Orthodontics

Does your child need braces (orthodontic treatment)? The costs of orthodontics can add up.

Brochure 'Orthodontics'
Frequently Asked Questions
Dental prostheses

There are several ways to limit the costs of orthodontics. You receive reimbursement through health insurance and, as a CM member, also through CM Benefit . Furthermore, with the CM Dental Plan dental insurance, you protect yourself against high dental care costs.  

Health insurance

In Belgium, health insurance is compulsory. Everyone who contributes to it can benefit from it.

You receive this from health insurance

CM benefit

In addition to the mandatory health insurance, you receive extra benefits as a CM member.

As a CM member, you receive an extra reimbursement.

Health insurance

Is your child younger than 9 years old and does he or she need braces (= early orthodontic treatment)? Then you can receive reimbursement from health insurance.

That refund is for the correction of:

  • the frontal and lateral crossbites;
  • the frontal and lateral forced bites;
  • the position of the incisors as prevention of anterior trauma;
  • the lack of space during the changeover phase.

The reimbursement consists of two fixed amounts (lump sums) of 430.11 euros (or 476.11 euros for patients with increased reimbursement ).

What should you do?

  • Did your orthodontist provide you with a certificate of care provided? Submit it to CM immediately : the first lump sum must be certified before your child's 9th birthday. As of 01-07-2024, the second lump sum can also be certified after the 9th birthday. (Before 01-07-2024, the entire early orthodontic treatment had to be completed before the ninth birthday.)
  • This amount is paid out twice : a first time at the beginning of the treatment, a second time at the end of the treatment.
  • This reimbursement (for early orthodontic treatment) is a one-time payment . This means that you can only apply for it once.

What is the condition?

  • From 01-07-2024: your child is younger than 9 years old at the time of the first flat rate.
  • Before 01-07-2024: your child is younger than 9 years old for full early orthodontic treatment.
  • Regular orthodontic treatment must not yet have been started (see 'for young people up to 22 years of age').

Up to the age of 22, health insurance covers the costs of orthodontics (classical or regular orthodontics). The amounts are fixed , regardless of the techniques and appliances used. In addition to the fee, maximum rates may also be certified since January 1, 2026, following informed consent from the patient. These maximum rates are not reimbursed by health insurance.

Examination for possible treatment (305550)

fee: 56.50 euros + up to 20.00 euros maximum rate

standard allowance: 45.50 euros

increased allowance : 56.50 euros

The research involves collecting data and producing the study models.

Analysis of the data and preparation of treatment plan (305572)

fee: 47.25 euros + up to 27.00 euros maximum rate

standard allowance: 36.25 euros

increased allowance : 47.25 euros

Regular treatment after device placement (305616)

fee: 30.30 euros + up to 40.50 euros maximum rate

standard allowance: 23.30 euros

increased allowance : 30.30 euros

Two sessions per calendar month are reimbursable, with a maximum of six sessions per six calendar months. A maximum of 36 reimbursements are possible during the entire treatment.

Contention control hearing (305852)

fee: 23.11 euros + up to 22.50 euros maximum rate

standard allowance: 16.11 euros

increased allowance : 23.11 euros

Maximum of four repayments per calendar year; maximum of twelve repayments in total possible.

Flat rate for the device (305631, 305675)

fee: 238.31 euros + up to 758.00 euros maximum rate

standard allowance: 192.31 euros

increased allowance : 238.31 euros

This amount is paid out twice: a first time after the placement of the device; a second time after the first six sessions of regular treatment (at the earliest in the sixth calendar month of treatment).

What should you do?

  • During the treatment, immediately forward all certificates of care provided (that you receive from the orthodontist) to CM.

What are the conditions?

Are you getting your orthodontic appliance (your braces) before your 15th birthday ?

  • Do you receive a certificate for this? Submit it to CM immediately before your 15th birthday. Does your dentist invoice electronically? Then this is handled directly.

Are you getting your orthodontic appliance (your braces) after your 15th birthday?

