No Gaps Policy

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Terms and Conditions

Our “No Gap” policy means that if your private Health Insurance pays a full benefit for your general and preventative dental treatment, we will not charge you the “gap” amount – that is, the difference between the cost of your treatment and the insurance rebate received.

“No Gap” treatments include:

  • Dental Check up / examination
  • Scale and Clean
  • Fluoride treatment
  • Small digital x-rays and OPG’s
  • Simple Restorative Fillings (white / tooth coloured composite material)
  • Children’s (12 years old and under) baby tooth removal

Our No Gaps Policy extends to patients who meet the following conditions on the day of treatment:

  • You are covered for dental on the day of your treatment
  • You have your current, valid health fund card with you on the day*
  • You have not exceeded your fund’s benefit limit for the current period, and thus a full benefit is received for each treatment item**

**In this context, “full benefit” does not mean 100% of the cost of treatment; it is the full amount which your health fund would have typically contributed.

 

Restrictions may include:

  • You have reached your health fund limit (If you reach your health fund limit, the claim will state “limit reached”)
  • You are overdue on paying your health fund premiums
  • You are not eligible for a benefit amount on an item

If any of the above conditions are NOT met, you will be required to pay for the treatment in full on the day of treatment.

 

The patient (or for a minor, their legal guardian) holds the responsibility to inform the surgery and your dentist about any changes to your personal details and medical health details, respectively. If further information is required on your medical health details, you shall provide us with permission to contact your general practitioner.

 

The patient (or for a minor, their legal guardian) agrees to assume all financial responsibility for all treatment rendered, and understands that full payment is required on the day of treatment. The patient (or for a minor, their legal guardian) agrees to cover all costs incurred to recover any outstanding debt of which they are responsible, including debt collectors and legal fees.

 

Any patient under the age of 18 must have a consenting adult with them on the day of treatment.

 

We exercise the right to refuse treatment to any patient that does not adhere to the practice policies, including that mentioned above, or any patient who is rude, unruly or violent when speaking to our staff over the phone, or whilst on our premises.