New legislation
As of 2026, reimbursement for dental care is changing fundamentally. Patients will get better access to white fillings and root canal treatment, but at the same time the principle of co-payments will be fully implemented – for extra materials or methods they will now pay the difference compared to the basic, fully covered option. In addition, the use of amalgam will virtually end in the summer of 2026.
Starting next year, the regular photocomposite “white” filling will be fully covered by public health insurance for children and adults. For adults, it will be a basic, non-layered filling worth CZK 900, which can be used especially for cavities caught in time during preventive check-ups. Those who choose a more aesthetically demanding, layered or otherwise more modern filling will only pay the price difference compared to the basic procedure. Fillings made of dental cements (e.g. glass ionomer) also remain fully covered. A wider range of fillings and treatments, including higher-quality layered fillings for the entire dentition, will continue to be available at no additional cost for children and adolescents under 18 years of age.
Changes will also affect endodontics, i.e. root canal treatment. For adults, the central-pin method will remain fully covered for teeth from incisors to fours and fives. If the patient chooses another – usually more modern – method, the insurance company will pay CZK 1,300 and the patient will pay the rest. In the case of canal treatment under the molars, adults pay for the procedure themselves. On the other hand, for children, all methods, including molars, will be covered so that the doctor can choose the most appropriate procedure regardless of the reimbursement.
From 1 July 2026, the use of amalgam fillings will be significantly reduced due to mercury content and health safety requirements. Amalgam will only be used in exceptional cases where the dentist deems it necessary in light of the patient’s specific medical condition. If another material can be chosen, the use of amalgam is expressly prohibited. At the same time, dentists will still have to inform patients in advance which procedures and materials are fully covered and where a co-payment is required – so that it is clear what the insurance company pays for and what the patient’s wallet no longer pays for.
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