← All explanationsAgreement for additional filling costs

What do I agree to before a filling with extra charges?

For German statutory-insurance patients, this written agreement records choosing a filling beyond the covered service before treatment begins. The comparable statutory filling is accounted for; the patient pays the agreed additional costs. Suitable no-extra-charge filling options remain available.

For training & practice ↓
SMILE meets DESIGN
Section model of a molar with a tooth-coloured filling on its chewing surface.AI-generated
Filling in a section model · no specific extra-cost or material classification
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Understand the alternatives

Ask which filling has no extra charge, what the additional service is and why it is proposed. Discuss this before deciding.

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Clarify costs in writing

The chosen treatment and expected additional costs are agreed before treatment starts. Ask for unclear items to be explained.

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Distinguish the contribution

The comparable covered filling is taken into account. Elective replacement of an intact direct filling does not qualify under this additional-cost rule.

At a glance

Discuss first?

Covered option and added service.

What does the patient pay?

The agreed additional costs.

Always a statutory credit?

Not for purely elective replacement of an intact filling.

Knowledge in motion

Explained in 36 seconds.

Three steps. No audio.
Each scene can also be selected manually.

Agreement for additional filling costs: short film

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
  1. Understand the alternatives

    Ask which filling has no extra charge, what the additional service is and why it is proposed. Discuss this before deciding.

  2. Clarify costs in writing

    The chosen treatment and expected additional costs are agreed before treatment starts. Ask for unclear items to be explained.

  3. Distinguish the contribution

    The comparable covered filling is taken into account. Elective replacement of an intact direct filling does not qualify under this additional-cost rule.

Often confused

Additional cost and fully private treatment

Under this filling rule the comparable statutory service is credited. That credit cannot simply be assumed for purely elective treatment.

Quick answers
Did the amalgam restriction make all fillings private?

No. Since 2025 statutory-insurance patients still have access to suitable fillings without additional charges.

Does every composite filling cost extra?

No. Tooth location, technique and circumstances matter; tooth-coloured front fillings may be covered.

Is this a prosthetic treatment-and-cost plan?

No. The filling rule and the fixed-subsidy system for prostheses are different arrangements.

At the practice

For a personal discussion

Editorially suggested question to discuss with Dr Niusha Barahmand Pour:

Which suitable covered option exists, and what does the additional service change?

Have the differences and expected extra charges explained before deciding.

Discuss filling optionsAppointment selection at Doctolib
Meet Dr. Niusha Barahmand Pour ↗
Learning layer for training & practiceUnderstand terminology and deepen knowledge
Benefit in kind
Care provided within statutory insurance.
Additional costs
Charges for the chosen service beyond covered care.
Written agreement
Documented decision about additional-cost care before treatment.

Make the distinction

Under this filling rule the comparable statutory service is credited. That credit cannot simply be assumed for purely elective treatment.

Knowledge questionWhen is the agreement made?

For learning, not for assessing personal symptoms. Your answer is not stored or sent.

  1. After the completed filling.
  2. Before additional-cost treatment starts.
  3. Only if symptoms later occur.
View answer

Before additional-cost treatment starts.

The choice should follow explanation of alternatives and costs.

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.