Which Dental Service? An Easy Guide
Last Update: 21-02-2019
Confused as to which dental service you are eligible for?
Here’s an EASY guide to help you out!
❤️BABIES & PRE-SCHOOL CHILDREN – School Dental Service
✔️Dental care is FREE for all babies and all children not yet at school via the School Dental Service.
❤️CHILDREN AGED UP TO 18 YEARS – Child Dental Benefit Scheme
✔️Eligible children can attend any dentist of your choice, as long as that practice accepts Child Dental Benefit Scheme patients.
*children aged between 2 to 17 years old,
*enrolled in Medicare,
*parent/caregiver receiving any of the following payments – Family Tax Benefit Part A, Parenting Payment or Double Orphan Pension or ABSTUDY.
✔️The Scheme is capped at $1000 over 2 consecutive calendar years, and will cover part or full cost for a range of dental services.
✔️Dental services covered include examinations, x-rays, cleaning, fissure sealing, fillings, root canals, extractions. Dental services NOT covered include orthodontic dental work, cosmetic dental work and any services provided in a hospital.
✔️The Department of Human Services assesses a child’s eligibility from the start of each calendar year.
✔️If a child still requires more dental work after they have reached their $1000 over the 2 years, they can continue their treatment at the School Dental Service free of charge (see below).
❤️CHILDREN AGED UP TO 18 YEARS – School Dental Service
✔️All children and young people under 18 years of age are eligible to attend the School Dental Service regardless of their parent’s or guardian’s Pensioner Concession / Health Care Card status.
✔️However, criteria applies to determine if the School Dental Service is FREE or if you will need to pay a fee of $45 per year per child.
✔️The School Dental Service is FREE for children if they are under 18 years and covered by one of the following:
*The Medicare Child Dental Benefits Schedule,
*A Pensioner Concession Card,
*A Health Care Card,
*A School Card
✔️The School Dental Service will cost no more than $45 per year if a child does not qualify for the FREE School Dental Service.
✔️The $1000 cap does not apply at the School Dental Service.Therefore if a child who qualifies for the Child Dental Benefit Scheme has reached their $1000 cap over 2 years but still requires extra dental work, they can continue their treatment at the School Dental Service for free.
❤️ADULTS – SA Dental Service (public)
✔️When a person turns 18, they are no longer able to attend a School Dental Service clinic.
✔️However, ELIGIBLE adults can attend SA Dental Services for basic dental treatment. Long waiting times can apply for most dental services.
✔️To be eligible, adults need to have (or be dependant of a holder of) one of the following:
*a current concession card (Pensioner Concession Card or Health Care Card),
*a Department of Veterans’ Affairs Pensioner.
✔️Fees for public dental care at a SA Dental Service clinic are as follows (as of 1 July 2017):
Emergency – $60,
❤️ADULTS – Private Dentists
✔️Adults not eligible to access the above public dental care through SA Dental Service, will need to access dental care from a private dentist. If you do not have private health cover, many private dentists will offer payment plans so it is worth shopping around and asking for recommendations from family or friends.
✔️Additionally, anyone who is not an Australian resident will also need to have dental treatment at a private dentist.
❤️EMERGENCY DENTAL CARE
✔️Having a dental emergency does not over-rule the criteria mentioned above. If you are not eligible for the public SA Dental Service then a dental emergency does not change that.
✔️If you are not eligible for public dental treatment and experience sever facial swelling, bleeding or trauma you need to contact a private dentist, your local doctor or attend your local hospital
❤️LOW INCOME EARNERS – but not eligible for public funded SA Dental Service
✔️If you are not eligible for public dental treatment, you will need to see a private dentist.
✔️Some members have reported that there MAY be help towards dental fees if in hardship under a financial counsellor.
✔️As private health cover can vary considerably depending on which company you are with, you will need to check your policy regarding dental treatments covered.