Medicare Bulk Billing
Children's Dental Bulk Billing via Child Dental Benefits Schedule
The Child Dental Benefits Schedule is a Medicare program offered to children between the ages of two and seventeen years, and their families must be receiving Family Tax Benefit Part A or another relevant Australian Government payment.
Individuals may receive benefits under the CDBS for a variety of dental procedures, including dental checkups, x-rays, cleaning, fissure sealing, fillings, root canal therapy, and extractions. Benefits are not provided for orthodontic or cosmetic dental work, nor are they available for hospital-based services.
You can contact Services Australia to check if your child is eligible for the CDBS. Or you may visit their website for further information on the program.
Why choose South Lake Smiles for the Medicare bulk billing option in South Lake, Western Australia?
South Lake Smiles has a Medicare bulk billing option through the Child Dental Benefits Schedule. Our dental team provides quality dentistry at an affordable price. Our team of friendly staff are committed to providing high-quality care in a relaxed environment where patients can feel comfortable and secure about their treatment options.
Frequently Asked Questions
A valid Medicare card and residency in Australia are required to be eligible for bulk billing. Although it is totally up to the individual dentist or specialist, or the company for which they work, whether they accept bulk billing is entirely up to them.
As long as you meet the requirements, you may be able to receive free or low-cost dental services such as dental examinations, dental cleanings, root canal treatments, and tooth crowns, among others.
If you obtain many services during a single visit, it is possible that you will not be paid in bulk for all of them. In this case, you will be issued a patient account and responsible for the payment of the medical cost.
A “gap fee” is the difference between the amount charged by the doctor and the amount of Medicare’s reimbursement. It is referred to as your out-of-pocket expense, and it applies to any consultation that does not qualify for bulk billing or insurance reimbursement.
Medicare bulk billing refunds are calculated by the Medicare Fee Schedule published by the Federal Government. Dentists can set their rates for specific treatments or consultations. Therefore, the gap charge may differ significantly between dental offices.
The services that can be bulk billed through Medicare are dental examinations, dental cleaning, fissure sealing, dental fillings, tooth extraction, dentures, dental crowns, dental implants, and dental x-rays.
If a group insurance plan does not cover your consultation, you will usually be required to pay the entire cost on the day of your session. Medicare reimbursement is received within a few days if you have registered your bank account with Medicare and instructed the practise to submit a claim on your behalf.