Child Dental Benefits Schedule

Tooth decay in children is a growing problem in Australia. Regular dental visits improve the chance that decay can be spotted early before it causes serious damage or tooth loss. Dentists can also offer guidance for children and their parents about the best way to care for their developing teeth and gums.[1]

With dental check-ups being so important for children's oral health, many parents naturally worry about the cost. The Child Dental Benefits Schedule (CDBS) was introduced by the Australian Government in 2014 to help cover some of the costs of children's dentistry for eligible families, ensuring that more children have access to quality dental care.

Am I eligible for CDBS?

Around 3 million children in Australia are eligible for CDBS. To qualify, you must:

  • be responsible for children or teenagers aged 2 to 17 years old
  • be eligible to receive Family Tax Benefit Part A or another Medicare payment
  • receive these payments at least 1 day out of the calendar year

You can find out more by visiting the Department of Human Services website.

What does CDBS cover?

CDBS covers up to $1,000 of basic children's dental services over 2 calendar years. If the child is still eligible for CDBS at the end of that period, the benefit cap is reset.

This includes check-ups and teeth cleaning, dental x-rays and general treatments such as white fillings, fissure sealants, root canals and tooth extraction. More complex dental services such as orthodontics and hospitalisations are not covered by CDBS.

How do I make a claim?

If you've confirmed that are eligible for CDBS, you should talk to your dental clinic and let them know that you intend to make a claim. You need to have enough balance remaining in your CDBS account, otherwise you may need to pay the difference up front.

If your dentist bulk bills payments, they can take care of your claim for you and you won't have to do anything. If they don't bulk bill, you will need to submit your claim to Medicare to be reimbursed. This can be done online, through the Express Plus Medicare mobile app or by posting a claim form.

What does my health fund cover?

As well as CDBS, your family may be covered by your health fund if you have private health insurance. It's important to check your policy limits so you know what treatments are covered and whether you'll be covered for the whole cost or only part of the cost.

Generally, basic dental cover will include examinations, teeth cleaning and some general treatments such as fillings. Make sure you bring your health fund card to your appointment, or your dental clinic won't be able to process your claim.

Talk to our dentists in Noosa

To find out more about claiming kids' dentistry on CDBS or your health fund, contact our friendly team at Tewantin Dental Centre. We are part of Bupa and can offer extra benefits for Bupa members. We also accept all other major health funds.

Call our Noosa dentists today on (07) 5447 1361 or book an appointment online.

References

[1] Healthdirect. Dental care for children [Online] 2017 [Accessed January 2019] Available from: https://www.healthdirect.gov.au/dental-care-for-children

[2] Australian Government Department of Health. The Child Dental Benefits Schedule [Online] 2018 [Accessed January 2019] Available from: http://www.health.gov.au/internet/main/publishing.nsf/content/childdental

[3] Australian Department of Human Services. Child Dental Benefits Schedule [Online] 2018 [Accessed January 2019] Available from: https://www.humanservices.gov.au/individuals/services/medicare/child-dental-benefits-schedule