Child Dental Benefits Schedule
- 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
Eligibility for the Child Dental Benefits Schedule
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
- for at least 1 day of the calendar year the:
|Child's parent, carer, or guardian||
Eligibility may be affected if you go from receiving fortnightly payments to lump sum payments – if you have changed your Family Tax Benefit Part A payments, contact us about your Child Dental Benefits Schedule eligibility.
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.
Claiming benefits under the Child Dental Benefits Schedule
You cannot claim a benefit under the Child Dental Benefits Schedule and from a private health insurer for the same dental service.
If your dental provider:
- bulk bills, you do not need to submit a claim
- does not bulk bill, you will need to pay the account and claim your benefit from us
Submit your claim
You can submit a claim:
- electronically at the dental surgery, if your dental provider offers electronic claiming
- by downloading the Medicare claim form and posting it to
- the Department of Human Services,
GPO Box 9822 in your capital city,
- or placing it in the drop-box at one of our service centres
- the Department of Human Services,
- in person at your local Medicare Service Centre
- by calling 132 011
Check or update your details for the Child Dental Benefits Schedule
Eligibility is based on details about you held by Centrelink and the Department of Veterans’ Affairs.
If your circumstances change and you need to update your family details, you can:
- access your Centrelink online account at myGov if you’re a Centrelink customer.
- call the Department of Veterans’ Affairs on 133 254 if you’re a Department of Veterans’ Affairs customer
If you need to update your bank account details with Medicare, you can do this online by accessing Medicare services through your myGov account.
Dental health initiatives
Learn about the public dental services in your state or territory and find out more about the government’s dental initiatives and dental services for low income adults through the Department of Health website.
Select the options that describe your circumstances then explore a suggested list of possible Centrelink and Medicare payments and services online.
Select your state and topics of interest to find links to government and community organisation support.
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