CM dental benefit
CM members receive a reimbursement of up to 1,500 euros for orthodontics and up to 1,050 euros for dental prostheses.
This page contains information tailored to zorgverleners. If you are a CM member, you can find more information here about the CM benefits relating to dental care.
The CM Dental Benefit is part of the services and benefits for all CM members who are up to date with the payment of the CM contribution . It includes reimbursements for both orthodontics and dental prostheses.
CM benefit orthodontics
This benefit is included in the CM membership for everyone as standard, without a waiting period.
Treatments started on or after January 1, 2026
CM members receive a 60% reimbursement (up to 1,500 euros) of the co-payment and supplements for regular orthodontic treatment and any subsequent retention treatment. Services both within and outside the nomenclature are eligible for reimbursement.
Treatments started on or after January 1, 2021, through December 31, 2025
CM members receive a 60% reimbursement (up to 1,050 euros) of the co-payment and supplements. CM members with increased reimbursement receive a 75% reimbursement up to 1,050 euros.
For services provided from 1 January 2026, every CM member will receive a reimbursement of 60% on the co-payment and supplements up to the new ceiling of a maximum of 1,500 euros.
Terms and Conditions
- Not older than 22 years.
- The treatment entitles you to reimbursement from compulsory health insurance . (See also the page on the RIZIV website regarding the application of compulsory health insurance for orthodontics ).
- For the benefit from 2026:
The treatment starts on or after January 1, 2026. The performance date of the placement of the first appliance (classical orthodontics) is decisive (performance code 305631). - For the benefit from 2021 through 2025:
The treatment starts on or after 1 January 2021 up to and including 31 December 2025. The performance date of the placement of the first appliance (early or classical orthodontics) is decisive (performance code 305631 or 305933).
Frequently asked questions orthodontics
Treatment started on or after 1 January 2026
The start of the active treatment is the placement of the first device. Reimbursement applies only to subsequent procedures during the active treatment and any subsequent retention treatment.
- services within nomenclature: 305631 (start) + 305675, 305616, 305653, 305734, 305852 (follow-up sessions)
- services outside the nomenclature : see the exhaustive list attached to the statutes of CM Vlaanderen as Annex 10.
The supplements to be taken into account are reviewed per service. If these relate to a service number (and thus a service date), they may be indicated as a supplement for that Riziv service number.
There is no CM reimbursement for examinations performed in advance (consultations as part of preliminary examinations, taking impressions, measurements, drawing up a treatment plan, ...).
Treatment started on or after 1 January 2021 through 31 December 2025
The start of the active treatment is the placement of the first device. Reimbursement applies only to subsequent services during the active treatment.
- early orthodontics: 305933 and 305955 (two discs) for treatments started on or after 1 January 2021 up to and including 31 December 2025
- classical orthodontics: 305631 (start) + 305675, 305616, 305653, 305734 (follow-up sessions)
- for performance on or after 1 January 2026
- possible retention treatments
- services outside the nomenclature : see the exhaustive list attached to the statutes of CM Vlaanderen as Annex 10.
The supplements to be taken into account are reviewed per service. If these relate to a service number (and thus a service date), they may be indicated as a supplement for that Riziv service number.
Therefore, there is no CM reimbursement for examinations performed in advance (consultations as part of preliminary examinations, taking impressions, measurements, drawing up a treatment plan, ...), retention checks, and supplements for additional devices (e.g., retention appliance).
The placement of the first device determines whether the CM member ends up in the old or the new scheme. The services eligible for the calculation of the reimbursement are:
- for early orthodontics: the two fixed reimbursements at the start and end of the treatment (305933-305944 and 305955-305966);
- for classical regular orthodontics: the active treatment, i.e. 1) the placement of the device(s) with performance number and 2) the flat rates for the control sessions.
So both the services before the active treatment (such as examinations, consultations, advice, drawing up a treatment plan) and those after (contention checks) are not counted towards the reimbursement.
To make dental care accessible to everyone, this benefit falls within our supplementary services and benefits . We finance these benefits from membership fees . To keep them affordable, we have to make choices. Orthodontic treatment at a young age prevents many dental problems in the future. We therefore chose to prioritize the importance of prevention. The CM-MediKo Plan reimburses the invoice amount up to 500 euros for orthodontic treatment not covered by health insurance. As of January 1, 2024, this is up to 600 euros.
The CM benefit provides partial reimbursement of orthodontic costs. The CM-MediKo Plan goes even further. This is because your remaining orthodontic costs are eligible for reimbursement under both the statutory co-payment guarantee and the orthodontics guarantee (supplements). In this way, the total reimbursement for orthodontic treatment from CM and CM insurance combined can amount to more than 2,100 euros*. And the CM-MediKo Plan goes even further! Through the CM-MediKo Plan, you are also more broadly protected for dental care costs: orthodontic costs not reimbursed by health insurance, dentures and implants, periodontology, radiography, preventive and curative dental care... Furthermore, this insurance offers protection for other outpatient medical costs such as co-payments, eye care, hearing aids, travel vaccines, nutritional and dietary advice, and a maternity allowance.
