Dental prostheses

Do you need a new tooth or prosthesis? Then the costs can increase. Fortunately, there are refunds.

Health insurance reimburses removable dental prostheses under certain conditions. And this applies to the upper teeth, the lower teeth and both together.

Are you not receiving reimbursement for your prosthesis from your health insurance? Then you are entitled to a CM refund. And this for both fixed and removable prostheses.

Health insurance | to request

A refund is only possible for removable dentures. This applies to the upper teeth, the lower teeth and both together.

In many cases this is done electronically and you do not have to take any action yourself. Will you still receive a certificate for the assistance provided? Please deliver this to CM as quickly as possible.

Health insurance | refunds

You are simply insured

with oral care programme: 328.50 to 523.00 euros

without oral care programme: 288.00 to 482.50 euros

You have VT

with oral care programme: 401.00 to 643.50 euros

without oral care programme: 399.00 to 641.50 euros

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The oral care process means that reimbursement for most dental care is better for those who regularly visit a dentist than for those who do not. 'Regular' means that the patient received dental care in the previous calendar year that was reimbursed.

A refund is possible per jaw and per seven calendar years. The calendar year of the installation of the prosthesis counts as the first of the seven calendar years.

You are simply insured

with oral care program:

for first tooth: 164.00 euros

per additional tooth: 44.00 euros

without oral care program:

for first tooth: 143.50 euros

per additional tooth: 35.00 euros

You have VT

with oral care program:

for first tooth: 184.50 euros

per additional tooth: 53.50 euros

without oral care program:

for first tooth: 183.50 euros

per additional tooth: 52.50 euros

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The oral care process means that reimbursement for most dental care is better for those who regularly visit a dentist than for those who do not. 'Regular' means that the patient received dental care in the previous calendar year that was reimbursed.

Reimbursement is limited per prosthesis to a ceiling value that corresponds to the value of a complete prosthesis. The amount of reimbursement may therefore be lower than the amounts stated in this table, if the ceiling value has already been reached.

You are simply insured

with oral care programme: 113.00 euros

without oral care programme: 92.50 euros

You have VT

with oral care programme: 133.50 euros

without oral care programme: 132.50 euros

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The oral care process means that reimbursement for most dental care is better for those who regularly visit a dentist than for those who do not. 'Regular' means that the patient received dental care in the previous calendar year that was reimbursed.

Repairs to the prosthesis are paid out up to once per calendar year.

You are simply insured

with oral care programme: 175.00 euros

without oral care programme: 187.00 euros

You have VT

with oral care programme: 154.50 euros

without oral care programme: 186.00 euros

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The oral care process means that reimbursement for most dental care is better for those who regularly visit a dentist than for those who do not. 'Regular' means that the patient received dental care in the previous calendar year that was reimbursed.

Replacement of the base to which the teeth are attached is paid out up to twice per jaw (lower and upper jaw) and per current period of seven calendar years.

Important

One of these criteria is that, when the implants or abutments are placed, you must wear a removable full lower denture on a completely edentulous lower jaw for at least 12 months (when no visible teeth or tooth roots are present).

Code: 308512

You are simply insured

fee: 2,072.00 euros

with oral care programme: 1,631.50 euros

without oral care programme: 1,591.00 euros

You have VT

fee: 2,072.00 euros

with oral care programme: 1,987.00 euros

without oral care programme: 1,985.00 euros

 codefeewith oral care programwithout oral care program
You are simply insured

308534

1,944.00 euros

1,503.50 euros

1,463.00 euros

You have VT

308534

1,944.00 euros

1,859.00 euros

1,857.00 euros

Code: 308534

You are simply insured

fee: 1,944.00 euros

with oral care programme: 1,503.50 euros

without oral care programme: 1,463.00 euros

You have VT

fee: 1,944.00 euros

with oral care programme: 1,859.00 euros

without oral care programme: 1,857.00 euros

CM benefit

Do you need a removable or fixed prosthesis such as a crown, bridge or implant? Then, as a CM member, you are entitled to a refund of 40%* of the costs for purchase and installation, up to 1,050 euros per 2 calendar years (in case of supplemented refunds: 75% with a maximum of 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.

* Subject to approval by the Health Insurance Fund Control Service.

Request proof

Ask your healthcare provider for proof of reimbursement under the CM dental benefit. You should not print this form yourself and give it to your healthcare provider.

The Riziv provides the form 'Harmonization document' or 'Support for treatment(s) carried out' for this purpose.

Deliver to CM

Deliver the completed form via a CM mailbox or the My CM app .

Extra information

Curious about what average cost and average reimbursement you can expect for a dental prosthesis? We list the most common treatments and their cost.

Any questions? View the frequently asked questions or contact CM.