Insurance
The surgical treatments that are performed at Tandzorg Chirurgie are covered by the basic health insurance, unless it concerns aesthetic surgery.
Basic Health Insurance
Everyone who lives or works in the Netherlands is required by law to have basic insurance. This covers the insured standard care of for example general practitioner and medical specialist treatments.
Oral Surgery at Tandzorg Chirurgie is part of hospital care, since it is specialized medical care. The dental surgeon at Tandzorg Chirurgie performs treatments that are covered by the basic insurance, the so-called insured care. These treatments require a referral from the dentist, general practitioner or medical specialist. Do take into account the deductible, any increased deductible and own contribution.
Examples of insured care:
1. Extractions of teeth (removal of teeth)
2. Surgical removal of M3 (removal of wisdom teeth)
3. Root end surgery (treating an inflamed root end)
4. Consultation
5. Cyst removal
6. Oral mucosa disorder / biopsy.
7. Orthodontic surgery (surgery required for orthodontic treatment)
8. X-ray diagnostics
The dental surgeon at Dental Care Surgery also performs treatments that are not covered by the basic health insurance, the so-called uninsured care. In the event of a medical necessity, authorization is requested from the health insurer. If approved, the treatment will be partially or fully reimbursed by the insurer.
Examples of uninsured care:
1. Implants
2. Pre-implantological surgery (preparations for placing an implant, such as grafting bone)
3. Periodontal surgery (gum surgery)
4. Re-exposing implants
5. Aesthetic gum surgery
Check the rates
Referral
Treatments at Tandzorg Chirurgie are only reimbursed after referral (see examples of insured care). You will receive this from your doctor, dentist or specialist. A referral is issued for the specified treatment only. If other treatment is needed of wished, a new referral will be required. Please note, a referral may not be older than 1 year.
Contract
If your health insurer does not have a contract with Tandzorg Chirurgie and you still want to have your treatment performed by our surgeon, a contribution may apply. If in doubt, we advise you to contact your insurance company so that you are not confronted with the cost afterwards.
As there is no contract with the health insurer, you will receive the bill payable at the front desk after the treatment. You need to submit the invoice to the health insurer yourself.
We have a contract with:
Achmea (healthcare agreement)
Caresq (healthcare agreement)
DSW (healthcare agreement)
VGZ (payment agreement*)
*a possible personal contribution might apply
Statutory deductible
The statutory deductible is the amount that you have to pay for the use of healthcare. You pay the first €385 yourself (in 2022). After this amount your health insurer will pay the remaining costs. Health insurance cover a large part of dental surgery treatments. However, you pay an excess per calendar year for most healthcare from the basic insurance. The deductible is set off by the health insurer against the medical costs that you incur and is compulsory for everyone aged 18 and over. The amount is determined by the government each year.
You may have taken out insurance with a higher deductible (so that you pay a lower premium). The deductible amount you have taken out is stated on your insurance policy. Own contribution applies to some basic care. The deductible is not the same as own contribution.
If in doubt about reimbursement, contact your health care provider. Health insurers can differ in their reimbursements and conditions. Therefore, always read the policy conditions of your insurance carefully.
Contracted vs Non-Contracted care
There are two different policies that you can take out, that is the contracted and non-contracted care. The most important difference between the two is the freedom you have to determine which care provider you visit.
Non-contracted care
With non-contracted care you have free choice of and you will receive full reimbursement. In the case of contracted care the insurer has made agreements with certain care providers. These are the so-called contracted care providers. If you go to a non-contracted care provider, the insurer will pay less than if you choose a care provider with whom they have an agreement.
Contracted Care
In the case of contracted care you visit care providers with whom the insurer has a contract. The care provider arranges the payment directly with the insurer. If you go to non-contracted care providers, the insurers will only partially reimburse the cost.
Submit declarations
In the case of contracted care, the invoice is submitted directly by the care provider to the health insurer. With non-contracted care, you often have to pay the invoice yourself and submit the invoice to the health insurer.