We cover up to $1,026 over 2 calendar years for basic dental services under CDBS. The cap amount is indexed yearly on 1 January. The increase in cap amount will only apply to a child or teenager who received their first eligible service in that calendar year. The services we'll cover include any of these:
- 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 $1,026 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 up to $1,026 in the first calendar year. This will leave no funds for the second year. If you don’t use the full $1,026 in the first year, you can use it in the second year if your child is still 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 2020 Lia got the Parenting Payment. This meant her daughter Rachel was eligible for dental benefits for the year from 1 January 2020. She was eligible again in 2021 because Lia also got the Parenting Payment that year.
Lia claimed child dental benefits for Rachel in 2020 and 2021. By 31 December 2021 we had paid $840 of Rachel’s $1,000 limit. Lia can’t use the $160 balance in 2022 because the 2 year cover period is over.
In 2022 Lia got the Parenting Payment again. This made Rachel eligible for 2 years of dental cover from 1 January 2022. She can use up to $1,026 of dental benefits for that period. But she can only continue to use it in 2023 if Lia gets an eligible payment that year.