersättningsberättigande. De specifika villkoren för ett tillstånd återfinns även de i tredje kolumnen för respektive tillstånd.
Till varje tillstånd finns ett antal ersättningsberättigande tandvårdsåtgärder. Det är endast de åtgärder som finns angivna i tillståndet som berättigar till tandvårdsstöd. De generella reglerna och specifika villkoren måste vara uppfyllda för att åtgärderna inom tillståndet ska vara ersättningsberättigande.
Sammanfattning ersättningsreglerna:
Område | Tillstånd | Generella regler | |
A. | Undersökningar och utredningar | ||
B. | Hälsofrämjande insatser | ||
C. | Behandlingar vid sjukdoms- och smärttillstånd | ||
D. | Reparativ vård | ||
E. | Rehabiliterande och habiliterande vård |
| I varje tillstånd framgår vilka generella regler som gäller, de specifika villkor som gäller för tillståndet, och vilka åtgärder som är ersättningsberättigande för just det tillståndet. |
Kuspkusp: 2§
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