Orthodontia (braces)

Reimbursement health insurance 2020

  1. What is orthodontia?
  2. When do you qualify for reimbursement?
  3. Referral required for orthodontia
  4. Reimbursement orthodontia in 2020
  5. No statutory personal contribution
  6. No excess
  7. Who can you go to?

Note: the information on this page is a brief outline of the reimbursement. You can only derive rights from our insurance conditions (pdf).

1. What is orthodontia?

Orthodontia is care of an orthodontic nature such as dentists generally provide. It is a specialist area of dental care. Orthodontia corrects the position of teeth and molars in the jaw. This can be done by means of braces for instance. Dentists and orthodontists can provide this type of care.

This page is meant for insured younger than 18 years. If you are older than 18 and you have a very serious development or growth disorder in your teeth and jaw (teeth/jaw/mouth system), read about the reimbursement of orthodontics in special cases.

2. When do you qualify for reimbursement?

You are entitled to reimbursement of orthodontic treatment if you are younger than 18 and have taken out dental insurance.

3. Referral required for orthodontia

For the care provided by an orthodontist you do not need a referral.

4. Reimbursement orthodontia in 2020

By virtue of the dental insurance, an insured up to the age of 18 is entitled to a reimbursement of the costs of orthodontia. If you have a very serious development or growth disorder in your teeth and jaw (teeth/jaw/mouth system), read about the reimbursement of orthodontics in special cases.

 

Public Healthcare Insurance                    Reimbursement                     
HollandZorg public healthcare insurance none

 

Dental insurance                                       Reimbursement 
TandExtra 75%, subject to a maximum of € 250 per calendar year*
TandPlus 75%, subject to a maximum of € 500 per calendar year*
No Risk I none
No Risk II none

 

The reimbursement applies to the following elements jointly:

 

  • general dental care;
  • technical costs**;
  • statutory personal contribution dentures;
  • urgent dental treatment outside the Netherlands;
  • orthodontic treatment if you are younger than 18.

You are entitled to reimbursement of the following performance codes*:

 

Type of treatment Performance code
Braces (orthodontics) all F-codes*

 

*) Performance codes are codes for treatments. The code is given after the type of treatment on your dentist's quote or invoice. The codes have been formulated by the Dutch Healthcare Authority (Nederlandse Zorgautoriteit).

**) You are entitled to reimbursement of technical costs for the aforementioned codes, subject to a maximum of the amount included for the treatment in question in the List of maximum reimbursements of technical costs. 

5. No statutory personal contribution

There is no statutory personal contribution for orthodontia.

6. No excess

The costs for reimbursements by virtue of the supplementary insurance do not count towards your excess.

7. Who can you go to?

Orthodontic treatment is available from dentists or orthodontists. Our Care Guide helps you find a dentist or orthodontist near you. For more information about orthodontia, please call our Care Advice Line on +31(0)570 687 123. Our expert staff will be pleased to answer your questions.

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