Teeth and treatments: insured benefits

• 75% of the costs up to a maximum of CHF 10,000 per calendar year (up to the end of the calendar year in which the insured person turns 20)
• Tooth and jaw misalignment corrections
• Extraction of wisdom teeth (without further clarification)
• Worldwide coverage*

* Payment of costs if a) the foreign dentist has equivalent qualifications to those of Swiss dentists and b) up to the maximum set out in the currently valid fee tariffs published by the Swiss Dental Association (SSO).

• 75% of the costs up to a maximum of CHF 10,000 per calendar year (up to the end of the calendar year in which the insured person turns 20)
• Tooth and jaw misalignment corrections
• Extraction of wisdom teeth (without further clarification)
• Worldwide coverage*

* Payment of costs if a) the foreign dentist has equivalent qualifications to those of Swiss dentists and b) up to the maximum set out in the currently valid fee tariffs published by the Swiss Dental Association (SSO).

Entitlement to benefits* by insurance option:

• DENTAplus LIGHT**: 75% of the costs up to a maximum of CHF 300 per calendar year
• DENTAplus BRONZE***: 50% of the costs up to a maximum of CHF 1,000 per calendar year
• DENTAplus SILVER***: 75% of the costs up to a maximum of CHF 2,000 per calendar year
• DENTAplus GOLD***: 75% of the costs up to a maximum of CHF 3,000 per calendar year
• DENTAplus COMBI***: 50% of the costs, up to CHF 1,000 per calendar year, provided that the dental expenses are less than CHF 2,000. If the expenses exceed CHF 2,000, you receive 80% of the excess.
• Dental treatments (e.g. removal of wisdom teeth, root canal treatments, crowns, preventive treatment)
• Cavities treatment
• Dental hygiene
• Check-ups by the dentist
• Tooth and jaw misalignment corrections
• No cosmetic treatments (e.g. bleaching, tooth jewellery)

* Worldwide coverage. Payment of costs if a) the foreign dentist has equivalent qualifications to those of Swiss dentists and b) up to the maximum set out in the currently valid fee tariffs published by the Swiss Dental Association (SSO).

** For the LIGHT option, policyholders are generally accepted without a medical examination.

*** No medical examination is necessary for children before their third birthday, and no X-rays are required for children before their seventh birthday.

In addition to basic insurance, the Baby Package includes key supplementary insurance and offers comprehensive dental cover too. No medical examination is necessary for children before their third birthday.

The following contributions towards costs are covered with COMPLETA*:

• Braces

The following contributions towards costs are covered with DENTAplus BRONZE**:

• Fillings in the event of cavities
• Extraction of wisdom teeth
• Dental hygiene

* 75% of the costs up to a maximum of CHF 10,000 per calendar year

** 50% of the costs up to a maximum of CHF 1,000 per calendar year

Dental benefits are only covered if the conditions under Art. 17 to 19a of the Health Care Benefits Ordinance (KLV) are met. This list is definitive.

• 100% of the costs less co-payment*
• Tooth diseases**
  - Diseases of the masticatory system
  - General illnesses
  - Congenital disorders
• Accident-related tooth damage
• Duty to provide benefits in Switzerland only (except emergencies)

* Minus co-payment if the conditions under Art. 17 to 19a of the Health Care Benefits Ordinance (KLV) are met

** Prior cost approval mandatory