Who does this term concern?
Dental prosthetic care within German statutory health insurance.
← All explanationsFixed dental prosthetic subsidy
What does statutory insurance contribute to dental prostheses?
The German fixed dental prosthetic subsidy is a contribution from statutory health insurance based on the dental findings. It uses the defined standard care for those findings as its reference. It is therefore not simply a fixed share of any chosen prosthetic invoice.
For training & practice ↓
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Start with the findings
The documented dental situation, such as a missing tooth requiring replacement, determines which fixed subsidies are considered.
Separate subsidy and total cost
The planned restoration may add to the standard care or take a different form. This can change the total cost and the patient contribution.
Clarify the plan in advance
The treatment and cost plan records the findings and proposed restoration. The subsidy is clarified with the insurer before treatment, taking applicable bonus and hardship rules into account.
At a glance
What is needed beforehand?
An assessed dental situation and a clear treatment and cost plan.
What should be clarified?
The proposed restoration, subsidy, possible bonus and remaining patient contribution.
Knowledge in motion
Explained in 36 seconds.
Three steps. No audio.
Each scene can also be selected manually.
Silent educational film with German on-screen text and simplified teaching images. Not a patient case or a promised treatment outcome. The full English explanation is available below.
Read the film text in English
Start with the findings
The documented dental situation, such as a missing tooth requiring replacement, determines which fixed subsidies are considered.
Separate subsidy and total cost
The planned restoration may add to the standard care or take a different form. This can change the total cost and the patient contribution.
Clarify the plan in advance
The treatment and cost plan records the findings and proposed restoration. The subsidy is clarified with the insurer before treatment, taking applicable bonus and hardship rules into account.
Often confused
Subsidy or treatment cost?
The fixed subsidy is the insurer’s contribution. The treatment cost covers the planned services; these are not the same figure.
Quick answers
Does the subsidy pay for everything?
Not automatically. The remaining patient contribution depends on the planned restoration and the individual subsidy decision, among other factors.
Can I choose a different restoration?
A medically suitable alternative can be discussed. Entitlements and additional costs are clarified using the individual plan.
Who decides my subsidy?
The health insurer checks the submitted plan and supporting personal records. General online information does not replace that decision.
At the practice
For a personal conversation
An editorially suggested question for a conversation with Dr. med. dent. Niusha Barahmand Pour:
Which restoration is in my plan, and how are the subsidy and patient contribution calculated?
When dental prostheses are planned, the restoration and cost split should be understandable together.
Discuss a prosthetic treatment planAppointment selection at DoctolibLearning layer for training & practiceUnderstand terminology and deepen knowledge
- Findings
- The dental situation established and documented during examination.
- Patient contribution
- The portion of the cost remaining after the applicable subsidies.
- Treatment and cost plan
- The document used to describe the planned prosthetic restoration and clarify its costs.
Make the distinction
The fixed subsidy is the insurer’s contribution. The treatment cost covers the planned services; these are not the same figure.
Sources and context
Editorial research: . General information, not an individual diagnosis or treatment recommendation. Teaching illustrations are simplified and do not depict a patient case.