  • Let CM know before your 15th birthday that you will be getting braces. This is called a notification. Will you receive a certificate for this? Then be sure to submit that certificate to CM before your 15th birthday. Does your dentist invoice electronically? Then this is handled directly; you do not need to do anything yourself.
  • Start your orthodontic treatment within 24 calendar months from the date of the notification, unless it concerns a notification for preservation purposes.
  • Reimbursement of orthodontic costs is only possible up to the age of 22.
     

Get reimbursed up to 600 euros for orthodontics with the CM-MediKo Plan.
Discover the CM-MediKo Plan

Request a certificate

CM requires the original certificate of assistance provided to process your reimbursement.

Your orthodontist can also settle directly with CM:

  • electronically via an e-certificate:
    • then you will receive a proof of payment and the refund will be processed automatically by CM;
  • via third-party payer :
    • then you only pay the personal share.

Deliver certificates to CM

Have you received a certificate for assistance provided ? Submit it to CM immediately.

What are the conditions?

  • Your child is a member of CM.
  • The treatment entitles you to reimbursement from your health insurance (early orthodontics or traditional regular orthodontics).
  • The treatment starts on or after January 1, 2021. The performance date of the installation of the first device is decisive (performance code 305631 or 305933).
  • You do not interrupt the treatment yourself.

CM benefit

As a CM member, you receive a reimbursement of 60% on co-payments and supplements , from 1 January 2026, up to a maximum of 1,500 euros .

CM Benefit

For treatments starting on or after 1 January 2026, CM members receive a 60% reimbursement of the co-payment and supplements. The maximum reimbursement is €1,500. You may also receive an additional reimbursement through CM-Mediko Plan.

What are the conditions?

  • Your child is a CM member.
  • The regular orthodontic treatment qualifies for reimbursement from the compulsory health insurance.
  • The treatment starts on or after 1 January 2026.
  • The date of service for placing the first appliance determines eligibility (service code 305631).
  • You do not interrupt the treatment yourself.

The reimbursement:

  • Applies to the regular orthodontic treatment and any retention treatment;
  • Is granted once per lifetime, up to a maximum of €1,500;
  • Is processed after submitting the “proof of treatment(s)” document you receive from your orthodontist;
    You can submit multiple documents until the maximum of €1,500 is reached;
  • Comes on top of the reimbursement from the health insurance.

Treatment abroad*

  • We will reimburse treatment abroad if it commenced on or after 1 July 2026.*
  • The treatment must have been provided on the mainland of Belgium’s neighbouring countries: France, the Netherlands, Germany and the Grand Duchy of Luxembourg.
  • The care provider must be recognised by the responsible authorities of the country concerned. 

CM Benefit

For treatments starting between 1 January 2021 and 31 December 2025, CM members receive a 60% reimbursement of the co-payment and supplements. If you are entitled to the increased reimbursement rate, you receive 75% back. The maximum reimbursement is €1,050. You may also benefit from an additional reimbursement via CM-Mediko Plan.

For services performed from 1 January 2026 onwards, every CM member is entitled to a 60% reimbursement of the co-payment and supplements, up to the new maximum of €1,500.

What are the conditions?

  • Your child is a CM member.
  • The regular orthodontic treatment qualifies for reimbursement by the health insurance (early orthodontics or standard regular orthodontics).
  • The treatment started between 1 January 2021 and 31 December 2025.
  • The date of service for placing the first appliance determines eligibility (service code 305631 or 305933).
  • You do not interrupt the treatment yourself.

The reimbursement:

  • Applies to the regular orthodontic treatment and any retention treatment;
  • Is granted once per lifetime for a maximum of €1,050 (€1,500 for services from 1 January 2026 onwards);
  • Is processed after submitting the “proof of treatment(s)” document you receive from your orthodontist;
    You can submit multiple documents until the maximum is reached;
  • Comes in addition to the reimbursement from the health insurance.

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

Request proof

CM requires proof to reimburse you for this benefit. You can ask your orthodontist for this proof. Your orthodontist can use a form from the RIZIV for this. This form is called 'Harmonization document' or 'Support for treatment(s) carried out'.

Send the form to CM

Return the completed form to CM. You can also send it via the My CM app .