CM benefit dental prostheses
This benefit is included as standard in the CM membership for everyone, without a waiting period. CM members receive a reimbursement of 40% of the costs, up to 1,050 euros. CM members with increased reimbursement receive 75% up to 1,050 euros. For prostheses fitted before 1 January 2024, the reimbursement is 60% instead of 40%, with the same maximum amount of 1,050 euros.
Terms and Conditions
- Be a member of CM on the performance date.
- The reimbursement applies to the placement of new fixed dentures (crowns, bridges, implants), new removable dentures , and additions to existing removable dentures. The reimbursement does not apply to repairs or relining. In the frequently asked questions below, you will find an overview of the services that are eligible or not.
- The prosthesis is fitted by a dentist recognized by the RIZIV.
- The allowance of up to 1,050 euros is possible per two calendar years .
- There is no entitlement to reimbursement under the statutory health insurance .
- Under certain conditions, health insurance reimburses removable dentures . This is stipulated by law and differs for children and adults. If the patient is eligible for reimbursement by health insurance, the statutory rates apply, and no reimbursement is possible under the CM benefit.
- There is no application for reimbursement pending via the Technical Dental Council.
Frequently asked questions about dentures
The CM benefit applies to the purchase and placement of dental prostheses and implants from 1 January 2021 without (partial) reimbursement from health insurance. Supplements charged on top of a dental prosthesis for which RIZIV reimbursement is possible are therefore not eligible (see below).
The date of prosthesis placement is decisive. Therefore, all preliminary examinations and preparatory treatments may have already taken place before January 1, 2021. The placement of a crown, bridge, or implant is a separate provision and does not fall under preliminary treatments.
When one or more teeth are effectively and completely replaced , we refer to this as a dental prosthesis. Both the prosthesis itself and the costs of fitting it qualify for the CM benefit, provided that the fitting takes place from 1 January 2021 and that there is no (partial) reimbursement by health insurance. There is no reimbursement for supplements charged for a dental prosthesis for which reimbursement by statutory health insurance is possible.
Below you will find information on whether or not the most common services qualify for CM reimbursement (this overview is not exhaustive). Are you unsure if the service qualifies for the CM benefit? Then please contact us at [email protected] . (Only for healthcare providers; CM members can contact us via the contact form .)
| Dental prostheses | |
|---|---|
| Removable prostheses | CM reimbursement applicable? |
| Resin prosthesis | Yes |
| Frame prosthesis | Yes, if there is no reimbursement from health insurance for the delivery of the dental prosthesis itself. |
| Overdenture | Yes |
| Anchoring/abutment/attachment | Yes |
| Repair | No |
| Replacement of the base | No |
| Additional placement | Yes |
| Fixed prostheses | |
| Crown/Pin crown | Yes, if it concerns a full crown |
| Bridge | Yes |
| Inlay/onlay/overlay | No |
| Abutment | Yes, if it concerns a permanent abutment |
| Facet | No |
| Provisional crown | Yes |
| Implant | Yes |
If no teeth are replaced, there is no reimbursement under the CM Dental Benefit. However, there may be under the CM-MediKo Plan .
Because there is already partial reimbursement by health insurance, we chose not to introduce additional CM reimbursement, not even for the non-reimbursable supplements requested on top of this dental prosthesis (e.g. frame, stem - see below). With the CM-MediKo Plan , the remaining costs after reimbursement by health insurance are eligible under the dental prosthesis and implant guarantee, up to a maximum of 600 euros extra per year.
Yes. We keep track of the maximum of 1,050 euros for the CM member. If the maximum has not been reached at the time of his application, this can be included in a subsequent processing until a total of 1,050 euros has been reimbursed. See the next question for more info.
The CM member receives 40% (or 75% in the case of increased reimbursement) of the costs for purchase and fitting, with a maximum of 1,050 euros. For prostheses fitted before 1 January 2024, the reimbursement is 60% instead of 40%, with the same maximum amount of 1,050 euros. This reimbursement is reviewed over two calendar years. Therefore, the reimbursement from the previous year (and any reimbursements for the following year, if any) are always taken into account.
