At TC Smiles we work in partnership with most private healthcare providers and, in many cases, claims can be made on the day of treatment using our direct link via a terminal called HICAPS.
Health funds have assessors who determine the level of rebate for particular dental items. There is a balance between the rebate and the level of premium you pay, the type of cover and other factors such as waiting periods, annual limits and any promotional offers.
Most have fixed rebates for treatments irrespective of the actual fees charged. The rebates are generally not designed to provide full cover for dental fees or even a consistent percentage. In addition, most schemes do not include all treatment items. Some common treatments have no rebate at all.
We are a Preferred Health Fund Provider for BUPA Medibank TUH and participate in HCF More for Teeth program
Please Note: Your contract with the health fund is between you and the fund. It remains separate from the contract you have with your dentist.
There is no such thing as a ‘recognised fee’ or ‘schedule fee’ in dentistry, and the ADA states categorically that any organisation that implies that their rebates are set to a percentage of a ‘schedule fee’ is misleading the public, regardless of whether it is an ‘internal’ schedule.