Health Funds

Using the Hi-Caps system, we can automatically process most health fund claims for you on the spot. A swipe of your fund card pays the benefit to us electronically and you will know immediately the balance still payable. As some health funds are not covered under hicaps, you may need to pay the fee in full and claim back from your health fund or any other third party responsible for your own insurance.

You can also find out in advance what your fund will pay for proposed treatment.
We can provide you with the relevant item numbers for treatment required prior to the day of service, allowing you to check with your health fund in advance exactly what will be covered.

In many cases, the cost of treatment will be greater than the benefit your fund will pay. We suggest that it is in your better long term interest to make dental decisions based on what’s best for your health, rather than what your health fund will cover.

If you have health insurance, you can be assured we will work closely with you to ensure the fund’s payment will be appropriate, correct, and the maximum applicable from your fund for the services performed.

While we endeavour to ensure you receive your correct rebate, we do not deal directly with Private Health Insurance Funds.

Should you have any issues with your private dental insurance company regarding your rebates you should contact your fund directly and if that fails to give you satisfaction, you should contact the PRIVATE HEALTH INSURANCE OMBUDSMAN on 1800 640695.