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KIG-Einstufung

KIG ist die Abkürzung für die Kieferorthopädische Indikationsgruppe. Dabei handelt es sich um ein Schema, mit dessen Hilfe der Behandlungsbedarf für kieferorthopädische Behandlungen in Kategorien eingestuft wird.

Was ist KIG?

Das System besteht seit 2002 und hilft Ärzten bei der Feststellung, ob die Maßnahme von der gesetzlichen Krankenkasse übernommen wird oder nicht. Insgesamt handelt es sich um ein System aus fünf Stufen.

Die gesetzliche Krankenkasse (GKV) greift nur für die Schweregrade drei bis fünf. Für die erste und die zweite Stufe besteht aus Sicht der GKV kein dringender Behandlungsbedarf, sodass die Betroffenen die Kosten selbst tragen müssen. Die kieferorthopädische Behandlung beinhaltet vor allem eine Zahnspange.

Beraten lassen Zur Zahnzusatzversicherung

Ausprägungen der Zahnfehlstellung

Eine leichte Zahnfehlstellung ist aus zahnmedizinischer Sicht oft nicht behandlungsbedürftig.
Die gesetzlichen Krankenkassen leisten hier generell nicht.

Unter Grad 2 werden Zahnfehlstellungen zusammengefasst, die von geringer Ausprägung sind. Diese Ausprägung ist laut Schema immerhin so deutlich, dass eine Korrektur erforderlich ist. Trotzdem übernimmt die gesetzliche Krankenkasse die Kosten nicht.

Bei Grad 3 ist die Fehlstellung der Zähne bereits so ausgeprägt, dass eine Behandlung aus medizinischen Gründen erforderlich ist. Die gesetzliche Krankenkasse übernimmt die Kosten für die Regelversorgung.

Bei dieser Einstufung sind die Zahnfehlstellungen so stark ausgeprägt, dass die gesetzlichen Krankenkassen die Behandlung als dringend erforderlich bestätigen und entsprechend ihren Beitrag leisten.

Bei Grad 5 bestätigen die gesetzlichen Krankenkassen, dass eine Behandlung aus medizinischen Gründen unbedingt erforderlich ist. Sie übernehmen daher die Kosten für die Regelversorgung.

Ursachengruppen

Für die Einteilung in die verschiedenen Grade diagnostiziert der Kieferorthopäde gemäß den Ursachengruppen. In den Ursachengruppen werden die Ursachen der Fehlstellungen benannt. Dazu gehören:

  • Entwicklungsstörungen
  • Störungen beim Zahnwachstum
  • Stellung des Unterkiefers zum Oberkiefer
  • Stellung der Backenzähne zueinander
  • Engstand durch Platzmangel etc.

Lohnt sich eine Zahnzusatzversicherung für Kinder?

Zahnzusatzversicherung für Kinder in 2 Minuten erklärt

KIG: Einstufungen und Kostenübernahme durch die Krankenkasse im Überblick

KIG 1-2: Keine Kassenleistung, aber Zusatzversicherung der ARAG zahlt
KIG 3-5: Kassenleistung bis auf die Mehrkosten, die zahlt die Zusatzversicherung der ARAG

KIG 1

KIG 2

KIG 3

KIG 4

KIG 5

-

-

-

Unterzahl der Zähne mit Lücken
oder
Zähne brechen nicht durch

z.B. Kiefer-Gaumen-Lippenspalte
oder
Zähne verlagert

Unterkiefer-Rücklage bis 3 mm

Unterkiefer-Rücklage 3-6 mm

-

Unterkiefer-Rücklage 6-9 mm

Unterkiefer-Rücklage über 9 mm

-

-

-

Unterkiefer-Vorverlagerung 0-3 mm

Unterkiefer-Vorverlagerung über 3 mm

-

Platzmangel beträgt bis 3 mm

Platzmangel beträgt bis 3-4 mm

Platzmangel beträgt über 4 mm

-

Engstand unter 1 mm

Engstand 1-3 mm

Engstand 3-5 mm

Engstand über 5 mm

-

-

Kiefer zu schmal oder zu breit, Backenzähne verzahnen sich nicht
Kopfbiss

Kreuzbiss auf beiden Seiten

Einseitiger Kreuzbiss

-

Kieferorthopädie: Zusatzversicherung für Kinder

Auch wenn die gesetzliche Krankenkasse die Kosten für die kieferorthopädische Behandlung bei Kindern und Jugendlichen bis zum 18. Lebensjahr übernimmt, handelt es sich dabei lediglich um die Regelversorgung. Das bedeutet, dass die Patienten nicht in den Genuss moderner und besonders schonender Verfahren kommen, die eigentlich zur Verfügung stehen. Wer sie trotzdem in Anspruch nehmen will, muss die Differenz selbst zahlen.

Vor diesem Hintergrund kann eine kieferorthopädische Zusatzversicherung für Kinder sinnvoll sein. Dazu ist es aber erforderlich, dass die Versicherung zu einem frühen Zeitpunkt abgeschlossen ist. Wichtige Signale für die Notwendigkeit einer solchen Versicherung sind Zahnfehlstellungen der Eltern oder älterer Geschwister. In diesen Fällen kann davon ausgegangen werden, dass sich auch bei den (weiteren) Kindern Probleme entwickeln werden. Die Experten der ARAG stehen für Fragen beratend zur Verfügung.

Unsere Leistungen bei Kieferorthopädie für Kinder

Tarif

Schutz

Kosten

Tarif Dent70

Guter Kostenschutz bei Kieferorthopädie

Wir übernehmen 70% der Kosten oder bis zu 1.000€ zusätzlich zur gesetzlichen Krankenkasse

Tarif Dent90

Sehr guter Kostenschutz bei Kieferorthopädie

Wir übernehmen 80% der Kosten oder bis zu 1.000€ zusätzlich zur gesetzlichen Krankenkasse

Tarif Dent90+

Top-Schutz bei Kieferorthopädie

Wir übernehmen 90% der Kosten oder bis zu 1.500€ zusätzlich zur gesetzlichen Krankenkasse

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Unser bester Schutz bei Kieferorthopädie

Wir übernehmen 90% der Kosten oder bis zu 2.000€ zusätzlich zur gesetzlichen Krankenkasse

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Unsere Leistungen bei Kieferorthopädie für Erwachsene

Tarif

Schutz

Kosten

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Hohe Zuschüsse bei Zahnbehandlungen

Zuschüsse für Zahnersatz

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Guter Schutz bei Kiefer­orthopädie

Wir übernehmen 90% der Kosten nach einem Unfall

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Guter Schutz bei Kiefer­orthopädie

Wir übernehmen 90% der Kosten nach einem Unfall

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Unser bester Schutz bei Kiefer­orthopädie

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