What is CDBS?
CDBS is an acronym that hopefully most people with eligible children will have heard; it stands for Child Dental Benefits Scheme. Under the CDBS scheme, eligible children aged 2-17 are entitled to claim up to $1000 per child to pay for dental services. The CDBS provides benefits for a range of dental services, these services include:
- fissure sealing
- root canals
- extractions, and
- partial dentures
The CDBS does not cover orthodontics, cosmetic dental work such as teeth whitening or porcelain vaneers, or dental services provided in hospitals.
How Can I Claim The Benefits?
The benefits are claimable over a 2-year period. The period commences at the beginning of the calendar year and not from the date of the first appointment. If you have received a letter from the Australian Government confirming your child’s eligibility for the CDBS scheme, which means you can claim up to $1000 to pay for his or her dental treatments, as specified above.
On the day of the appointment please let the reception staff know that you are planning to use CBDS to pay for treatment, simply present the letter of eligibility or your Medicare card to one of our receptionists at Chinchilla Dental Practice. We can contact Medicare to determine your CDBS eligibility status and balance amount. As long as you have sufficient Medicare funds, your payment can be processed on the spot and you will not need to pay for treatment up front. In the event that you have lost the eligibility letter, our reception staff can still check with Medicare to determine your balance or make payment claims.
Human Resources CDBS Eligibility Criteria:
- be aged 2 to 17 years for at least 1 day of the calendar year
- be eligible for Medicare on the day of service
- get, or be part of a family getting, certain Australian Government payments
Medicare assesses eligibility at the beginning of each calendar year and it’s valid for the entire year. Children who become eligible later in the calendar year will have their eligibility backdated to begin from 1 January of that calendar year. The CDBS continues to be means tested, which requires receiving of Family Tax Benefit Part A or a relevant Australian Government payment. The criteria for eligibility are set by government officials and cannot be changed or amended by individual dental practices or dental providers even if you feel that a wrong decision has been made regarding your Childs eligibility.
Will I Have Any Out-Of-Pocket Treatment Costs?
To ensure that you’re aware of the costs upfront, your dentist will explain all probable expenses and get your consent in writing before treatment begins. If there’s any additional work needed following the initial examination, the costs will again be outlined and your consent obtained.
This means you can then decide how quickly or slowly you use your $1000 allocation; you can use it all at once if you need to, or spread the spending out over the two calendar years. Your claims will be bulk-billed via Medicare. If your funds are enough to cover the dental fees, you will not be required to make any out-of-pocket payments.
No co-payment or submission of Medicare claim is required under CDBS. You may also request for printouts of your account details showing the current deductions made and available balance funds. If at any stage the Medicare funds are not sufficient to cover full treatment costs we will inform you before starting the procedure and provide you some alternative options so that treatment can be completed in a timely manner.
How Do I Check My Child’s Eligibility?
If you are unsure about your child’s eligibility, you may contact the Australian Government Department of Human Services on 132011 or visit: http://www.humanservices.gov.au/customer/services/medicare/child-dental-benefits-schedule We are more than happy at Chinchilla Dental Practice to check for you, have your Medicare care handy and give us a call or drop in to the practice at 50 Middle Street Chinchilla.
by Kylie Birch
Oral Health Therapist