Is Free Dental Treatment Available for ECHS Cardholders at Empanelled Dental Clinics?

Hello,

Yes, ECHS cardholders can receive eligible dental treatment on a cashless basis, subject to ECHS rules, the type of dental procedure, and the referral process.

However, not every dental treatment is covered, and some procedures, such as cosmetic dental treatment and orthodontic treatment (braces), be excluded.

What Are the Steps to Get Dental Treatment Under ECHS?

1. Visit your nearest ECHS Polyclinic: Take your ECHS card and visit the polyclinic for a dental examination.
2. Get examined by the dental officer: The doctor will check your teeth and gums and identify the treatment required.
3. Get a referral, if required: If the treatment is not available at the polyclinic, you may be referred to a Service Dental Centre or an ECHS-empanelled dental facility, as per the applicable rules.
4. Check the hospital or clinic: Visit the facility mentioned in your referral and ensure that it is currently empanelled for the required dental service.
5. Check treatment coverage: The dental facility or ECHS help desk can guide you about whether your specific procedure is covered and whether any approval is needed.
6. Receive eligible treatment: Covered treatment at the authorised facility is generally provided cashlessly according to applicable ECHS rates and rules.

How to Check ECHS Empanelled Hospital?

Follow these steps to find a suitable ECHS hospital:

1. Visit the official ECHS website.
2. Open the section for empanelled hospitals or medical facilities.
3. Select your state and city or the nearest location.
4. Check the hospital list and look for a multispeciality hospital with an Oral and Maxillofacial Surgery or Dental Surgery department.
5. Check whether the hospital's ECHS empanelment is currently active.
6. Check with the ECHS Polyclinic and the hospital's ECHS help desk whether jaw fracture treatment and the required procedure are covered under the applicable package.

Important: A hospital being ECHS-empanelled does not mean every treatment or dental procedure is automatically covered. Coverage depends on the approved procedure, package and referral or authorisation requirements.

Documents Required for ECHS Dental Treatment

• Valid ECHS membership card.
• Referral letter from the ECHS Polyclinic, if required.
• Aadhaar card or another valid photo ID, if required.
• Previous dental prescriptions and treatment records, if available.
• Dental X-rays or other investigation reports, if available.
• Any additional approval documents required for the procedure.

Wishing you and your family good health always.
Warm regards,
Team HexaHealth