Medical Schemes

Parents guide to child dental benefits scheme. 

The Child Dental Benefits Schedule replaces the Medicare Teen Dental Plan from 1 January 2014, for eligible patients aged between 2 and 17 years of age.

Services that receive a benefit under the program include examinations, x-rays, cleaning, fissure sealing, fillings, root canals fillings and extractions. Many of these services have claiming restrictions. Benefits are not available for orthodontic or cosmetic dental work and cannot be paid for any services provided in a hospital. The benefit is for a maximum of $1000, over a maximum 2 year period.

Initially Riviera Dental Care is required to establish your eligibility by production of relevant benefit or pension card, and medicare card. We than have to confirm this with Medicare directly.

Eligible patients will then undergo an initial exam at maximum cost of $52.65. Often two radiographs are required for diagnosis of dental disease, which are a cost of $30.45 each. So the maximum total cost of the initial exam would be $113.55. All the fees charged are at Medicare’s bulk billed rate.This means that any money paid to Riviera dental care is then 100% reclaimable upon production of your receipt at the medicare office ( in future we hope to be able to bill medicare direct).

From the exam, any necessary treatment required to restore dental health is charted. From this a treatment plan is created. The copy of the treatment plan will given to the patient/parent. It will list the estimated total costs of the treatment. Before treatment can then commence parents must sign the Informed Financial Consent Form, which is the parent acknowledging the receiving of the treatment plan and costing.

Once a course of treatment is complete, any remaining credit for a patient is then useable at future exams within the 2 year period.

Riviera Dental Care feels that overall this is a great scheme to enable children to access dental care, and looks forward to helping your family achieve better dental health.