Find out what child dental services we cover and how much we cover.
We cover up to $1,013 over 2 calendar years for basic dental services under CDBS. The services we will cover include:
- fissure sealing
- root canals
There are some restrictions for basic dental services. You should check with your dentist if there are any item or time restrictions before starting your service.
These services don’t count towards the threshold of both the:
The services we won’t cover are all of the following:
- orthodontic dental work
- cosmetic dental work
- any dental services in a hospital.
You can claim up to $1,013 for each child over 2 consecutive calendar years for each eligible child.
The 2 year period starts at the beginning of the calendar year in which your child both:
- becomes eligible
- gets their first dental service.
You can use the full amount of $1,013 in the first year. This will leave no funds for the second year. If you don’t use the full $1,013 in the first year, you can use it in the second year. You can only use it in the second year if your child remains eligible.
If you don’t use the full amount within the 2 calendar years, you can’t use the remaining funds. You’ll have to wait for a new 2 year cover period to start.
You also won’t be able to use any remaining funds once your child is no longer eligible.
Example of claiming CDBS services
During 2019 Lia got the Parenting Payment. This meant her daughter Rachel was eligible for dental benefits for the year from 1 January 2019. She was eligible again in 2020 because Lia also got the Parenting Payment that year.
Lia claimed child dental benefits for Rachel in 2019 and 2020. By 31 December 2020 we had paid $840 of Rachel’s $1,000 limit. Lia can’t use the $160 balance in 2021 because the 2 year cover period is over.
In 2021 Lia got the Parenting Payment again. This made Rachel eligible for 2 years of dental cover from 1 January 2021. She can use up to $1,013 of dental benefits for that period. But she can only use it in 2022 if Lia gets an eligible payment that year.
Find out how to get dental services using the Child Dental Benefits Schedule (CDBS).
Page last updated: 28 July 2021
This information was printed 7 October 2021 from https://www.servicesaustralia.gov.au/individuals/services/medicare/child-dental-benefits-schedule/whats-covered. It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.servicesaustralia.gov.au/individuals/site-notices when using this material.