What costs are covered by my Dentalia Up dental insurance?
The Dentalia Up dental insurance protects you and your family for a lifetime against expensive dental care costs. On this page, we list the dental care costs that are reimbursed. Did you know that those who go for an annual dental check-up get more reimbursed?
Welke kosten worden door je tandverzekering terugbetaald?
Dankzij Dentalia Up tandverzekering ben je uitgebreid gedekt en kan je rekenen op een terugbetaling van onder andere de jaarlijkse tandartscontrole, tandprothesen en implantaten en orthodontie bij kinderen en jongeren.
Preventative dental care
Treatments that detect and address the onset of dental problems. Receive full reimbursements, right from your first day of coverage.
Curative dental care
Need a dental cavity filled? Curative dental care is 50% or 80% reimbursed, depending on your preventive history.
Prostheses, implants and periodontolgy
Having dental replacements or treating gum disease? You will be reimbursed 50% or 80% for these treatments, depending on your preventive history.
Orthodontics
Treatments to correct abnormal tooth positions in children and adolescents with braces or brackets will be reimbursed up to 60%.
Unexpected expenses
Dental care costs in the event of an accident or cancer will be reimbursed up to 100%, right from your first day that you are insured.
What is not covered by my dental insurance?
Get more details here about what is not reimbursed by your dental insurance.
Why is orthodontic reimbursement not available for adults?
The reimbursement for orthodontics through Dentalia Up focuses on children and young people. Their jaw growth is still ongoing, making corrections more efficient. For adults, orthodontics is often considered a aesthetic treatment. Therefore, these costs are not covered by the standard reimbursements of Dentalia Up.
Get More Reimbursed Thanks to Annual Dental Check-ups
Preventive oral care prevents many dental costs. For this reason, Dentalia Up reimburses up to 80% for curative dental care, dentures, implants, and periodontology, if you go for an annual dental check-up. If you didn’t go for a check-up the previous calendar year, you will only be reimbursed up to 50% for curative dental care, bridges, crowns, dentures, implants, and periodontology. So make sure to go for a check-up every year!
What is the maximum reimbursement per treatment?
For all reimbursements, there is a certain limit. This is the maximum amount you can get reimbursed per type of treatment or per year. We look at your membership year to determine the maximum limit you are entitled to for your specific dental care. Reimbursements per type of dental care are cumulative.
There is no waiting period for preventive care, and in the case of an accident or dental problems caused by cancer treatment. There is a waiting period of 6 months for curative care, and 12 months for orthodontics for children, periodontology, dentures, and implants.
| Type tandzorg | Preventieve en curatieve* | Orthodontie jongeren (opstart voor 15 jaar) |
Protheses, implantaten en parodontologie | Onvoorziene kosten |
|---|---|---|---|---|
| Terugbetalingspercentage | 100% voor preventief en 80% ** voor curatief | 60% | 80% ** | Ongeval: 100% Kanker: 100% |
| Periode | Ieder jaar | Per leven (vroege en gewone orthodontie) | Iedere 2 jaar | Ongeval: per ongeval Kanker: per leven |
| Maximale terugbetaling | Tot € 1.250
Jaar 1: € 350 Jaar 2: € 650 Jaar 3: € 1.250 Jaar 4-9: € 1.250 Opgestart vanaf 10e jaar (of aangesloten voor 5e verjaardag): € 1.250 |
Tot € 2.200
Opgestart jaar 1: wachttijd Opgestart jaar 2: € 650 Opgestart jaar 3: € 1.050 Opgestart jaar 4-9: € 1.800 Opgestart vanaf 10ejaar (of aangesloten voor 5e verjaardag): € 2.200 |
Tot € 2.200
Opgestart jaar 1: wachttijd Opgestart jaar 2: € 650 Opgestart jaar 3: € 1.050 Opgestart jaar 4-9: € 1.400 Opgestart vanaf 10ejaar (of aangesloten voor 5e verjaardag): € 2.200 |
Tot € 5.000 Ongeval: € 5.000 Kanker: € 4.000 |
| Wachttijd | Geen voor preventieve en 6 maanden voor curatieve zorgen | 12 maanden | 12 maanden | Geen |
* Bij preventieve en curatieve tandzorgen betalen we tot 200% van de ereloonsupplementen terug.
** Voor deze behandeling krijg je de hoogste terugbetaling als je ook in het kalenderjaar voor de behandeling een terugbetaling voor tandzorgen kreeg.
Plan dus elk jaar een controlebezoek aan de tandarts.
How to Join Dentalia Up?
You can join the supplementary dental insurance Dentalia Up in several ways. Online, on paper, or through an appointment with one of our advisors. During the registration process, you fill out a registration form and sign the document.
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.
Read more about dental insurance
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.