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Prices for a telescope prosthesis as a health insurance benefit
Savings can be made if the telescope work fully complies with the health insurance guidelines: 2 telescopes for certain tooth gaps, only lip-sided, tooth-colored veneering. The exact requirements can be found below. Then the dentist must work for the lower fee of the health insurance benefit. With the help of inexpensive foreign dentures, a telescopic prosthesis can cost less than 1000€. The following calculation examples are for double crown prostheses, in the visible area (only) towards the lip veneered with plastic (standard power).
Price table cash register telescopes
Prices for private double crowns
As soon as a telescope crown leaves the cash rules (e.g. more than 2 telescopes, on cheek teeth or front teeth, completely tooth-coloured coated) it becomes a private service, which is clearly more expensive. However, more than 2 double crowns often make sense in order to distribute the load of the prosthesis over more pillars. The prosthesis thus lasts longer. In patients with periodontal disease, a telescopic prosthesis can be designed as a removable bridge with many abutments to replace missing teeth.
Price table telescope crowns private
Cash subsidy also for private telescope crowns?
If more telescopes are produced, or if the selected teeth are not suitable for the telescope crown subsidy (4.6 s.u.), at least the fixed subsidy for a crown can be used for teeth in need of crowning. The more expensive (telescopic) crown is also a crown. Here your dentist should also try to apply for the best possible subsidy in your interest.
- There is the higher fixed allowance for 2 telescope crowns when all molars are missing, for 3 telescopes when there are only 3 teeth left.
- In the case of teeth requiring a crown, there is a fixed allowance for a crown, which can also be used for a telescopic crown.
- In the case of removable dentures, there is a subsidy for the prosthesis portion.
In any case, the treatment and cost plan (HKP) must have been approved by your health insurance company prior to treatment!
When is a telescopic crown invoiced via the cash register?
Fixed subsidy guidelines for cash telescopes in case of gaps
The health insurance guidelines under which circumstances there is a fixed subsidy for a telescope prosthesis are complicated:
- shortened row of teeth on both sides up to the canines or up to the 1st small molar,
- a row of teeth shortened on one side up to the canine tooth or the 1st small molar tooth and a gap of at least 2 teeth on the opposite side behind the canine tooth or the first small molar tooth,
- row of teeth interrupted on both sides in the lateral tooth region up to the canine tooth or up to the first premolar, each with at least two missing teeth next to each other
. with the necessity of a tooth-supported support if the standard restoration provides for a combination restoration, even with a gap in the anterior region, per canine tooth or first premolar (1st small molar). The subsidy is available for a maximum of 2 teeth per jaw.
In the case of a prosthesis on 2 telescopes, 2x the 3.2 subsidy (telescope crowns), 1x the 3.1 subsidy (prosthesis) and 2x the 4.7 subsidy (veneering on the lip side) would be paid. Fixed subsidy total:980,11-1274,14 €, depending on bonus. Hardness case: 1960,22 €.
Guidelines for the standard power for telescopic crowns (cash telescopes)
A telescopic prosthesis can only be paid by the health insurer at a lower dental fee if it fully complies with the fixed subsidy guidelines mentioned above.
In addition, there is the condition that the telescopes must be metallic inner telescopes. There are also restrictions on the veneering (tooth-coloured ceramic or plastic coating): for a cash telescope in the anterior region, the veneering must only be on the lip side. There must be no veneer at all in the posterior region. This means that as soon as a double crown is fully veneered, it is a private service.
Fixed subsidy guidelines for cash telescopes with 1-3 remaining teeth
If there are still 3 or fewer teeth, a telescopic prosthesis is always subsidised. There are slight differences between the upper and lower jaw.
In the case of a prosthesis on the last 3 teeth, 3 times the 4.6 allowance (telescopic crowns), once the 4.1/4.3 allowance (maxillary or mandibular prosthesis) and 3 times the 4.7 allowance (veneering, lip side) would be made. If necessary, 4.5 Metal base, fixed allowance together: OK: 1432-1831 €, UK: 1447-1848 € depending on bonus. Hardness case: OK: 2817 € UK: 2843 €