Statutory health insurance (GKV) covers essential periodontal treatments, including screenings every two years, cleaning of gum pockets, and systematic therapy for severe cases with follow-up care. Supplemental dental insurance covers additional privately billed treatments that go beyond the GKV benefits. Coverage depends on whether treatments are billed publicly or privately, and submitting cost plans helps verify benefits.
What periodontal treatments does statutory health insurance cover?
Periodontal treatments address gum disease (periodontitis), a condition where gums and bone supporting your teeth become infected. Early treatment can prevent tooth loss and improve long-term oral health.
Statutory health insurance (GKV) covers basic periodontal treatments, including:
A Periodontal Screening Index (PSI) every two years to detect gum disease.
Cleaning of gum pockets if periodontitis is found.
Professional dental cleaning (PZR) as part of the treatment.
Systematic periodontal therapy with follow-up care for severe cases where pocket depths are 4mm or more.
Supportive periodontal therapy (UPT) 3 to 6 months after the main treatment to check results, clean pockets again, and perform another professional dental cleaning.
How does Feather's dental insurance support periodontal treatment?
Feather's dental insurance covers additional costs beyond what GKV provides. This includes:
Treatments that are not included in the GKV benefits catalog and thus billed privately.
Supplemental services that enhance or support the basic periodontal treatment covered by GKV.
Can Feather's dental insurance reimburse services already covered by statutory health insurance?
If treatments covered by GKV are billed privately, Feather does not reimburse these costs. However, it may reimburse costs for privately billed services that are not included in GKV coverage. Customers should submit bills for these services to confirm coverage.
What should I do if I am uncertain whether a periodontal treatment is covered by my dental insurance?
If you’re unsure, ask your dentist for a cost plan (Heil- und Kostenplan) and submit it both to your public health insurance provider and through your Feather account. We’ll review it and let you know whether your Feather dental insurance can provide benefits. The public health insurer will provide separate feedback on their coverage.
How can understanding my coverage help with periodontal treatment?
Knowing the differences in coverage between statutory and supplemental dental insurance helps you maximize your benefits. It ensures that you understand which treatments are covered by each insurer and which costs you might have to pay privately.