Reimbursement dental care with Dentalia Up
Are you insured with Dentalia Up and want to request a reimbursement? Are you curious which dental care costs are covered by the Dentalia Up dental insurance? You can read all about it on this page.
On this page
Check what dental insurance you have
Not sure which dental insurance you have? Check it via My Helan or via the My Helan app.
- If you have Dentalia Up, you will find the correct information on this page.
- If you have Dentalia Plus, request your reimbursement here.
Request reimbursement with Dentalia Up
Ask your dentist for a proof of payment document for the reimbursement of your dental care costs. This is a form provided by the NIHDI to your dentist. If your dentist does not have this form, print this reimbursement request and have it completed by your dentist.
Keep your dental invoices carefully. Send them to us after they have been paid, together with the dentist’s proof document. You can do this via My Helan, the My Helan app, or a Helan mailbox. We will make sure the reimbursement is paid quickly into your account.
Request reimbursement dental care after an accident
Practical questions about dental insurance in case of an accident can be found on this page.
Check whether the accident occurred after your enrolment and whether the type of accident falls within the insurance conditions, and check your counters via My Helan if you have already used this coverage.
Your dentist uses the treatment plan document. It describes how much your treatment will cost. Also have an X-ray/scan taken by your dentist and include it in good quality.
The medical advisor reviews your file and decides whether you are entitled to reimbursement.
If your file is approved, submit your costs. You can do this using the document you receive from your dentist, or via the reimbursement request.
Submit all documents easily via My Helan or the My Helan app, or drop them in a Helan mailbox.
Request reimbursement dental care for cancer
Practical questions about dental insurance in case of cancer can be found on this page.
You can rely on an additional coverage for dental care costs resulting from cancer or a cancer treatment, provided the diagnosis was made after your enrolment in Dentalia Up.
Have the cancer coverage application form completed and signed by your treating physician. Send it to us together with a medical certificate confirming your cancer diagnosis.
Your dentist uses the treatment plan document. It describes how much your treatment will cost. Also have an X-ray/scan taken by your dentist and include it in good quality.
The medical advisor reviews your file and decides whether you are entitled to an allowance.
If your file is approved, submit your costs. You can do this using the document you receive from your dentist, or via the reimbursement request.
Submit all documents easily via My Helan or the My Helan app, or send them through a Helan mailbox.
What does Dentalia Up cover?
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 does my dental insurance not cover?
Not all dental costs are covered by dental insurance. Dental care that is not covered by the statutory health insurance, for example, is also not reimbursed by the supplementary dental insurance. Aesthetic dental care is also not covered by Dentalia Up. Discover below a list of treatments for which the dental insurance cannot provide any reimbursement.
1. Orthodontic treatments
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Those that do not give entitlement to reimbursement under the compulsory health insurance for medical care for persons affiliated with the Belgian compulsory insurance for medical care and allowances
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Those that do not meet the reimbursement conditions of the Belgian compulsory health insurance for persons who are not affiliated with the Belgian compulsory insurance for medical care and allowances
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Those that were started during the waiting period or before enrolment in Dentalia Up (examinations prior to treatment to define or start the treatment) or initiated (lump sum for early orthodontic treatment at the start of treatment or lump sum for appliance per regular orthodontic treatment at the start of treatment). These treatments are not covered, even after the waiting period
2. Dental prostheses and dental implants
that were started during the waiting period or before enrolment in Dentalia Up (examinations prior to treatment to define or start the treatment) or initiated (placement of a temporary implant or a temporary prosthesis). These treatments are not covered, even after the waiting period, as well as the provisions of Article 14, l) of the annex to the Royal Decree of 14 September 1984 establishing the nomenclature of medical benefits under the compulsory health insurance for medical care and allowances, whose codes are not followed by a ‘+’ sign
3. Medicines
4. Materials, instruments, devices, medicines for dental use or other pharmaceutical supplies and all actions closely related to the main treatment
5. Dental prostheses such as veneers, inlays, onlays and overlays, regardless of the reason
6. Thermoformed trays, regardless of the reason other than orthodontic retention
7. Techniques for composite resin infiltration, using an indirectly manufactured appliance, aimed at modifying the anatomy, volume or colour of one or more teeth
8. All treatments for snoring (ronchopathy), sleep apnoea or any other treatment not related to oral health
9. Costs resulting from an injury sustained while practising a sport where the use of face, mouth or dental protection is customary or mandatory according to the regulations of the relevant sports federation
10. Costs arising from participation in a fight
11. Costs not related to the provision of the main material in leasing or subscription models
12. Dental care services of a purely aesthetic or cosmetic nature
13. Services and supplies that may be subject to VAT
14. Costs invoiced in violation of Belgian regulations
15. Costs that are not necessary from a diagnostic or therapeutic point of view, as they are not curative for an illness
16. Services or treatments that are not medically necessary
17. Excessive techniques or treatments (overtreatment) in relation to the pathology
18. Services that are insufficiently recognised therapeutically or not taught in at least one of the Belgian faculties granting access to one of the professions listed in Article 4, §1 of the annex to the Royal Decree of 14 September 1984 establishing the nomenclature of medical benefits under compulsory health insurance
19. Services provided to an insured person who refuses to undergo an examination by a dental expert appointed by the mutual insurance company
20. Services in case of clear falsification by the healthcare provider and/or the insured person or their representative of treatment dates, amounts charged or description of services
21. Supplements charged by contracted dentists.
What are the terms and conditions of Dentalia Up?
- View the general terms and information sheets for each of the insurance products of VMOB MLOZ Insurance on our overview page.
Waiting for a reimbursement?
Subscribe to payment notifications in My Helan. You will immediately receive a notification via SMS or email as soon as a reimbursement is paid out.
