Health funds at Odontologie Dental Care

Health Funds and
No Gap Dental

Your next step

Make the most of your extras cover

Bring your fund card to your appointment at 329 Hume Highway. We will help you understand your likely rebate, explain any gap before we start and put the cost of anything beyond a check-up in writing.

Book an Appointment (02) 9725 6241

All major health funds accepted
Item numbers on request for larger treatment
CDBS accepted for eligible children
Open Monday to Saturday

Odontologie Dental Care accepts all major health funds, including Medibank, ahm, Bupa and HCF. Our Lansvale team can help you understand what your extras cover is likely to pay, explain any gap before treatment and check whether your child is eligible for the Child Dental Benefits Schedule.

A patient hands his health fund card to the receptionist to claim on the spot

Your fund, our practice

Using your health fund at Odontologie

You do not need to belong to a particular fund to be treated here. We accept all major health funds, including Medibank, ahm, Bupa and HCF, the four funds shown on our home page. Bring your membership card to each appointment and tell us when you book which fund you are with.

Extras policies differ a great deal. Two people with the same fund can receive quite different rebates for the same check-up because of their level of cover, how long they have held it and how much of the year's limit they have already used. For anything beyond a routine visit, ask us for a written estimate with item numbers. Your fund can then tell you exactly what it will pay, so the figure on the day is not a surprise.

A dentist hands a patient a new toothbrush after her check-up and clean

No gap dental

What no gap dental actually means

"No gap" describes a visit where your fund's rebate covers the whole fee for an item, leaving nothing to pay on the day. It is most often used for routine preventive care such as an examination, a scale and clean, bitewing X-rays and fluoride. It is not the same as free dentistry, and it depends on your fund, your policy and the practice.

Even a visit advertised as no gap can end up with a gap: if your annual limit has run out, if you are still inside a waiting period, or if the dentist finds something that needs treatment beyond the check-up. We would rather be upfront than promise a no gap visit we cannot guarantee for your policy. What we can do is check your likely rebate with you, explain any gap before we begin and put the cost of further treatment in writing. New to the practice? The new patient offer sets the check-up, clean and X-rays at $249 before any rebate.

The principal dentist's name plate and family photo on a desk at Odontologie Dental Care

General and major dental

How dental extras usually work

Most funds divide dental cover into two groups. General dental covers routine items such as check-ups, cleans, X-rays, fluoride, sealants and small fillings, usually with a short waiting period. Major dental covers larger work such as root canal treatment, crowns and bridges, dentures and surgical extractions, normally with a waiting period of around twelve months and lower annual limits.

If you are planning major work, it is worth checking three things with your fund before you book: whether the item is covered on your policy, whether you have served the waiting period, and how much of your annual limit remains. Our major dental page explains these treatments in more detail.

A young boy laughing as he holds a hand mirror in the chair, with the dentist beside him and his mother watching

Children

The Child Dental Benefits Schedule (CDBS)

The Child Dental Benefits Schedule is a Medicare scheme that helps eligible families pay for basic dental care for children and teenagers, including check-ups, X-rays, cleans, sealants, fillings and extractions. A child usually qualifies when the family receives a payment such as Family Tax Benefit Part A during the year.

Odontologie accepts the CDBS, and in most cases we can bulk bill services under the scheme, so families pay little or nothing for covered care. Mention the CDBS when you book and we will check your child's eligibility. Read more on our children's dentist page.

Related care

Health funds we accept in Lansvale

All major health funds are welcome at Odontologie. These are the ones our patients ask about most.

Medibank

Medibank members are welcome. Your rebate depends on your extras cover and the limits left this year.

Bupa

Bring your Bupa card to each visit. We can help you see what your policy is likely to pay before treatment.

HCF

HCF members can use their dental extras with us. Check your waiting periods before booking major work.

ahm and every other major fund

ahm, nib, CBHS and the rest of the major funds are all accepted. Ask us for item numbers to check your rebate.

Children's CDBS

Eligible children can use the Child Dental Benefits Schedule, bulk billed in most cases.

Learn more

New patient offer

A $249 exam, scale and clean, bitewing X-rays if required and fluoride for patients new to the practice.

Learn more

Which health funds do you accept?

We accept all major health funds, including Medibank, ahm, Bupa, HCF, nib and CBHS. Tell us your fund when you book and bring your membership card to the appointment.

Are you a preferred provider for any fund?

Please ask our front desk on (02) 9725 6241 about your particular fund. Whether or not a practice is in a fund's network, patients from every major fund are welcome at Odontologie, and our care is the same whichever fund you hold.

What does no gap mean at the dentist?

It means your fund pays the whole fee for an item, so there is nothing left for you to pay on the day. It usually applies only to preventive items such as examinations and cleans, only on some policies, and only while you have limits remaining. We tell you before treatment if a gap applies.

How do I find out what my fund will pay?

Ask us for the item numbers of the treatment you need, then give them to your fund. They can tell you the exact rebate on your policy. For routine visits, our front desk can usually help you estimate it when you book.

Do you bulk bill children under the CDBS?

Odontologie accepts the Child Dental Benefits Schedule, and in most cases we can bulk bill covered services for eligible children. Mention the CDBS when you book so we can check eligibility first.

What is a waiting period?

It is the time you must hold a policy before you can claim. For general dental it is commonly around two months, and for major dental it is often twelve months. If you have just joined or upgraded, check with your fund before booking treatment you plan to claim.

Can I be treated here without health insurance?

Yes. Patients without insurance are very welcome. We explain every fee before treatment, and you can choose when to go ahead with any work we recommend.

Still have questions?

Ready to take the next step?

Booking online takes under a minute, or give our friendly team a call - new patients are always welcome.