Dental reimbursement: how it works
Have you scheduled a dental visit? Or a dental procedure in the hospital? Then be sure to first review our checklist. That way, you are well prepared and can go to your dentist with peace of mind.
1. Before your dental visit
It’s a good idea to visit the dentist. If you do so annually, you are entitled to the maximum reimbursement. Regular dental check-ups are therefore not only good for your teeth, but also for your wallet. Did you know that children under 18 do not have to pay anything for a preventive oral examination? This is fully reimbursed.
- Your identity card
- Do you have additional dental insurance such as Dentalia Plus or Dentalia Up? Or are you entitled to the Helan orthodontics benefit? Let your dentist know.
- Most healthcare providers will give you the form ‘Proof of performed treatments’ after the treatment. You must submit this to us for reimbursement via your dental insurance or the Helan benefit.
- For safety, you can print this reimbursement form and bring it with you. If your dentist does not have the proof document, you can have the reimbursement form completed. Both documents are valid for reimbursement.
- Contracted or non-contracted dentist?
Non-contracted dentists may charge higher fees. Contracted healthcare providers apply the official RIZIV rates. Via this RIZIV tool you can check in advance whether your dentist is contracted or not.
- Want to know how much you will be reimbursed by the statutory insurance?
Your healthcare provider is best placed to inform you about this.
For certain dental treatments, a renewal period applies. These costs can only be reimbursed once during a specific period.
Some examples: tartar removal: once per calendar year, removable dental prosthesis: once every 7 calendar years (from the age of 50), dental radiography (panoramic X-ray): once every 2 calendar years.
For certain dental treatments, there is an age limit. This applies to removable dental prostheses, orthodontics, tooth extractions, etc.
- Want to know how much your dental insurance reimburses, or how much you get back via the Helan orthodontics benefit?
Request a treatment plan and cost estimate from your doctor. Ask us your question via the contact form, and include the cost estimate or treatment plan. We will respond as soon as possible. This way, you have a clearer idea in advance of the total cost.
- Check your membership date. You can find it in your online health insurance account Mijn Helan, or on the letter with your membership confirmation.
- Your annual budget depends on how long you have been enrolled at that time:
- After 6 months of membership: reimbursement up to 350 euros
- After 1 year: reimbursement up to 650 euros
- After 2 years: reimbursement up to 1,250 euros with a maximum reimbursement of 1,050 euros for prostheses, implants, periodontology and orthodontics.
- Per membership year, each person receives a new annual budget for reimbursements via Dentalia Plus. Your new annual budget with Dentalia Plus always starts on the membership date. For example: if you joined Dentalia Plus on August 1, 2016, your new annual budget starts every year on August 1.
Do you have a private insurance? Then contact your insurer.
- Check your membership date. You can find it in your online health insurance account Mijn Helan, or on the letter with your membership confirmation.
- Your annual budget depends on how long you have been enrolled at that time:
- Immediate reimbursement up to 350 euros for preventive dental care
- Immediate reimbursement up to 4,000 euros for unexpected costs due to accident or cancer
- After 6 months: reimbursement up to 350 euros for curative dental care
- After 1 year: reimbursement up to 650 euros
- After 2 years: reimbursement up to 1,250 euros with a maximum reimbursement of 1,050 euros for prostheses, implants, periodontology and orthodontics for children.
Do you have a private insurance? Then contact your insurer.
Check whether you are entitled to the Helan orthodontics benefit for children. You receive up to 1,050 euros reimbursed per orthodontic treatment, covering 60% of all co-payments, supplements and materials.
2. After your dental visit
After the treatment, your healthcare provider will ask for your identity card and settle the costs for the dental care.
Most dentists work via eAttest or the third-party payment system. In exceptional cases, you will receive a paper medical certificate to submit to your health insurance fund.
Are you entitled to an additional reimbursement via your dental insurance or via the Helan benefit? Then be sure to request the additional document "Proof of performed treatments". You need this document to request your reimbursement.
3. Reimbursement after your dental visit
After your dental visit, request your reimbursement. Reimbursement can be obtained via the statutory health insurance, the additional orthodontics benefit for children, and your supplementary dental insurance Dentalia Up or Plus, or a private insurance.
Conveniently track your reimbursements in the online portal Mijn Helan or via the Mijn Helan app. There you will find an overview of your reimbursements.
