Question 1

Does the ÖGK (Austrian health insurance) pay for my braces in Vienna?

Accepted Answer

In most cases, orthodontic treatment in Vienna is a private service. The ÖGK only partially covers costs in cases of very severe malocclusions, for both children and adults. Even children only receive subsidies or full coverage in medically severe cases.

Question 2

What is the difference between a private doctor (Wahlarzt) and a doctor with insurance contract?

Accepted Answer

A private doctor (Wahlarzt) does not have a direct contract with the ÖGK, so patients initially pay the bill themselves and then submit it to the health insurance for partial reimbursement. At a practice with an insurance contract, billing is done directly with the insurance. Private practices can focus on high-quality, customized treatment methods.

Question 3

Do children in Austria get free braces?

Accepted Answer

Only in very severe cases of jaw misalignment does the ÖGK cover the costs of braces for children. The requirements are strictly regulated and assessed according to ASVG (General Social Insurance Act). In most cases, parents must finance the treatment privately.

Question 4

Which malocclusions does the health insurance recognize?

Accepted Answer

The ÖGK only recognizes very severe jaw misalignments that are medically necessary to treat. Mild to moderate dental misalignments or purely aesthetic corrections are not covered by insurance. The exact criteria are defined in the ASVG and are individually reviewed by the health insurance.

Question 5

Can I get money back from insurance when seeing a private doctor?

Accepted Answer

Yes, you can submit your private doctor's invoice to the ÖGK and receive a partial reimbursement. The reimbursement is based on the insurance rate and is significantly lower than the actual treatment costs. The exact reimbursement amount depends on the specific service provided.

Braces Vienna – All Insurance Plans & Orthodontics