Child Dental Benefits Schedule
Financial support for basic dental services for children aged 2–17.
Children aged between 2 –17 years on any one day of the calendar year receive, or their family, guardian or carer receives, certain government benefits such as Family Tax Benefit Part A for at least part of the calendar year are eligible for Medicare.
From January 2014, eligible families, teenagers and approved care organisations will receive a letter to confirm eligibility.
A child or teenager’s eligibility is assessed at the beginning of each calendar year and is valid for the whole of that calendar year.
To be eligible a child must be:
- Aged between 2 and 17 for at least 1 day of the calendar year
- Eligible for Medicare and Benefits available under the Child Dental Benefits Schedule
In 2014, benefits for basic dental services are capped at $1,000 per child over 2 consecutive calendar years. If you do not use all of your $1,000 benefit in the first year of eligibility, you can use it in the second year if you are still eligible. Any remaining balance will not be carried forward at the end of the second year.
Benefits will cover a range of services including examinations, x-rays, cleaning, fissure sealing, fillings, root canals and extractions.
Benefits are not available for orthodontic or cosmetic dental work and cannot be paid for any services provided in a hospital.
Child Dental Benefits Schedule services will not count towards the Medicare Safety Net or the Extended Medicare Safety Net thresholds.
How to use the Child Dental Benefits Schedule
You can confirm your child’s eligibility and balance amount by accessing your Medicare online account at myGov or calling the Medicare general enquiries line on 132 011.
Make an appointment with either a private or public dental provider and let them know you are eligible for the Child Dental Benefits Schedule.
At the time of the appointment, the dental provider must discuss your child’s treatment and any associated costs with you before providing the services. After this has been discussed, you will need to sign a consent form.
When the dental provider has provided the services agreed for your child, they will either bulk bill you or charge you for the services. If they charge you, you need to pay the account and claim the benefit through us.