Regular dental check-ups at the dentist’s can help avoid a lot of toothache. The AOK pay for these check-ups – simply present your AOK health card.
Children from 6 to 17 years of age should have a check-up twice a year, adults at least once a year.
The AOK pays the costs when the dentist drills and fills. That applies to the standard filling materials. For example, composite fillings that are prepared according to your specifications are not part of the standard treatment. You will be charged for these additional costs privately.
You receive a specific allowance for crowns, bridges and prostheses, which is based on the findings. The fixed allowances are stated in guidelines and are the same for all health care insurances. This means: All insured people receive the same reimbursement from their health insurance company for the same diagnosis. As a rule, the allowances cover 50 percent of the medically necessary treatment. The remaining amount is paid by the insured person. If a higher quality treatment is desired and received, for example an implant instead of a bridge, then the allowance is only paid for the standard treatment.
Bonus regulations for dental prosthesis
If you go to the dentist’s regularly, you are doing your teeth a great favour and ensuring that you receive the AOK bonus for dental prosthesis. There is an additional bonus of 20 or 30 percent on the fixed allowance if you go the dentist’s for a preventative check-up regularly and that is documented in your bonus booklet. This reduces the share you have to pay.
So please remember to have your regular check-ups documented in your bonus booklet. You receive your bonus booklet on your first visit to the dentist in Germany. This will earn you a higher allowance should a dental prosthesis become necessary.
Dental early diagnosis check-ups for children
Children’s teeth need care! The AOK makes sure that any dental, oral and orthodontic diseases are discovered early on: with the dental early diagnosis check-ups. Your child receives a total of three check-ups between the ages of 30 months and six years.
There is a complete prophylaxis program for children and youths. The costs are paid by the AOK until the child is 18 years of age. Children and youths also have the possibility to learn and practise how to clean their teeth properly. It is especially important that the chewing areas of the back molars are sealed with a composite as soon as they have appeared. This protects the teeth from decay. The AOK also carries all the costs here.