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




    	    

		    
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 that go beyond the general duty to provide information and advice with you.
  • 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.
			
Legal bases
			
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.