The treatment and cost plan.
post blogged on Christian Krischer the dental technician from dental Hirschaid puraDent, courtesy of proDente eV
If denture is needed, is a quick question in the room: What will it cost? The pre-treatment by the dentist created detailed treatment and cost plan provides this evidence. Since the plan is created primarily for the health insurance, the Content for the patient to decode not always easy. What is
created a treatment and cost plan?
The medical costs of dental plan is developed individually for each patient and each upcoming treatment. It contains the findings, the proposed treatment and the associated standard care. Also beyond the standard care treatment, which was agreed between the dentist and patient, must be listed on the treatment and cost plan.
basis of information in treatment and cost plan will set the fixed subsidy of health insurance. The fixed subsidy based on the standard care, which is paid according to findings.
The treatment and cost plan must include the following points:
I. Findings of the entire dentition / treatment plan
The finding arises as a result of dental examination.
• dental status of patients: In row B of the dentist with this set shortcuts on the condition of individual teeth in a dental chart of a denture. The meaning of the abbreviations of the relevant reports can be seen on the form under comments.
• Control supply: In the row R of the form listed the dentist information for regular care of the patient started referring to the findings. The standard care is the dental solution that is used as the basis for the calculation of the fixed grant. It is therefore the primary care of Benefits the statutory health insurance funds.
• treatment planning: the patient selects the advice of a dentist with a dental service that goes beyond the standards of care addition, this supply in the line TP of the treatment and cost plan mentioned
II results for the fixed benefits
from the line R in Part I for the standard care, the finding numbers are entered. This results in turn paid by the insurance company fixed benefits. In addition, the dentist wears a tooth or the area and the number of teeth to be treated.
III. Cost Planning
allow the previously provided to the dentist based on the assessment scale in the to calculate health insurance or the fees for dentists (GOZ) the cost of dental treatment and the laboratory work of the dental technician. The resulting own share of the patient is generally on a separate information available to the gestellt.Dabei as identified by the health insurance to be paid fixed subsidy. On the control power beyond your borders, agreed after extensive consultation by the dentist with the patient must be as specified by the GOZ also shown separately werden.Dies exact amount of the equity share to be paid is determined by the insurance company.
IV grant fixing
here with the insurance company the sum in the fixed grants. The fixed allowance granted to insurance customers vary, taking into account any bonuses granted. This bonus is based on the bonus issue carried out regularly.
with him to show patients that you annually in recent years were at the dentist and have complied with the important follow-up appointments. Occurred in the last five years, a regular visit will increase the fixed subsidy by 20 percent in ten years, rising to 30 percent.
Agree patients the hardship policy, that law, the full exemption from the dental costs, the insurance company take care of the routine care of the double Fixed allowance.
V. invoices
As part of the settlement of dental services to be entered here the real costs, fees of the dentist, and material costs for the work in the dental laboratory and other costs (shipping costs). It is the composition of the total, of which the fixed subsidy from the fund and the equity share is reported.
And what I need to know more?
The treatment and cost plan, before starting the treatment by the dentist are created and signed and is free for legally insured. The patient needs the treatment and cost plan to sign as well.
The patient confirms the following: • The valid
Versicherungsverhältns of the said insurance
• He has been advised of the exact nature, extent and cost of treatment
• The dentist has suggested alternative care options.
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