Child Dental Benefits Schedule (CDBS) 2019-02-03T13:50:36+00:00

CHILD DENTAL BENEFITS SCHEDULE (CDBS)

Gap free kids’ dental care in Erskineville

Are your kids eligible for the Australian Government’s Child Dental Benefits Schedule (CDBS)? The CDBS dental scheme covers up to $1,000 of basic children’s dental services over two consecutive years, helping to make high quality dental care more accessible for families of all backgrounds and incomes.

CDBS is available for eligible children and teenagers aged 2–17 years whose families receive certain Medicare payments. It covers the cost of check-ups, teeth cleaning and general treatments to help keep kids’ teeth and gums healthy.

At Sydney Park Dental, we process CDBS claims on the spot so you won’t have to submit claim forms yourself. To find out more about the child dental scheme in Sydney and what treatments are covered, get in touch with our team today. We welcome patients of all ages from Erskineville, Enmore, Newtown, St Peters, Alexandria and other areas.

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What is the Child Dental Benefits Scheme?

Regular check-ups with a dentist help children to avoid tooth decay or to get the treatment they need if they have a cavity or other problem. With tooth decay and other oral health problems on the rise in Australia, the Child Dental Benefits Schedule was introduced in 2014 as a government-funded scheme to encourage parents to keep up with their children’s scheduled dental appointments.

Around 3 million children and teenagers in Australia can access this Medicare dental scheme in 2019, which offers up to $1,000 per child for dental services over two consecutive calendar years. If your child only becomes eligible for CDBS part way through the year, you may be able to claim for dental services from earlier in the year.

Children who begin the Child Dental Benefits Schedule in 2019 can use their benefit cap this year and in 2020. Once the two-year period is over, the child dental benefit will reset to $1,000 at the start of the next calendar year, as long as your child is still eligible. CDBS helps to make children’s dental care more affordable, especially for families on low incomes who need it most.

How do I check my CDBS eligibility?

To be eligible for the CDBS schedule:

  • the child must be aged between 2 and 17 years for at least 1 day of the calendar year
  • their family must receive Family Tax Benefit Part A or another eligible Medicare payment
  • this payment must be received on at least 1 day of the calendar year

It’s important to check whether you’re eligible for the child dental benefit before any dental treatments are carried out, in case you’re not able to make a claim. Find out more details below.

Parents, guardians and approved care organisations

If you are the parent, guardian or approved carer of the child, you will be entitled to claim CDBS dental benefits if you receive any of the following payments from Medicare:

  • ABSTUDY
  • Double Orphan Pension
  • Family Tax Benefit Part A
  • Parenting Payment

Children and teenagers

Older children and teenagers under 18 may make CDBS claims for themselves if they receive any of the following Australian Government payments in their own name:

  • Carer Payment
  • Disability Support Pension
  • Family Tax Benefit Part A
  • Military Rehabilitation and Compensation Act Education and Training Scheme
  • Parenting Payment
  • Special Benefit
  • Veterans’ Children Education Scheme (VCES)
  • Youth Allowance

Partners supporting teenagers

Teenagers under 18 may also be covered by the CDBS and Medicare teen dental plan if they have a partner who receives one of the following payments:

  • Family Tax Benefit Part A
  • Parenting Payment

Contact Medicare

You don’t need to register for CDBS. Medicare will check automatically at the start of every calendar year to see if your child can benefit from the dental scheme. However, if your circumstances change and you think this might affect your eligibility, or if you have any questions about how to claim a child dental benefit, you should contact Medicare.

Sign in to your Medicare account online through the myGov website or call Medicare’s 24-hour general enquiries line on 132 011.

What does the child dental scheme cover?

The Child Dental Benefits Schedule (CDBS) covers regular check-ups with your child’s dentist and preventive or corrective treatments that help to maintain their oral health and keep problems such as tooth decay at bay.

CDBS offers a capped benefit of $1,000 for general kids’ dental through Medicare. These funds can be used over a two-year period, as long as your child still meets CDBS eligibility during that time.

Services covered

The Child Dental Benefit Scheme covers basic children’s dentistry including:

  • oral health assessments
  • dental x-rays
  • teeth cleaning
  • fissure sealing
  • white fillings
  • root canal therapy
  • tooth extraction

Services not covered

More complex, expensive or optional dental treatments are not eligible for a child dental benefit. This includes:

  • orthodontics (braces)
  • cosmetic dentistry
  • oral surgery or hospitalisations

How much are you covered?

Even if a treatment is covered by CDBS and your child is eligible, you should check your Medicare balance to see if you have enough child dental benefit remaining to cover the bill. If you use up your child’s entire $1,000 allocation, this will only be reset at the end of the current two-year period.

You can check your CDBS balance online, or our dentists in Erskineville can look it up for you. If your child needs a treatment that is not covered by the dental benefit scheme, you can check if this is included on your health insurance extras cover. At Sydney Park Dental, we accept all health funds and can process electronic claims on the spot.

How to claim a child dental benefit

You don’t have to visit a government dentist based in Sydney to benefit from CDBS. At Sydney Park Dental, we accept Medicare payments through the Child Dental Benefits Schedule to help families save money on dental costs.

We process claims on your behalf, so you don’t have to submit a form yourself and wait to get your money back. This is a four-step process:

1. Make an appointment

Once you’ve confirmed that your child is eligible for the child dental scheme in NSW, you can make an appointment with our dentists for a check-up and clean or any treatments needed. Let our staff know that you want to claim kids’ dental on Medicare and make sure you bring your Medicare card with you.

2. Discuss treatments

Our dentists will check your child’s mouth for any signs of problems and discuss any additional treatments or services that may be needed and whether these can be claimed on CDBS. We’ll make sure you understand the possible costs involved and any alternative options before you consent to a treatment.

3. Sign a consent form

If you’re happy with your decision, we’ll provide a consent form for you to sign. This will include details of the services provided and the total cost. This is necessary to process your claim.

4. Processing your claim

We bulk bill payments to process electronic claims on the spot. Our reception staff will take your account details and bill Medicare directly, so you won’t have to do anything and won’t have to pay any out-of-pocket costs if your bill is covered. The billed amount will be deducted from your CDBS balance.

Can I process my own CDBS claim?

If you forget to bring your Medicare card to your appointment, you can also submit the claim form yourself. You will need to pay our clinic on the day of your child’s treatment and to seek reimbursement from Medicare later.

You can do this:

  • online using your Medicare account on the myGov website
  • on your phone using the Express Plus Medicare mobile app
  • through the post by sending the consent form to the address on the form
  • in person by handing in the consent form at your nearest Medicare office or using a drop box

Medicare will process your claim and refund the payment to your account. This will be deducted from your child’s remaining CDBS balance.

Can I also claim on my health fund?

Yes. If your health insurance covers kids’ dental care, you may use it to cover a treatment that isn’t covered by CDBS, to cover part of the cost if you don’t have enough CDBS balance remaining, or if you want to save your CDBS balance for future visits.

At Sydney Park Dental, we use HICAPS to process private health insurance claims on the spot. Make sure you bring your health fund card and your Medicare card if you will be claiming on both accounts.

Find out more about the child dental scheme in Sydney

If you want to know more about the Child Dental Benefits Schedule (CDBS) and how it applies to your family, talk to our dentists at Sydney Park Dental in Erskineville today. We can check if you’re eligible for CDBS and discuss other payment options or government-funded schemes to help you take the best care of your children’s teeth without worrying about the cost.

Call our friendly team on (02) 8084 7170 or contact us online.

References

Australian Government Department of Human Services: www.humanservices.gov.au

Australian Dental Association: www.ada.org.au