Dental care and oral hygiene
Dental care via AZV
We distinguish two groups of insured as regards the dental care:
- All insured;
- And youth insured up to 17 years of age.
All insured
The right for dental care for all insured is limited and consists of:
Paintreatment: in all cases, extraction of tooth or molar and the necessary incision of abcess. For the complete treatment, no more tan 2 intra-oral X-rays are sufficient and covered by AZV.
General surgical dental care: removal of gum tissue, surgival removal and correction of the jaw, fracture treatment, extensive wound cleaning, closure of the surgical opening between the oral and nasal cavities, after extraction and surgival removal of teeth or implants or roots (including wisdom teeth), remnants of dental roots or foreign bodies. For these, you need prior approval from the Executive Body AZV.
Prosthesis: this refers to a partial or complete plate. The replacement of the partial or complete prosthesis will be covered if the current prosthesis no longer works and at least four years have passed since its provided.
A personal contribution is required for prosthetics:
- a full prosthesis: Afl. 200,= maximum.
- a partial prosthesis: Afl. 100,= maximum.
Approval from the Executive Body AZV is required for prosthesis.
Specialist dental care. As an insured person, you are entitled to this care if it is proven that:
- this special care is necessary in connection with the treatment of severe developmental or growth disorders, or serious acquired deformities of the dento-facial system, which requires co-diagnosis and co-treatment by other disciplines, or
- according to the judgment of the Executive Body AZV, medical treatment without this care would result in inadequate outcomes.
You don’t need a referral letter from your general practitioner to visit a dentist. You can buy an additional supplementary medical insurance for the dental care that’s not covered by AZV.
Youth insured
A parent who wants their child to benefit from dental care through the Executive Body AZV must meet certain requirements. It is importante to note that the first check-up with a dentist for your child is covered at your own expense (meaning as a parent you must pay for the first check-up or initial treatment with their dentist).
Young insured (under 18 years of age) have some extra benefits to dental care. It should be noted that this not only covers the initial costs of their check-ups (or dental treatment) but also ensueres that your child’s teeth are free from cavities and dental plaque. The dentist who conducts your child’s dental check-up is the person who can provide a health certificate; this is called a “saneringskaart”.
Nowadays most dentists themselves provide the service to the parents by reporting to the Executive Body AZV that their children are ‘eligible’ (meeting the conditions) and who will soon be covered by the Executive Body AZV. The dentist sends the relevant health information to the Executive Body AZV. The health certificate (“saneringskaart”) itself is valid for 1 year.
Dental coverage for the young insured:
- Once a year, a periodic examination.
- Once a year, a preventive maintenance (cleaning).
- Restoration of teeth and fillings with plastic material (for this treatment the parents pay a contribution of Afls. 15,-).
- Once a year, fluor aplication (starting from the age of 6 years).
- Sealing of permanent teeth (per year it is about 4 molars and in total the cost of eight molars).
- Anesthesia.
- Periodontal, endodontic and gnathological care (requires prior AZV approval).
- General dental surgical care (under certain indications).
- Orthodontic care, with the exception of bridges and crowns (requires prior approval and a personal contribution of Afls. 75,- per treatment month).
- Pain treatment: in all cases, for tooth or jaw luxation and necessary incision of abscess.
- General dental surgical care; for example removal of dental tissue or extensive wound cleaning (requires prior AZV approval).
- Prosthesis. This concerns partial or complete dentures. Replacement of the prosthesis will be paid if the current prosthesis no longer serves and at least four years have passed since its provision (requires prior AZV approval).
