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Apply for a dental prosthesis subsidy from the Social Compensation Health Insurance Fund

Injured parties can receive a subsidy for dentures as a result of a recognized consequence of injury. You can find out more here.

  • Basic information

    Injured parties whose entitlement to medical treatment has been established will receive medical treatment benefits from January 1, 2024.

    Instead of the provision of dentures, injured parties can receive an appropriate allowance for the procurement of dentures due to recognized consequences of injury if

    • they have an extended denture made due to further tooth loss not caused by the injury

    and

    • the extended denture is a non-divisible benefit.

    Please note that your social compensation provider will decide whether and to what extent you receive support.

    Requirements

    • As the injured party, you have suffered a health impairment in Germany or, under certain conditions, abroad (§ 15 SGB XIV) due to a damaging event.
    • The health impairment has resulted in physical, psychological, mental or sensory impairments that have already been recognized as consequences of injury with a degree of impairment.
    • You have already been recognized as having lost or damaged a tooth.
    • You would like to have an extended dental prosthesis made due to further tooth loss or damage that is not the result of an injury.
    • Carry out a claim check before starting treatment.

  • Procedure

    When you apply for social compensation benefits, the social compensation provider will check whether you are entitled to reimbursement of an allowance for dentures. You will receive a notification of the decision and, if applicable, information on the benefits granted as well as other necessary evidence.

    You can apply for social compensation benefits in writing.

    • If necessary, you can make an appointment with your contact person at the pension authority or at your responsible office.
    • You will then discuss whether you are entitled to social compensation benefits and what support services can be offered.
    • If necessary, the case management team can discuss the further procedure and possible entitlements to benefits with you that go beyond the general duty to provide information and advice.
    • If you are entitled to social compensation benefits, your contact person will discuss the next steps with you.
    • The contact person will provide you with the relevant documents. If necessary, complete the documents, enclose the required evidence or supporting documents and send the documents back to your contact person.
    • Your claims will be determined ex officio on the basis of the documents. The authority will inform you of the result in the form of a decision, which is usually sent to you by letter.
    • If entitlements to benefits have been determined, you will receive an approval notice. If no entitlements are determined, you will receive a rejection notice.
    • The eligible costs and approved cash benefits will be transferred to the account you have specified.

    More information

    Submit your documents before treatment to find out whether a subsidy can be paid.

    Legal remedy
    Appeal: An appeal can be lodged against a decision within one month of its notification. Further information regarding the procedure and the competent body to which you can lodge an appeal can be found in the notification of your application. The appeal can be submitted in writing and electronically.

  • Competent Department

  • Fees / Costs

    gebührenfrei

  • Deadlines & processing time

    What deadlines must be paid attention to?

    There is no deadline.

    How long does it take to process

    The prerequisite for processing is that all mandatory information has been provided. The processing time varies depending on the competent authority and the individual case. It is not possible to give an exact time and it depends on the complexity of the individual case.

  • Legal Bases

  • More Information

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This page has been automatically translated by DeepL. We cannot guarantee that the translation is correct.

The official information in German is complete and correct. 07.11.2025

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