Orthodontic treatment for adults: What does TK cover? | TK

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Orthodontic treatment for adults: What does TK cover?

Orthodontic treatment for adults: What does TK cover?

If you are over 18 when you start treatment, we will only cover the costs if you have a severe jaw abnormality and require jaw surgery at the same time.

13.05.2025

Severe jaw abnormalities include

congenital malformations of the face and jaw such as a cleft lip, jaw and palate

incorrect tooth positioning caused by misalignment of the upper or lower jaw (skeletal dysgnathia), or

jaw misalignment caused by injuries

which are assigned to an orthodontic indication group of at least KIG B4, D4, K4, M4, A5 or O5 and require orthodontic surgery. Definitions in German of these indication groups can be found here: definitions of orthodontic indication groups . Please consult your orthodontist or orthopaedic surgeon to find out whether you come under any of these categories.

If the medical requirements are fulfilled, your orthodontist will send us a treatment plan for further review. If applicable, please send us the orthodontic surgery report - either as message to TK via Meine TK or by post:

Techniker Krankenkasse
20905 Hamburg

We will let you know as soon as possible whether TK can cover the costs.

Related questions

We cover the costs of one dental check-up every half-year for adults. There must be at least four months between appointments. We also pay for the removal of hard dental plaque (tartar) once a year during your check-up. These services are billed directly via your TK eHealth card.

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Yes, if you received your treatment in a dental practice and you are 18 or older. The one-off subsidy amounts to 40 EUR per year. You can also get a subsidy with supplementary dental insurance.

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We may only cover the costs of medically necessary services that people insured in your destination country would also receive and which cannot wait until your return. This is why we strongly advise that you take out private supplementary insurance for trips abroad.

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Children can go for regular dental check-ups from the age of six months up to their 18th birthday. Besides performing a thorough examination of your child's teeth, the dentist will give you age-appropriate advice on dental care and nutrition. Simply present the TK eHealth card at your dental practice.

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The orthodontist uses a system of 5 levels of severity, the German Orthodontic Indication Groups (KIG), to assess whether treatment is medically necessary. We will pay the costs of medically necessary treatment for children and adolescents who are less than 18 years of age and have been classified as "KIG 3" or more. Additional services must be paid for by you.

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Your TK insurance covers various dental fillings. The costs are billed directly to us by the dental practice via your TK eHealth card.

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We will check whether we can cover the costs before your treatment begins. For this, your dentist is required to draw up a treatment plan and send it to us. Once we have approved this plan, the contractually agreed costs will be billed to us directly via the TK eHealth card. Important: successful treatment requires the patient's active, focused cooperation. Teeth and gums have to be cleaned particularly thoroughly.

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Planning, clarifying costs, getting treatment, billing: find out below how to get a subsidy for your dental prosthesis.

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Yes. If you need a bite splint (occlusal splint), your dentist will bill us the costs directly using your TK eHealth card.

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We will pay for root canal treatment in cases where the tooth is considered to be worth preserving and this is the most suitable type of treatment. We will also cover the costs of root tip resection for teeth in the front and side areas.

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Should you ever need a dental prosthesis, we will cover more of the costs if you have had regular check-ups. Evidence of these is provided in the bonus booklet, which records the date of each check-up.

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The dental bonus booklet for higher contributions towards the costs of necessary dental prostheses is available from your dentist. To take part in the TK Bonus Plan you no longer need a special TK bonus booklet; instead, you can just enter the check-up online.

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Your dentist can enter your dental check-ups retrospectively.

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