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The Cost

Braces and statutory health insurance

Naturally, before parents embark on orthodontic treatment for their child, they ask: “How much will the complete treatment cost?” and “What portion of the expense is covered by our statutory insurance?” Since early 2009, when the universal insurance contribution rate was introduced, costs have become more transparent and comparable. 

However, statutory insurance budgets are still tight, so not even every correction will automatically be subsidized. The severity of the tooth or jaw malpositioning as well as the age of the patient is a determining factor in the approval of insurance coverage. In virtually all cases, the parent or patient will be required to pay a certain deductible. In 2002, legislation was passed that organized orthodontic indications on a scale of five degrees; KIG I – III for less severe and KIG IV – V for acute cases. KIG I-II will not receive subsidies and must be paid completely out-of-pocket because they are not considered health impairing. 

It’s not possible to list exact cost details here because each patient receives different orthodontic treatment according to her/his individual needs. As a guideline, however, material and time invested into fixed braces exceeds that of a removable retainer. It is very important that the patient and doctor speak frankly about the topic of cost to avoid unpleasant surprises once treatment has started. A detailed cost and treatment schedule (HKP) will be prepared, which will fully outline the extent of financial expenses as well as subsidies associated with your orthodontic care.