Teachers’ Dental and Optical Coverage with the TSC Medical Scheme
Maintaining good oral health is essential not only for a healthy smile but also for overall well-being.
Poor oral hygiene can lead to issues such as tooth decay, gum disease, and more serious systemic conditions, including heart disease. Regular dental care plays a crucial role in preventing these problems and promoting a healthier body.
Dental Coverage Under the TSC Medical Scheme
The TSC Medical Scheme prioritizes dental health for teachers, providing access to a wide array of dental services.
This comprehensive coverage ensures that members can receive professional dental care without the burden of financial stress.
The scheme covers dental consultation and anesthetist fees, allowing teachers to seek expert advice and treatment.
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Included in the coverage are vital dental procedures such as x-rays, root canals, fillings, tooth extractions, and treatments for accident-related dental injuries.
The scheme also covers scaling when it is prescribed by a dentist due to a medical condition, ensuring that members receive necessary preventive care.
Support for Accident-Related Dental Issues
For cases where dentures are required due to an accident or injury, the scheme provides coverage, with the requirement that members present an OB and a doctor’s report as proof.
This additional assurance offers peace of mind, ensuring that members are supported during unforeseen dental emergencies.
The scheme also covers more specialized services, such as deformation surgery and dental crowns, catering to individuals who need advanced dental care.
How to Access Dental Services
To access these dental services, members can use the USSD code 20206# to select from panelled facilities.
This feature enables teachers and their dependents to choose accredited dental care providers nearby, ensuring convenient access to necessary services.
If any challenges arise or assistance is needed, members can call 1528 or 0730604000 for support.
Eye Health and Optical Benefits
In addition to dental health, the TSC Medical Scheme also emphasizes the importance of eye health.
According to the National Institutes of Health, 2.5% of Kenyans, including educators, suffer from significant visual impairment, with cataracts being the leading cause, responsible for 38% of all cases of blindness and visual loss.
The scheme’s optical benefits cover a range of eye-related expenses, helping members maintain good vision and eye health.
Members are eligible for coverage of lenses and frames, although frame replacement within one year is only covered if necessitated by a medical condition and prescribed by an ophthalmologist.
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This provision encourages responsible use of the benefits while ensuring that members receive necessary care when medically required.
Additionally, the scheme covers the costs associated with ophthalmic treatment and eye lenses, including prescriptions.
If prescribed by an ophthalmologist, members can also access coverage for ophthalmic ultrasound, further supporting their eye care needs.
Accessing Optical Services
Similar to dental services, the optical benefits are available in panelled facilities. Members can use the same USSD code 20206# to select an accredited facility near them, ensuring easy access to the optical services they need.
Teachers’ Dental and Optical Coverage with the TSC Medical Scheme
