← All explanationsGerman dental treatment and cost plan

How do I read a German treatment and cost plan for tooth replacement?

For people with German statutory health insurance, the Heil- und Kostenplan records findings, standard care, the planned tooth replacement and estimated costs. It forms the basis for the insurer’s subsidy review. The expected personal contribution is explained for the actual plan; it is not a universal price for tooth replacement.

For dental trainees & teams
SMILE meets DESIGN
Medical teaching illustration: Findings and treatmentAI-generated
Illustrative consultation using a dental model · not a real patient case
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Findings and treatment

The plan separates findings, the corresponding statutory standard care and the actual intended treatment. These may differ.

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Understand the costs

The insurer’s contribution and estimated personal share are considered separately. The chosen restoration should be clearly explained before treatment.

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Clarify before starting

With consent, the practice submits the plan electronically. Planned replacement generally starts after approval; necessary changes may need renewed agreement.

At a glance

What is recorded?

Findings, standard care, planned care and estimated costs.

Who follows this process?

People with German statutory insurance planning tooth replacement.

What should be discussed first?

Treatment goals, scope, expected personal contribution and insurer approval.

Knowledge in motion

Explained in 36 seconds.

Three steps. Straight to the point.
Explanations are also shown on screen.

Short film (German): How do I read a German treatment and cost plan for tooth replacement?

Silent film in German · English explanations in the three views above

Often confused

Standard care or planned care?

Regelversorgung means the standard care assigned to a finding under the statutory system. The personally planned restoration may differ.

Quick answers
Do I receive documents myself?

Yes. The patient information for tooth replacement summarises the plan and estimated costs.

Does statutory insurance cover every chosen restoration in full?

No. The fixed subsidy depends on findings and applicable eligibility rules. Depending on the restoration, a personal contribution may remain.

What if something changes during treatment?

Changes to findings, treatment or costs should be explained and documented. Further agreement with the insurer may be necessary.

At the practice

For your consultation

A question to discuss with Dr. med. dent. Niusha Barahmand Pour:

How do findings, planned care and my estimated personal contribution connect in this plan?

At the practice, findings, personal wishes and possible next steps are discussed through a consultation and examination.

A plan should be understandable without knowing every abbreviation. Open questions can be clarified step by step before treatment.

Discuss tooth replacement planningChoose an appointment on Doctolib
Meet Dr. med. dent. Niusha Barahmand Pour
Learning for dental trainees & teamsUnderstand clinical terms and build your knowledge

Build on the simple explanation with clinical terms, key distinctions and a knowledge question.

Befund — finding
The assessed condition of teeth and existing restorations.
Festzuschuss — fixed subsidy
A finding-related statutory insurance contribution under applicable rules.
Eigenanteil — personal contribution
The estimated share of agreed costs payable by the patient.

Know the difference

This explanation concerns tooth replacement under German statutory health insurance. Private insurance contracts and other treatments follow their own reimbursement rules.

Knowledge questionWhat is the statutory fixed subsidy generally based on?

This question supports learning. It does not assess personal symptoms.

  1. Only the desired tooth colour.
  2. The findings and applicable eligibility rules.
  3. Always the entire bill in full.
Show answer and explanation

The findings and applicable eligibility rules.

Findings provide the basis. The chosen restoration and individual eligibility affect the financial split.

Sources for further learning
Sources and context

Editorial research: 23 October 2026. This explanation covers general principles and does not replace a personal examination. Suitable treatment is discussed following individual assessment.