• Patient groups
• Social insurance network
• The various cost units
• Benefits according to KVG/UVG
• What's new with Dentotar?
• What should a successful cost estimate include?
• Exchange of information/process flows
• What is definitely an accident?
• Differentiation between the consequences of an accident and non-accident factors
• The economic and appropriate treatment
• 60-point rule
• Relapses and late effects
• How long is the insurer liable for
• Liability of the dentist
• Legal channels for disputes

The question often arises as to which insurance carrier is responsible and to what extent it is liable to pay benefits. This is particularly the case when various causes of damage coincide, e.g. damage caused by illness or accident, uninsured or self-inflicted conditions, defective work carried out in Switzerland or abroad or late effects. How does the insurer then assess which work can be considered economical and expedient? It is only with knowledge of these relatively complex rules that incorrect planning, unnecessary effort, misunderstandings and annoyance can be avoided. Using concrete examples, the dental, legal and insurance perspectives are examined and solutions are presented, including for cases in which tariff or contractual rules are disregarded.