Fixed allowance system, Fixed allowance systems

On 1 January 2005 the so-called diagnosis-oriented fixed allowances ("befundorientierte Festzuschüsse") took effect. The amount of fixed allowances is no longer determined by the individual services, but to the diagnosis. So all patients with the same findings - for example a missing tooth - get the same allowance, independently whether the decision for a bridge, an implant or a dental prosthesis is made. The fixed allowances cover 50% of the so-called standard supply ("Regelversorgung") for the respective diagnosis. In the standard supply all dental services are considered, which arise in connection with the standard supply. The fixed allowance for this standard supply will be paid anyway, even if the factually realized supply belongs to the so-called similar or different forms of supply. A similar supply is given, when the normal supply is chosen, but additional services are added. For example additional facings as well as additional and different anchorage or link elements. A different supply is given, when a supply form is chosen that differs from the one, which is described in the standard supply for the respective diagnosis (for example an implant instead of a bridge). (Source: AOK)

Selected information about Fixed allowance system:

Tables:

• Dentists, averaged number of service positions
• Dentists, bills settled with the statutory health insurance

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