HIF dental limits.
IMPORTANT: Before commencing dental treatment, please contact us with full details of the necessary dental service (as provided by the dentist) and we'll provide you with an estimate of your refund.
Dental annual limits - effective 1st January 2010
|
Premium |
Year 1 |
Year 2 |
Year 3 |
Year 4 |
Year 5 |
5 Years+ |
|
General - Unlimited |
No Limit |
No Limit |
No Limit |
No Limit |
No Limit |
No Limit |
|
General - Limited |
$1,500 |
$1,800 |
$2,100 |
$2,400 |
$2,700 |
$3,000 |
|
Inlay / Onlay |
$1,000 |
$1,100 |
$1,200 |
$1,300 |
$1,400 |
$1,500 |
|
Denture, Crown, Bridge |
$1,200 |
$1,300 |
$1,400 |
$1,500 |
$1,600 |
$1,700 |
|
Periodontic and Endodontic |
$700 |
$800 |
$900 |
$1,000 |
$1,100 |
$1,200 |
|
Orthodontic |
$1,500 |
$1,800 |
$2,100 |
$2,400 |
$2,700 |
$3,000 |
|
Annual Limit per Person |
$1,500 |
$1,800 |
$2,100 |
$2,400 |
$2,700 |
$3,000 |
|
Super Options |
Year 1 |
Year 2 |
Year 3 |
Year 4 |
Year 5 |
5 Years+ |
|
General - Unlimited |
No Limit |
No Limit |
No Limit |
No Limit |
No Limit |
No Limit |
|
General - Limited |
$1,150 |
$1,350 |
$1,550 |
$1,750 |
$2,050 |
$2,350 |
|
Inlay / Onlay |
$700 |
$800 |
$900 |
$1,000 |
$1,100 |
$1,200 |
|
Denture, Crown, Bridge |
$900 |
$1,000 |
$1,100 |
$1,200 |
$1,300 |
$1,400 |
|
Periodontic and Endodontic |
$500 |
$600 |
$700 |
$800 |
$900 |
$1,000 |
|
Orthodontic |
$1,300 |
$1,500 |
$1,700 |
$1,900 |
$2,200 |
$2,500 |
|
Annual Limit per Person |
$1,300 |
$1,500 |
$1,700 |
$1,900 |
$2,200 |
$2,500 |
|
Special Options |
Year 1 |
Year 2 |
Year 3 |
Year 4 |
Year 5 |
5 Years+ |
|
General - Unlimited |
No Limit |
No Limit |
No Limit |
No Limit |
No Limit |
No Limit |
|
General - Limited |
$800 |
$950 |
$1,150 |
$1,350 |
$1,550 |
$1,750 |
|
Inlay / Onlay |
$500 |
$600 |
$700 |
$800 |
$900 |
$1,000 |
|
Denture, Crown, Bridge |
$600 |
$700 |
$800 |
$900 |
$1,000 |
$1,100 |
|
Periodontic and Endodontic |
$300 |
$400 |
$500 |
$600 |
$700 |
$800 |
|
Orthodontic |
$1,000 |
$1,200 |
$1,400 |
$1,600 |
$1,800 |
$2,000 |
|
Annual Limit per Person |
$1,000 |
$1,200 |
$1,400 |
$1,600 |
$1,800 |
$2,000 |
|
Saver Options |
Year 1 |
Year 2 |
Year 3 |
Year 4 |
Year 5 |
5 Years+ |
|
General - Unlimited |
No Limit |
No Limit |
No Limit |
No Limit |
No Limit |
No Limit |
|
General - Limited |
$750 |
$850 |
$950 |
$1,050 |
$1,150 |
$1,250 |
|
Inlay / Onlay |
Not covered |
Not covered |
Not covered |
Not covered |
Not covered |
Not covered |
|
Denture, Crown, Bridge |
Not covered |
Not covered |
Not covered |
Not covered |
Not covered |
Not covered |
|
Periodontic and Endodontic |
Not covered |
Not covered |
Not covered |
Not covered |
Not covered |
Not covered |
|
Orthodontic |
Not covered |
Not covered |
Not covered |
Not covered |
Not covered |
Not covered |
|
Annual Limit per Person |
$750 |
$850 |
$950 |
$1,050 |
$1,150 |
$1,250 |
Please note:
-
Refunds are paid only on accounts rendered by a registered Dentist or Dental Prosthetist. The Dentist or Dental Prosthetist must be in private practice.
-
Benefits for replacement dentures and partial dentures are not paid within three years of previous supply.
-
There are some items within item code ranges for which the fund does not pay a benefit, or if they are performed with another item in the same course of treatment.
-
Limits apply to the number of times some items, such as bleaching attract a rebate.
-
Dental Prosthetists are allowed to perform a limited range of services for benefit purposes.
-
The Orthodontic limit is a lifetime limit and forms part of the overall annual limit.