The exact extent of cover may depend on the specific health insurance provider. In general, statutory health insurance mainly covers the costs of medically necessary and appropriately adequate materials and procedures. Contractual services include certain dental fillings (usually only simple standard fillings, e.g. amalgam), root canal treatments, tartar removal by dentists, surgical procedures, the extraction of teeth or tooth roots, and removable dentures.
Many services – such as crowns, bridges or implants – usually have to be paid for privately or are only partially reimbursed.
For children and young people, dental braces are only covered in cases of severe malocclusion, as is basic oral hygiene.
Important to know: Oral hygiene (for adults) and modern or aesthetically high-quality medically necessary treatments are often not covered, or only partially covered. This is precisely where private supplementary dental insurance can be worthwhile to bridge financial gaps.
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