Question 1

What is the difference between a private dentist and a public dentist in Austria?

Accepted Answer

A public dentist (Kassenarzt) has a contract with the statutory health insurance and bills directly with the insurer. A private dentist (Wahlarzt) has no such contract – you pay the invoice yourself and can then apply for cost reimbursement. With a private dentist, you have free choice of doctor and often shorter waiting times, but bear a higher out-of-pocket cost.

Question 2

How much does ÖGK reimburse for a private dentist visit?

Accepted Answer

ÖGK reimburses 80% of the contract tariff – the amount it would pay a contracted dentist for the same service. Since private dentists in Vienna often charge higher fees, a significant out-of-pocket amount remains despite reimbursement.

Question 3

How do I apply for reimbursement after visiting a private dentist?

Accepted Answer

You can submit the application online via the ÖGK customer portal (Meine ÖGK), by post, or in person at a service center. Since July 2024, private doctors with more than 300 patients per year can also submit billing directly electronically via WAH-Online on your behalf. You need the original invoice, your e-card number, and if required, a referral.

Question 4

What dental treatments are reimbursed at a private dentist?

Accepted Answer

Generally reimbursed are services included in the statutory health insurance catalog: fillings, root canal treatments, extractions, basic denture care (after approval), and orthodontic treatment with medical indication. Not reimbursed: dental implants, veneers, cosmetic bleaching, and purely aesthetic procedures.

Private Dentist Vienna – Cost Reimbursement Explained Simply