| Example calculation over two calendar years | |||
|---|---|---|---|
| Year | Prosthesis° | Paid | CM reimbursement |
2021 | crown | 834 euros | 500 euros (60% of the costs for purchase and installation) |
2022 | provisional crown | 250 euros | 150 euros (60% of the costs for purchase and installation) |
| crown | 1,500 euros | 400 euros (60% of the costs for purchase and installation, less refunds for 2021 and 2022; or 1,050 euros - 500 euros - 150 euros = 400 euros ) | |
2023 | 2 crowns | 1,750 euros | 500 euros (60% of the costs for purchase and installation, less 2022 refunds; or 1,050 euros - 150 euros - 400 euros = 500 euros ) |
2024 | 3 crowns | 2,700 euros | 550 euros (40% of the costs for purchase and installation, limited to 1,050 euros per 2 calendar years and reduced by 2023 reimbursements; or 1,050 euros - 500 euros = 550 euros) |
| ° Only fixed and removable dentures without RIZIV reimbursement qualify for the CM dental benefit. eligible | |||
The reimbursement over two years can never exceed 1,050 euros. Multiple payments are still possible within a single two-year period until the maximum is reached. This example is purely illustrative. For additional reimbursement for dental care and other outpatient medical costs, members can take out additional insurance with the CM-MediKo Plan .
No, because the delivery of the dental prosthesis itself is reimbursed by health insurance. In that case, the prohibition on cumulative coverage with health insurance applies, and therefore there is no reimbursement through the CM benefit. However, with the CM-MediKo Plan , a CM member can still take out additional insurance against extra supplements for dental prostheses with reimbursement by health insurance.
The CM benefit provides a reimbursement of 40% (or 75% in the case of increased reimbursement) of the costs for the purchase and placement of dental prostheses and implants, up to 1,050 euros per two calendar years. For prostheses placed before 1 January 2024, the reimbursement is 60% instead of 40%, with the same maximum amount of 1,050 euros.
CM-MediKo Plan goes even further. The remaining costs qualify under the dental prosthesis and implant guarantee, up to a maximum of 600 euros extra per year. And CM-MediKo Plan goes even further. With CM-MediKo Plan, you are also more broadly protected for dental care costs: dental prostheses reimbursed by health insurance, orthodontics, periodontology, radiography, preventive and curative dental care... Furthermore, this insurance offers protection for other outpatient medical costs such as co-payments, eye care, hearing aids, travel vaccines, nutritional and dietary advice, and a maternity allowance.
What to do?
Provide the CM member with the 'harmonisation document' as proof of the treatment(s) performed. It is a uniform document for all supplementary services and benefits of the health insurance funds, published by the RIZIV. You can download this form from the RIZIV website .
Are you issuing a certificate for assistance provided electronically (e-certificate or third-party payer scheme)? If so, provide the 'harmonisation document' to your patient as legal proof. You do not need to submit anything else.
More information
View the general frequently asked questions below or send an email to our helpline for professionals at [email protected] . (Only for healthcare providers; CM members can contact us via the contact form .)
Yes. That is why this is included as standard in CM's supplementary range of services and benefits . CM is committed to the health and well-being of everyone. Solidarity is the best guarantee to achieve that.
For additional reimbursement for dental care and other outpatient medical costs, CM members can take out additional insurance via the CM-MediKo Plan .
Yes. You can combine a reimbursement for dentures with the reimbursement for orthodontics if both treatments are necessary.
CM opts for a strong and solidarity-based basic package, and the option to take out additional insurance via the CM-MediKo Plan . This offers even better and broader coverage for orthodontics and dental prostheses, as well as additional reimbursements such as co-payments, eye care, hearing aids, periodontology, nutritional and dietary advice, and a maternity allowance.
No. We are opting for a solidarity-based solution for all our members, but this solution does not cover all dental costs, nor all types of orthodontics and dentures. A CM member who wishes to be additionally protected can do so via the CM-MediKo Plan . The remaining costs for the purchase and placement of dentures and implants are reimbursed up to a maximum of 600 euros extra per year. Furthermore, as a CM member, you are also more broadly protected for dental care costs: dentures reimbursed by health insurance, orthodontics not reimbursed by health insurance, periodontology, radiography, and preventive and curative dental care.
CM reimbursement is based on the 'harmonisation document' as proof of the treatment(s) performed. It is a uniform document for all supplementary services and benefits of the health insurance funds, published by the RIZIV. Both the document and guidelines on how to complete it can be found on the RIZIV website . As a dentist, you can submit this via a financial statement to the CM member in order to make the cost as manageable as possible for the CM member.
In certain situations, this document must be submitted and there are specific formal requirements, which you can find on the RIZIV website .
Because the 'harmonisation document' was established within the NCTZ to provide a solution to the demand for uniformity and transparency in reimbursements from supplementary and optional insurance policies, we are promoting this to the fullest extent. If you settle electronically via eAttest, the receipt of the eAttest serves as sufficient proof.
For our additional services and benefits, we always require a separate document because we (must) keep the processes between mandatory and supplementary insurance strictly separate.
For the time being, we also accept other certificates, forms, and invoices, provided the description is complete (nomenclature number or according to the agreed descriptions) and the other necessary details are included (amount per service number, service date, …).