It may happen that dental treatment involves costs that we cannot reimburse you for. Experts call such costs non-reimbursable.
Here are two examples of non-reimbursable costs.
Example 1: You wish to have treatment that is not covered by your dental plan ZahnFlex.
Example 2: We find that sometimes dental bills do not meet the requirements of the so-called Gebührenordnung für Zahnärzte (GOZ), the fee schedule for dentists. The GOZ sets out rules which dentists must adhere to. If, in our opinion, a dentist's bill is not correct and not in line with the GOZ (for example because the dentist charges an excessive fee), the incorrect items will be deducted from the total amount and will not be reimbursed.
Before your dental treatment starts...
Your dentist will draw up a so-called pre-treatment estimate (Heil-und Kostenplan). This document lists the proposed services that the dentist intends to provide during the planned treatment. We then check this pre-treatment estimate. If we find there are services you will not be reimbursed for, we will inform you immediately before treatment begins.
Of course you are always welcome to contact us and find out about your insurance cover. We will be happy to answer all your questions.