Financial Questions
- Dental treatment: When does the compulsory health insurance pay?
- Billing: Our tax point value and other useful tips
When Does the Compulsory Health Insurance Pay?
The Swiss compulsory health insurance reimburses dental treatment only in cases of severe unavoidable diseases of the mastication system dental treatment required due to a critical general medical condition, or treatment needed to back up and ensure medical treatment for a critical general medical condition. In the case of accidents, reimbursement sets in only if no other insurance covers the costs of treatment.
In accordance with this definition, there are only few serious diseases in the mouth-jaw area of which treatment is covered, for example:
- Congenital severe malformations of the jaw
- Jaw cysts not in connection to the teeth
- Benign or malign tumours
- Prepubescent and juvenile periodontitis of children and young adults
All other procedures that do not fall under article 31 KVG are not taken over and must be paid by the patient.
Billing - Tax point value
Our tax point value for private treatments
| Dentist: | Fr. 3.70 |
| Orthodontist: | Fr. 3.10 |
| Dental Hygienist: | Fr. 160.-/h |
| Prophylaxis Assistant: | Fr. 160.-/h |
What does "tax point value" mean?
The official tariff list of dental procedures includes about 500 services. Each service has a certain amount of tax points. When it is multiplied by the tax point value, you get the amount in Sfr. for the service.
Example for a procedure charge
| Amount of tax points | x | tax point value | = | Amount in Sfr. |
|---|---|---|---|---|
| 5.5 (Intraoral x-ray) | Sfr. 3.70 | Sfr. 20.35 |
If you have further questions on billing, we would be glad to assist you.
Cost Estimates
Before large procedures are performed, we will provide you with a detailed estimate for costs, and if possible, multiple options of treatments (for example: filling, ceramic inlay or crown). Of course you can request an estimate for smaller procedures as well.
Through the course of treatment, should unforeseeable variations in the treatment plan arise, amounting in more than 15% of the given estimate, we will inform you as soon as possible.
When the planned treatment is financially straining and you would prefer a cheaper option, please speak with us before the treatment has started. Please feel free to ask questions and speak with us openly. It is important to find a solution that works best for you.
Missed appointments
We take our time and planning very seriously, and we appreciate and expect similar responsibility from our patients regarding scheduled appointments and punctuality. In this respect we hope you will understand as a rule any appointment that is not cancelled 24 hours in advance will be charged.
Nobody is perfect... You can take advantage of our appointment reminder service. At your request we can send you an email, sms, or even telephone call to remind you of any appointment. Our secretary can provide you with more details.