Orthodontic treatment is generally covered under a supplementary insurance plan. For some insurers, coverage for orthodontics falls under the additional dental policy. In very rare cases, reimbursement may be claimed from the basic insurance. This only applies to individuals with a severe developmental jaw disorder (similar to cleft palate). To be eligible for reimbursement from the basic insurance, prior authorization must always be requested from the insurance company. We can handle this request for you.
In most cases, you will need to have supplementary insurance to cover your treatment. We advise you to check with your insurer before your first appointment to see what orthodontic treatments are reimbursed. You can find this information in your policy terms or by calling or emailing your health insurance provider.
On the website vergelijkmondzorg.nl, you can view a clear overview showing what each insurer reimburses for treatment of children and adults. It also shows the additional monthly premium you pay. This allows you to make an informed comparison.
On the website gezondkindergebit.nl, you can find another overview that lists different comparison sites. This helps you see which insurers cover orthodontics and what the additional premium costs. The site also provides a wealth of useful information about maintaining a healthy smile.
(Source: Association of Orthodontists)
Many insurers promise generous orthodontic coverage on their websites. Purchasing a policy online is quick and easy, and it may seem like you are well insured. However, reading the fine print is often time-consuming and complicated. Many people don’t get around to it. In practice, the fine print often reveals that you are reimbursed far less than advertised — sometimes even less than in previous years — while your monthly premium continues to increase.
We always advise our patients to carefully check what their insurer actually reimburses. During your first consultation, we assess your insurance coverage and explain which costs are covered. This is an additional service we provide. However, the final responsibility for checking reimbursement always remains with the patient or the parents/guardians of the patient.
