Dental care for under 18's

Dental care if you're under 18

An insured party who is younger than 18 will qualify for the reimbursement of the costs of the following under the basic healthcare insurance:

• special dental care
• an annual dentist's check-up (more check-ups on indication)
• an occasional dental examination
• the removal of tartar
• 2 fluoride treatments per year (more treatments on indication)
• the application of a thin protective layer to the top of the molars (sealing)
• treatment of gum problems (parodontal treatment)
• anaesthetic
• root canal treatments (and endodontic treatment)
• restoration of the dental elements with plastic materials (fillings)
• help with problems with the jaw or teeth grinding (gnathological treatment)
• removable dental prosthesis (dentures)
• surgical dental treatment, with the exception of the fitting of dental implants
• x-rays, with the exception of x-rays for orthodontic care
• If you are younger than 23 and the care does not fall under the heading 'dental care for all ages', you are entitled to tooth replacement with non-plastic materials and fitting dental implants if this concerns the replacement of one or more missing permanent incisors or canines which have not grown or a tooth or teeth missing as the direct result of an accident. This is subject to the condition that the necessity of the care is established before you reached the age of 18

You need our permission for a number of types of dental care. Read our insurance conditions for the full terms and conditions.

Referral needed?

• For the care provided in a centre for special dentistry, you need a referral from a general practitioner, dentist, dental surgeon or orthodontist. The referring dentist, dental surgeon or orthodontist may not be affiliated to a centre for special dentistry.
• For the care provided by a dental surgeon, you need a referral from a general practitioner, dentist, orthodontist or an other dental surgeon.
• For measuring, making and fitting removable (full) prostheses for the upper or lower jaw, whether or not secured on dental implants, you need a referral from a dentist, dental surgeon or orthodontist.
• For tooth autotransplantation. This is the treatment modality in which a tooth is transferred from one site to another in the same person.
  

Reimbursement dental insurance

With dental insurance, the insured person under the age of 18 is entitled to reimbursement of dental care up to the insured amount for various components combined.

The maximum reimbursement applies to the following elements jointly:

• general dental care
• orthodontic treatment if you are younger than 18
• technical costs
• statutory personal contribution for dentures
• urgent dental treatment outside the Netherlands

Reimbursement general dental care
The reimbursement applies to the various elements mentioned above jointly. Codes are shown after each type of treatment. These have been formulated by the Dutch Healthcare Authority (Nederlandse Zorgautoriteit). You can view them and download the list at www.nza.nl. You are only entitled to reimbursement of the costs of care with those service codes. You are not entitled to reimbursement based on your dental care insurance if the treatment concerned is covered by the public healthcare insurance. In that case, the costs will be reimbursed under the conditions of the public healthcare insurance.