For social security, insured individuals under Sections 33 and 39 are entitled to **free dental care**, covering a variety of dental services including scaling, fillings, tooth extractions, and wisdom tooth removal, up to a maximum of 900 baht per year. This is considered a significant benefit that greatly helps reduce the cost burden of oral health care.
Who is eligible?
Insured individuals under Section 33 (regular employees whose employers deduct contributions)
Insured individuals under Section 39 (those who have left employment but can voluntarily continue their social security coverage)
Source: Dentalland Fanpage
Important Conditions
You must have paid contributions for at least 3 months within the 15-month period prior to receiving the service.
If you resign but have completed 3 months of contributions, this benefit will remain valid for another 6 months after your resignation.
Covered Services and Coverage Limit
| List of Dental Treatments | Coverage Limit Per Year/Service |
|---|---|
| Scaling, Fillings, Tooth Extractions, Wisdom Tooth Removal | Maximum of 900 baht per year. |
| Removable partial dentures (1-5 teeth) | Maximum of 1,300 baht. |
| Removable partial dentures (more than 5 teeth) | Maximum of 1,500 baht. |
| Full removable denture (upper or lower) | Maximum of 2,400 baht. |
| Full dentures (upper and lower) | Maximum of 4,400 baht. |
– Reimbursement for dentures is valid for a period of 5 years from the date of installation.
– For the first 4 types of treatments, no advance payment is required if the cost does not exceed 900 baht and the clinic cooperates with social security (smileseasons.com).
Steps to Exercise Your Rights
Check eligibility via the SSO Connect app or the Social Security Office website.
– The system will display information on the amount used and the remaining balance.Make an appointment with a clinic or hospital that displays the social security insured patient sticker.
Receive services such as scaling, fillings, extractions, or wisdom tooth removal.
- กรณีสำรองจ่ายค่าฟันปลอม ต้องเก็บเอกสารดังนี้
- แบบ สปส.2‑16
- ใบรับรองแพทย์
- ใบเสร็จรับเงิน
- เวชระเบียน (ฟันปลอม)
- สำเนาบัญชีธนาคารสำหรับรับเงินคืน
Submit your claim online via the SSO system.
– You can upload documents through the website www.sso.go.th or the SSO Connect app.
– Reimbursement approval typically takes 1–2 weeks from the submission of documents.
Tips for Maximizing Your Benefits
Check your remaining balance before receiving services via the SSO Connect app.
- Don't save your benefits until the very end of the year; you should use them before the insurance year concludes (e.g., your benefits will reset at year-end)
Make an appointment for an annual dental check-up at least once a year to monitor and prevent problems before they worsen.
- If you get dentures, we recommend keeping all your documents organized and submitting them all at once to ensure you don't miss out on your benefits.
In Summary:
Social Security dental benefits under Sections 33 and 39 are a valuable tool for reducing expenses and should be utilized to their full potential. This includes services like scaling, fillings, extractions, or wisdom tooth removal, with a limit of 900 baht per year. Additionally, there's a benefit for removable dentures up to 4,400 baht within a 5-year period. Insured individuals should use these rights correctly by checking their eligibility via the SSO Connect system, scheduling appointments, keeping documents, and submitting claims online for better oral health and financial relief.
If you wish to inquire further, you can contact the Social Security Hotline at 1506 or find more information on the website www.sso.go.th
Read more (news article from pptvhd36)
