Frequently Asked Questions About Dental Coverage Under Medicare Dentist

As parents, we all want to ensure our children have healthy teeth and gums. However, dental care can be expensive, which is why many families are turning to the Child Dental Benefits Schedule (CDBS) offered through Medicare. If you’re looking for a Medicare dentist in Carrum Downs or surrounding areas, here are answers to some common questions about this valuable program.

What is the Child Dental Benefits Schedule (CDBS)?

The CDBS is the primary dental program offered under Medicare in Australia. It provides eligible children aged 2-17 with up to $1,052 in benefits for basic dental services over two consecutive calendar years. This program aims to make preventive dental care more accessible and affordable for families.

Who is eligible for the CDBS?

Children aged 2-17 years who receive certain government benefits, such as Family Tax Benefit Part A, are eligible for the CDBS. Medicare assesses eligibility at the beginning of each calendar year and will notify eligible families.

What dental services are covered under the CDBS?

The CDBS covers a range of basic dental services, including:

  • Dental check-ups and cleaning
  • X-rays
  • Fillings
  • Fissure sealing
  • Root canal treatments
  • Extractions

It’s important to note that orthodontic and cosmetic dental procedures are not covered under this program.

How can I find a Medicare dentist in Carrum Downs?

Many dental clinics, including Carrum Downs Dental Group, participate in the CDBS program. When booking an appointment, simply mention that you’d like to use your child’s CDBS benefits. The clinic can then check your child’s eligibility and available balance.

Do I need to pay anything out-of-pocket?

This depends on the dental practice. Some clinics, like Carrum Downs Dental Group, may bulk bill CDBS services, meaning you won’t have any out-of-pocket expenses. Other clinics may charge a gap fee. It’s always best to discuss fees and payment options when booking your appointment.

How long does the $1,052 benefit last?

The benefit cap of $1,052 is available over two consecutive calendar years. If you don’t use the full amount in the first year, the remaining balance can be used in the second year, provided your child is still eligible.

Can I use private health insurance with the CDBS?

No, you cannot claim benefits from both private health insurance and the CDBS for the same dental service. However, you can use private health insurance for services not covered by the CDBS.

What happens if my child needs treatment that exceeds the benefit cap?

If your child requires treatment that exceeds the $1,052 cap, you’ll need to cover the additional costs yourself or through private health insurance. Your dentist can provide a treatment plan and cost estimate to help you plan accordingly.

How often should my child visit the dentist under this program?

Regular dental check-ups are crucial for maintaining good oral health. Most dentists recommend check-ups every six months. The CDBS allows for these regular visits, making it easier for families to prioritize preventive dental care.

What if my child needs emergency dental treatment?

The CDBS does cover some emergency dental treatments, such as treating a cracked tooth or managing dental pain. However, treatments performed in a hospital setting are not covered under this program.

How can I check my child’s remaining CDBS balance?

You can check your child’s CDBS balance through your Medicare online account, the Express Plus Medicare mobile app, or by calling the Medicare general enquiries line.

The Bottom Line

The Child Dental Benefits Schedule is an excellent initiative that makes essential dental care more accessible for eligible families. If you’re looking for a Medicare dentist in Carrum Downs, consider Carrum Downs Dental Group. Our experienced team is well-versed in the CDBS program and committed to providing high-quality, affordable dental care for children. We offer a range of services covered by the CDBS and can help you maximize your child’s benefits. Don’t let financial concerns prevent you from prioritizing your child’s oral health – book an appointment with Carrum Downs Dental Group today and take advantage of this valuable Medicare program.