Bulk Billing for Children

Child Dental Benefits Schedule

All Smiles Dentistry provides bulk billing for basic dental services for eligible children aged 2–17 under the Child Dental Benedits Scheme.

Eligibility basics

– 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’s eligibility is assessed at the beginning of each year and lasts the whole calendar year. A child is eligible if they are aged 2–17 years for at least 1 day of the calendar year, are eligible for Medicare and are either part of a family receiving Family Tax Benefit Part A or one of the following Australian Government payments:

Youth Allowance
ABSTUDY
Disability Support Pension
Parenting Payment
Special Benefit
Carer Payment
Double Orphan Pension
Veteran’s Children Education Scheme, if the child is 16 or over
Military Rehabilitation and Compensation Act Education and Training Scheme, if the child is 16 or over
Eligibility is determined each calendar year.

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.

Process for using the Child Dental Benefits Schedule

You can confirm your child’s eligibility and balance amount by accessing your Medicare online account at my.gov.au 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.

Source: http://www.humanservices.gov.au/customer/services/medicare/child-dental-benefits-schedule