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4 Rogers Street
Spring Hill, QLD, 4000
Australia

+61 7 3391 2504

Brisbane Dentist - excellence in general and aesthetic dentistry with Drs Amy Daley, Leila Haywood, UQ graduates with 20 years of experience in Spring Hill, Brisbane

update medicare bulk billing for kids at the dentist

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update medicare bulk billing for kids at the dentist

Leila Haywood

If your child is eligible for the CDBS you will get a letter to confirm if you are a parent/guardian or approved care organisation.

Older children getting payments under their own name may also get a letter.

To be eligible, you must be:

  • aged between 2 and 17 in that year
  • eligible for Medicare, and
  • receiving payment for Family Tax Benefit Part A; Parenting Payment, or Double Orphan; Pension; ABSTUDY

If a child is receiving payment for any of the following, they may eligible

  • Family Tax Benefit Part A
  • Carer Payment
  • Disability Support Pension
  • Parenting Payment
  • Special Benefit
  • Youth Allowance
  • financial assistance under the Veterans' Children Education Scheme (VCES) and not included as a dependent child for Family Tax Benefit because they are 16 years or older, or
  • financial assistance under the Military Rehabilitation and Compensation Act Education and Training Scheme (MRCAETS) and not included as a dependent child for the purposes of Family Tax Benefit because they are 16 years or older

If a teenager's partner is receiving payment for the following payments, they may be eligible.

  • Family Tax Benefit Part A, or
  • Parenting Payment

Eligibility is assessed at the beginning of each calendar year and is valid for the entire year. If you become eligible part way through a calendar year, you only get benefits under the CDBS from the date of Medicare eligibility.

Eligibility may be affected if you go from getting fortnightly Family Tax Benefit Part A payments to lump sum payments, and if your payments change.

Benefits available

From 1 January 2017, benefits for basic dental services are capped at $700 per child over 2 consecutive calendar years, and has been reduced from $1000.

The 2 year cap period starts when a child or teenager first gets an eligible dental service.

If a child or teenager already started their 2 year cap period in 2016, they can continue to access the rest of the previous cap of $1,000 until 31 December 2017, provided the child is eligible for the CDBS in 2017.

If you don’t use all of the $700 benefit in the first year of eligibility, it can be used in the second year if the child remains eligible. Any remaining benefit can’t be accessed after the end of the second year.

Benefits cover a range of services including:

  • examinations
  • X-rays
  • cleaning
  • fissure sealing
  • fillings
  • root canals
  • extractions

Benefits are not available for orthodontic or cosmetic dental work and can not be used to pay for any services provided in a hospital.

CDBS services will not count towards the Medicare Safety Net. 

How to use the schedule

To use the CDBS:

  1. confirm your eligibility and balance amount using your Medicare online account through myGov or call the Medicare general enquiries line.
  2. make an appointment with either a private or public dentist and let them know you or your child are eligible for the CDBS.
  3. discuss the child’s treatment and any associated costs with the dental provider before you receive the services. After this has been discussed, you need to sign a consent form.

After the dental provider has provided the agreed services, they will bulk bill you for the services.