Medicare Child Dental Benefits Schedule

We bulk bill treatment provided under the Medicare Child Dental Benefits Schedule.

This means that for eligible patients there will be no out-of-pocket expenses.

What is the Medicare Child Dental Benefits Schedule?

The Medicare Child Dental Benefits Schedule is a Federal Government scheme that provides basic dental services to eligible children aged between 2 and 17 years.

Children can receive up to $1,000 worth of dental treatment over a two calendar-year period.

We bulk bill the Medicare CDBS

For any treatment covered under the Child Dental Benefits Schedule we bulk bill the patient, and invoice Medicare directly on their behalf.

This means there will be no out-of-pocket costs for the patient.

We will ask the parent or guardian to sign a form allowing us to claim the benefits from Medicare for the services provided.

What services are provided under the Child Dental Benefits Schedule?

A range of services can be provided under the CDBS including:

  • Examinations (check-ups)
  • Professional cleans (scale, polish and fluoride)
  • X-rays (radiographs)
  • Fissure sealants

  • Dental fillings (tooth coloured)
  • Tooth extractions
  • Partial dentures

Details of the Medicare CDBS scheme

For eligible children you can claim up to $1,000 for each child over two consecutive calendar years.

The two-year period starts at the beginning of the calendar year in which your child both:

  • Becomes eligible
  • Receives their first dental service

You can use the full amount ($1,000) in the first year if necessary. If you don’t use the full $1,000 in the first year, you can use the remaining funds in the second year if your child still remains eligible.

Your child is eligible throughout the entire single (1) calendar year, even if they turn 18 later in that year, or stop receiving the relevant payment during that year. 

If you don’t use the full $1,000 within the two-year period, you can’t use the remaining funds.

If your child remains eligible at the end of the two-year period, their $1,000 benefit will be reinstated for a further two-year period.

Is my child eligible for the Medicare CDBS?

The Child Dental Benefits Schedule is means tested.

The Department of Human Services determines eligibility from the start of each year, and throughout the year.

A child is eligible if:

  • They qualify for Medicare (they must also be eligible for Medicare on the day the service is provided)
  • They are within the applicable age range (2-17 years) for at least some of that year
  • The child or parent/guardian receives an approved Australian Government payment, such as the Family Tax Benefit Part A, for at least some of that year.

You do not need to register yourself/ your child(ren) for the CDBS scheme. If you/your child(ren) are eligible, you will be automatically directly advised by Medicare. Notifications are sent either electronically or by post.

If at the end of the two year period you/your child(ren) remain eligible, you will receive another notification from Medicare and the $1,000 benefit will be reinstated for a further two calendar-year period.

To find out more about the CDBS program, to check whether you/your child(ren) are eligible, or to find out the remaining balance, you can:

Booking an appointment with us under the Medicare CDBS

When booking your appointment please advise us if you/your child are eligible for the CDBS scheme.

We will ask you to provide us with your/your child’s Medicare number so we can confirm their eligibility and check their remaining balance for treatment.

Please also bring your/your child’s Medicare card to the appointment with you.

 

This information is intended to provide patients with a general overview of the Medicare CDBS scheme. We do not guarantee that the information provided here is current or correct. Please refer to the Department of Human Services or Medicare for any information regarding the scheme, services or eligibility.