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Child Dental Benefit Schedule (CDBS)

If your child is 2-17 years old, you should receive a letter from medicare letting you know your child is eligible for dental treatment totaling upto $1000 over 2 years.

Who is

Eligible?

The criteria set by Medicare, and administered by Centrelink, which tie in to family income, family tax benefit qualification, and having lodged your previous years tax return to name just a few. We can assist checking your child’s availability for the benefits, and how much is remaining on their plan – even if you have been to another dentist before it is part of our service to assist with this for you.

What Is

Covered?

Medicare cover up to $1,000 over 2 calendar years for basic dental services under CDBS. The services we will cover include:

check-ups
X-rays
cleaning
fissure sealing
fillings
root canals
extractions.

There are some restrictions for basic dental services. You should check with your dentist if there are any item or time restrictions before starting your service.

Bulk Billed Dentistry

How does payment work?

With a valid Medicare card and sufficient CDBS balance remaining, we BULK BILL children’s Dental Check-up, Clean, and X-rays. We charge these visits at the BULK BILL CDBS BENEFIT RATE for you (up to the plan limit) which should save you from having to pay any gap expenses.

For all other dental services that are under the Medicare CDBS, you are still eligible for a refund, but there may be a small out of pocket expense depending on the treatment that is being provided. Do not worry, all treatment plans and applicable fees are presented to you before any treatment, so there are no surprises.

We utilise the EASYCLAIM system to lodge your claim on the spot for you with your Medicare card and number. If we are unable to lodge, submit, or confirm the claim at the time of your appointment, full payment is required for the outstanding balance. You will need to then send your statement to Medicare for a refund of this amount.

You can do this via:

the Express Plus Medicare mobile app
your Medicare online account through myGov
a Medicare claim form and posting it to the address on the form
a Medicare claim form and taking it to a service centre.

For more information on the CDBS scheme and eligibility requirements, please click here