Kieferorthopädische Behandlung für Krankenversicherte gewähren

Health insurance companies cover the costs of medically necessary orthodontic treatment for children and adolescents under the age of 18.

The health insurance covers the costs for medically necessary orthodontic corrections (KfO treatments) up to the completion of the 18th year of life. The decisive factor is the start of the treatment.

The medical necessity of KfO treatment is assessed on the basis of five degrees of severity, the so-called orthodontic indication groups (KIG).

From severity level 3 (KIG 3), the health insurance company pays the costs for children and adolescents under the age of 18 for the treatment.

Adults usually have to pay for orthodontic treatment themselves.

Exception: Medically particularly justified cases, for example in severe jaw anomalies, in which surgical corrections are also necessary.

• Treatment plan of the orthodontist

The severity of the tooth deformity is defined by five orthodontic indication groups. At least the classification into the treatment requirement level 3 of the indication groups is required.

In the treatment of children and adolescents, an own contribution of 20 percent must be paid in advance. The health insurance company reimburses the own contribution after the end of the successfully completed treatment. If several children in a family are being treated at the same time, the own contribution is reduced to ten percent for the second and each additional child.

Costs for additional services that go beyond sufficient, appropriate and economical care or special materials are borne by the insured.

• The medical necessity of KfO treatment is assessed on the basis of five degrees of severity, the orthodontic indication groups (KIG).
• From severity level 3 (KIG 3), the health insurance company pays the costs for children and adolescents under the age of 18 for the treatment.
• Adults usually have to pay for orthodontic treatment themselves. Exception: Medically particularly justified cases, for example in severe jaw anomalies, in which surgical corrections are also necessary.
• Costs for additional services that go beyond sufficient, appropriate and economical care or special materials are to be borne by the insured.