Medicare Bulk Billing With CDBS

Your child is considered eligible for the CDBS by Medicare, the program’s administrator, if:

They are within the applicable age range of 0 to 17 years old for at least part of the calendar year period in which they become eligible for Medicare;

• They’re within the applicable age range for at least some of that year.
• They qualify for Medicare.
• For at least some of that year, you will receive either Family Tax Benefit Part A, a parenting eligible payment, or double orphan pension payments.

Even so, it’s essential to check with Medicare to ensure that your child continues to qualify for CDBS before calling your dentist to schedule an appointment.

Bear in mind that not all dentists participate in the CDBS; it’s advisable to confirm this with your dentist before scheduling treatment.

The CDBS offers a wide range of dental benefits and dental treatments to eligible children.

These include:

1. Check-ups and examinations
2. Teeth cleaning
3. Fillings
4. Root Canals
5. Tooth extraction
6. Fissure sealing

It should be noted that benefits do not cover orthodontic or cosmetic dental work. Furthermore, treatment must be conducted outside of a hospital to be eligible.

You cannot use the CBDS benefit and private health insurance to pay for the same dental service.

You have two options for claiming your benefit:

• At the dentist, when you pay.
• If your dentist does not bulk bill, we will send it to you.

Not all dentists provide bulk billing. You should check to see if yours does when you book an appointment.

If your dentist does not file a claim on your behalf, you may file a claim using any of the following methods:

• The Express Plus Medicare mobile app
• Your Medicare online account through myGov
• A Medicare claim form and posting it to the address on the form
• A Medicare claim form and take it to a service centre