Dental treatments may involve expenses that we cannot reimburse. These expenses are called 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: The dental bill does not meet the standards set out in the GOZ (Gebührenordnung für Zahnärzte) - a dentist fee schedule determined by a regulatory body. Among other things, it defines how much a dentist can charge for a service. After receiving your claim, we will review the dentist’s bill. If it does not meet the GOZ rules, (for example because it shows incorrect items or codes, or the dentist is overcharging), we will not reimburse you for these expenses.
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.