Medicare Child Dental Benefits Schedule (CDBS)

What is it?

The Medicare Child Dental Benefits Schedule is a dental benefits program that is available for eligible children ages 2-17 years old.  It allows parents to claim up to $1000 in benefits for basic dental services valid for 2 consecutive years.

Who is eligible?

Eligible patients aged 2-17 years old. These children may have received an Australian Government payment such as Family Tax Benefit Part A or other government payments. You can find out if your children are eligible if you have received a government letter or notification. You may contact your dental provider who can check for you or you may contact Medicare directly.

There is a benefit cap that is valid for 2 consecutive years if they are still eligible.

A patient’s benefit cap is only used for them, family members cannot share their benefit. Each child has their own benefit cap of $1000.

How to check if your child is eligible?

  • Call 132 150 (call charges may apply)
  • Check your Medicare online account via myGov

How to claim?

Here at Elite Dental Newtown you can claim on the spot as we Bulk Bill. Please bring your child’s eligibility letter with you on the first appointment and Medicare card. We will provide you a with a patient consent form that details the treatment plan with the detailed cost and quote prior treatment.

However, if the treatments exceed the $1000 within the 2 year period you may be expected to pay the remaining balance out of pocket.

What services are claimable?

Basic dental and preventative services are claimable. These include:

  • Examination
  • X-rays
  • Scale clean
  • Fillings/restorations
  • Endodontic/Root canals
  • Extractions
  • Partial dentures
  • Fissure seals

What services are NOT claimable?

  • Orthodontics/ braces
  • Cosmetic services/crowns and veneers

 

Please note there may be limits on services provided in a certain time frame. Please contact us for more information

https://www.humanservices.gov.au/individuals/services/medicare/child-dental-benefits-schedule

https://www.health.gov.au/internet/main/publishing.nsf/content/42FC28F2797C4A10CA257BF0001A35F6/$File/Guide%20to%20the%20Child%20Dental%20Benefits%20Schedule.pdf

 

 

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