Dentures & Co.: Not all costs are covered by the health insurance company

Merlinnach of dental treatment often have to grit the teeth together.Because dental treatments go into money.High -quality dentures in particular are partly associated with high costs and not all services are covered by the health insurance company.In fact, the health insurers only come up for a legally specified share.

If you have special requests, you usually have to dig deep into your pocket.

A carefree smile does not necessarily have to be expensive

The statutory health insurance companies pay flat -rate fixed subsidies, which according to Stiftung Warentest can be increased slightly with a bonus booklet.Nevertheless, dental treatment for people who want higher quality dentures can be expensive.However, so that people with little reserves can afford a nice smile, providers such as Fair Doctors have introduced the so -called dentures at zero tariff.

Services that go beyond regular care are nevertheless offered in this concept at affordable prices.For example, full ceramic crowns are sometimes available for less than 50 euros.It should be noted that such offers are usually only accessible to legally insured persons in which the legal and dental requirements are also met.

What dentures does the health insurance pay?

Since 2005, the fixed subsidy system has been in the case of health insurance companies for dentures.This is roughly speaking to the regular care.The system states that the amount of the costs for insured persons are based on the finding.The term “finding” means the dental state of the entire teeth that the dentist holds in the healing and cost plan.

The health insurance company sets a regular care for every finding.In the past, the health insurance company's fixed subsidy corresponded to around 50 percent of the average costs for the chosen dentures.In October 2020 the grant rose to 60 percent.As a result, you will get more than half of the costs of the service that suggests statutory health insurance.But what happens if this proposal does not meet your ideas?

After all, the cash benefit is the cheapest solution for dentures.With a missing tooth in the non -visible area, a silver bridge is recommended, for example.If the teeth are missing from the upper or lower jaw, the regular supply is in a simple prosthesis.If you do not want to be satisfied with this solution, you can choose a different or similar supply.The latter refers to the same type of supply with a higher quality version.For example, instead of a silver bridge, you want a white denture.This should perhaps be made from all -ceramics.

Although higher -quality materials are used here, the health insurance subsidy remains the same.Almost half of the costs for dentures are covered after the regular care.That means that your own contribution is increasing.It becomes even more serious if you rely on a different solution.This means that you choose a different kind of dentures against the recommendation of health insurance.As an example, you would like to have implants instead of the prosthesis.The fee schedule for dentists, or GOZ for short, is now used as a billing model.As a result, all denture performance is billed directly in the patient.

Although you will also receive the health insurance fixed subsidy here- provided you grant the healing and cost plan in advance- you must already have between 1 for an implant with an implant between 1.000 and 2.000 euros.In principle, implants are treated as pure private services.

When the implants are crowned over the crowning of a bridge supply.How high the performance of the cash register depends on the size of your tooth gap.If a single tooth gap has to be treated, statutory health insurance pays the fixed subsidy for a bridge.This is between 330 and 440 euros.If more than four teeth are supplied with implants, the fixed grant comes into play for a prosthesis with 340 to 430 euros.With the help of the bonus booklet, this can be increased by 20 to 30 percent.

Tooth crowns can also be expensive

Dentures goes hand in hand with high costs.Therefore, it makes sense to maintain your teeth properly in order to maintain them as long as possible.To remove plaque and receipts, you can use an electric toothbrush, for example, instead of the classic hand toothbrush.However, it can also happen with good care that a tooth breaks off and has to be crowned over.

This is also a denture that has to be done.The tooth crown can be supported with the health insurance funds that are found.In the side tooth area, the statutory insurance recommends a silver crown made of non-precision metal.In the front tooth sector, the standard supply provides for a partial crown.

However, the silvery dentures can be annoying in a bright smile and affect the self -confidence of those affected.If you would therefore like a white crown in the side tooth area, you can address your dentist and a healing and cost plan is also created here.

However, the health insurance company's fixed subsidy remains the same.While a share of up to 600 euros in the case of regular supply, it can increase to twice or more in the event of a different care.