CM tooth advantage
CM members receive a reimbursement of up to 1,050 euros for orthodontics and dental prostheses.
CM started a new dental benefit in 2021. This reimbursement is part of the services and benefits available to all CM members who are in compliance with the payment of the CM contribution .
CM benefit orthodontics
This benefit is included as standard in CM membership for everyone, without waiting time. CM members receive a 60% refund (up to 1,050 euros) of the co-payment and supplements. CM members with increased compensation will receive a 75% refund up to 1,050 euros.
Conditions
- Not be older than 22 years.
- The treatment entitles you to reimbursement of the compulsory health insurance (see also page about orthodontics ).
- The treatment starts on or after January 1, 2021. The performance date of the placement of the first appliance (early or classic orthodontics) is decisive (performance code 305631 or 305933).
- You are entitled to compensation for each registered child.
Frequently asked questions about orthodontics
- Is a CM member also entitled to this benefit if the orthodontic treatment has already started before January 1, 2021?
- For which services is there an additional reimbursement from CM?
- Your patient will soon start orthodontics. Are the consultations before the placement of the brace also eligible for reimbursement?
- Why does the reimbursement not apply to orthodontics for adults?
- What is the added value of CM-MediKo Plan for orthodontics?
CM benefit dental prostheses
This benefit is included as standard in CM membership for everyone, without waiting time. CM members will be reimbursed 40% of the costs, up to 1,050 euros. CM members with increased compensation receive 75% up to 1,050 euros. For prostheses placed before January 1, 2024, the reimbursement is 60% instead of 40%, with the same maximum amount of 1,050 euros.
Conditions
- Be a member of CM on the performance date.
- The reimbursement applies to the placement of new fixed dental prostheses (crowns, bridges, implants on which a fixed prosthetic device is placed), new removable prostheses and for additional placements on existing removable prostheses. The refund does not apply to repairs or rebasing. In the frequently asked questions below you will find an overview of the performances that are or are not eligible.
- The prosthesis is placed by a dentist recognized by the Riziv.
- The (additional) placement will take place from January 1, 2021 .
- The compensation of up to 1,050 euros is possible every two calendar years .
- There is no right to reimbursement under statutory health insurance .
- Under certain conditions, health insurance reimburses removable dental prostheses . This is legally described and differs for children and adults. Is the patient eligible for health insurance reimbursement? Then the statutory rates apply and no compensation is possible from the CM benefit.
- There is no application for reimbursement via the Technical Dental Council.
Frequently asked questions about dental prostheses
- When is there a right to a reimbursement of up to 1,050 euros for dental prostheses?
- Which dental prostheses are eligible?
- Why is there no CM reimbursement for dental prostheses if there is already reimbursement by health insurance?
- Can a CM member receive multiple refunds in the period of two calendar years?
- How does CM calculate the payment for dental prostheses?
- Are supplements on top of a dental prosthesis eligible for Riziv reimbursement, such as a skeletal prosthesis or frame prosthesis?
- What is the added value of CM-MediKo Plan for dental prostheses?
What to do?
Provide the CM member with the 'harmonization document' as proof of the treatment(s) carried out. It is a uniform document for all additional services and benefits of the health insurance funds, published by the Riziv. You can download this form from the Riziv website .
Do you provide a certificate for assistance provided electronically (e-certificate or third-party payment scheme)? Then provide the 'harmonization document' as legal proof to your patient. You don't have to deliver anything else.
More information
View the general frequently asked questions below or send an email to our professional helpline at tandarts@cm.be .
- Does this dental benefit apply to every CM member?
- Can a CM member combine the reimbursement for orthodontics and dental prostheses?
- Can you take out dental insurance through CM?
- Are all dental costs now covered?
- When do I have to provide a 'harmonization document' as proof of the treatment(s) carried out?
- Can I also certify the performance on a document other than the 'harmonization document'?