Reimbursement for dental care via statutory health insurance
Your healthcare provider can bill and attest your dental care in various ways. Below is an overview.
You pay the full legally established cost for dental care to your healthcare provider. With a non-contracted provider, an additional supplement may apply.
- Your reimbursement request is sent directly to Helan.
- You will receive proof of the eAttest, but you do not need to submit this to Helan.
- You will receive the reimbursement automatically within 3 working days.
Please note: For certain dental costs, you can request additional reimbursements, for example from the Dentalia Up (or Plus) dental insurance or the Helan orthodontics benefit. In these cases, you still need to submit a reimbursement request to Helan yourself. Do not forget this.
If your dentist applies the third-party payment system, you only pay the co-payment.
With a non-contracted provider, an additional supplement may apply.
Attention: For certain dental costs, you can request additional reimbursements, for example from the Dentalia Up (or Plus) dental insurance or the Helan orthodontics benefit. In these cases, you still need to submit a reimbursement request to Helan yourself. Do not forget this.
More information about the third-party payment system.
Since 1 September 2025, dentists are required to switch to eAttest or the third-party payment system. After a dental visit, you will therefore no longer receive a doctor's note (certificate of provided care). From now on, your dentist will handle everything directly with Helan.
Exceptions may apply for dentists older than 63 years or in cases of force majeure. In that case, do you still receive a doctor's certificate?
- You pay the full legally established fee for dental care to your dentist or specialist. With a non-contracted provider, an additional supplement may apply.
- You will receive a doctor's certificate with which you can request reimbursement.
- Legally, Helan may only process doctor's certificates upon receipt of the original document. Submit it via the mailbox of your local health insurance office or a Helan mailbox. Alternatively, you can send the doctor's certificate by post to Helan Independent Health Insurance, Boomsesteenweg 5, 2610 Wilrijk.
Reimbursement via the Helan-benefit "orthodontics for children"
Did you receive the form ‘Proof of completed treatments’ from your dentist, or did you have the Helan reimbursement form completed by your healthcare provider? Submit one of these documents to us. This allows you to apply for the Helan benefit ‘orthodontics for children’.
Affix a white adhesive stamp and submit the completed form via My Helan, the My Helan app, or a Helan mailbox.
If a paper medical note (certificate for services rendered) was issued, we are legally only allowed to process this original medical certificate.
Please submit it together with the application form via your local health insurance office or a Helan mailbox.
You can also send your certificate and the application form by post to: Helan Health Insurance, Boomsesteenweg 5, 2610 Wilrijk.
In that case, you simply need to submit one form to receive all your reimbursements
Reimbursement for dental treatment via dental insurance Dentalia Plus or Up
Did you receive the form ‘Proof of Treatments Performed’ from your doctor, or did you have the Helan reimbursement form completed by your healthcare provider? Send us one of these documents to request reimbursement via your dental insurance Dentalia Plus or Dentalia Up.
Affix a white adhesive stamp and submit the completed form via My Helan, the My Helan app, or a Helan mailbox.
If a paper medical note (certificate for services rendered) was issued, we are legally only allowed to process this original medical certificate.
Please submit it together with the application form via your local health insurance office or a Helan mailbox.
You can also send your certificate and the application form by post to: Helan Health Insurance, Boomsesteenweg 5, 2610 Wilrijk.
In that case, it is sufficient to submit one form to receive all reimbursements.
Reimbursement via private insurance
Reimbursement from the statutory health insurance is handled via Helan. If you are entitled to reimbursement through another insurance, always request the form ‘Proof of Treatments Performed’ from your dentist and submit it to your private insurance.
4. Dental care in the hospital
Dental care during a hospital admission
Regular consultations in the hospital
Do you have a dental consultation in the hospital without a day admission? In that case, the costs are not covered by your hospitalisation insurance. Reimbursements are the same as for a dental visit. You will receive reimbursement via the statutory health insurance and your supplementary dental insurance.
Track your reimbursements in My Helan
Easily track your reimbursements in the online portal My Helan or via the My Helan app. There you will find an overview of all your reimbursements.
Would you like to receive a notification via SMS or email as soon as a reimbursement is paid out? Then subscribe to the payment notification in My Helan.
Get even more reimbursement with Dentalia Up
With the Dentalia Up dental insurance, you receive additional financial support on top of the statutory reimbursement. Dentalia Up reimburses up to 5,000 euros for dental care.