Is My Dentist Contracted?
A contracted dentist respects the rates agreed upon in a convention. With a non-contracted dentist, you may have to pay additional fees. These are not reimbursed by the statutory health insurance. On this page, you can find out how to check if your dentist is contracted and how to avoid additional fees from non-contracted dentists.
The Difference Between a Contracted and Non-Contracted Dentist
Dentists agree with health insurers on the rates they charge. Dentists who adhere to these rates are considered contracted. This ensures you receive the maximum reimbursement from the statutory health insurance, provided that you go for an annual dental check-up.
However, not all healthcare providers follow the agreed rates. Approximately 40% of dentists are non-contracted and charge additional fees. These fees are not reimbursed by the statutory health insurance.
Additionally, there are also 'partially contracted dentists'. They charge the agreed standard rate for some of their services, but for other services, they charge additional fees above the standard rate. They may only do so based on objective criteria, for example, charging the standard rate for an annual check-up and additional fees for more complex treatments.
How Do I Know if My Dentist is Contracted?
Every healthcare provider, including a dentist, is required to inform you clearly about this. So feel free to ask your dentist for more details. Additionally, you can use this tool from RIZIV to check if your healthcare provider is contracted. You can search by name, municipality, RIZIV number, etc. You can read more about this on this page.
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Can I Insure Myself Against Additional Fees from Non-Contracted Dentists?
With the supplementary dental insurance Dentalia Up, you also get reimbursements for treatments for which the health insurance reimburses little. Think of dental implants and dentures, bridges and crowns, periodontology, but also braces for children and young people.
Many specialists, such as orthodontists and periodontists, are non-contracted, and in those cases, a dental insurance is very useful.
More Information About Dentalia Up
With the supplementary dental insurance Dentalia Up, you and your family are protected against high dental care costs. Once your waiting period is over, you can request reimbursements. Curious about how much you'll be reimbursed? See here which oral care costs are covered and for which amounts.
Note: Make sure to visit the dentist for a check-up at least once a year. Both the statutory health insurance and Dentalia Up dental insurance reimburse more for those who go for preventive check-ups annually.
Considering taking out dental insurance but unsure if it's worth it? Then check when Dentalia Up is a good choice.
Looking for an Answer to Your Questions?
Do you have a question about the Dentalia Up dental insurance? We are happy to help. You can find answers to the most frequently asked questions on our FAQ page. Additionally, you can also contact our customer advisors through various channels. Together, we will review your question or situation.
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Helan Independent Health Insurance Fund is the insurance agent (n° CDZ 5006c) for ‘MLOZ Insurance’, the VMOB of Independent Health Insurance Funds, (Register of Legal Entities in Brussels, 422.189.629, recognised under no. CDZ 750/01 for branches 2 and 18). View the data sheet and the General Terms and Conditions. Belgian law applies to the insurance contract. The term of the contract is whole life. In the event of any complaint, contact the complaints department of Helan Health Insurance Fund or the insurance ombudsman. For more information about purchasing this/these product(s), please contact Helan Health Insurance Fund. Helan Onafhankelijk ziekenfonds, Boomsesteenweg 5, 2610 Wilrijk, 0411.696.011, RPR Antwerpen, www.helan.be.