Great news! From 1 Jan 2020, we’ll be improving individual rebates for periodontics, dentures, crowns and bridges on Super and Premium Options. Please contact us if you’d like more info or if wish to receive a benefit estimate.

 

Here's your at-a-glance guide to our top dental services and benefits.

Item NameItem#Visit/ServiceExtras Benefit Payable
   Premium OptionsSuper OptionsSpecial OptionsSaver Options
Set maximum benefit payable by HIFSet maximum benefit payable by HIFSet maximum benefit payable by HIFSet maximum benefit payable by HIF
Comprehensive Oral Examination011First visit$59.25$59.25$59.25$59.25
Subsequent visits$47.40$47.40$47.40$47.40
Periodic Oral Examination012First visit$52.75$52.75$52.75$52.75
Subsequent visits$42.20$42.20$42.20$42.20
Oral Examination - Limited013All visits$31.40$27.45$25.50$25.50
Consultation014All visits$38.65$33.80$31.40$31.40
Intraoral Periapical or Bitewing022All visits$27.30$23.90$22.20$22.20
Removal of Plaque and/or Stain111First visit$61.50$61.50$61.50$61.50
Subsequent visits$49.20$49.20$49.20$49.20
Removal of Calculus114First visit$107.15$107.15$107.15$107.15
Subsequent visits$85.70$85.70$85.70$85.70
Bleaching - Internal (per tooth)*117All visits$92.15$85.55$79.00$79.00
Bleaching - External (per tooth)*118All visits$38.95$34.10$31.65$31.65
Topical Application of Remineralising Agent121First visit$31.60$31.60$31.60$31.60
Subsequent visits$25.30$25.30$25.30$25.30
Provision of a Mouthguard (indirect)151First visit$116.25$116.25$116.25$116.25
Subsequent visits$93.00$93.00$93.00$93.00
Bi-maxillary Mouthguard153First visit$171.50$171.50$171.50$171.50
Subsequent visits$137.20$137.20$137.20$137.20
Fissure Sealing161All visits$36.65$32.05$29.75$29.75
Removal of Permanent Tooth311All visits$98.45$86.15$80.00$80.00
Metallic Restoration (amalgam, direct)511One surface$63.85$59.30$54.70$54.70
512Two surfaces$92.50$80.95$75.15$75.15
513Three surfaces$106.10$92.80$86.20$86.20
Adhesive Restoration - Anterior521One surface$82.90$72.50$67.35$67.35
522Two surfaces$99.60$87.15$80.90$80.90
523Three surfaces$115.65$101.20$93.95$93.95
Adhesive Restoration - Posterior531One surface$92.05$80.55$74.80$74.80
532Two surfaces$117.10$102.50$95.15$95.15
533Three surfaces$136.90$119.80$111.25$111.25
Pin Retention575Per pin$21.30$18.60$17.30$17.30
Cusp Capping577Per cusp$26.15$22.90$21.25$21.25
*Limits apply per calender year to the number of times items such as bleaching attract a rebate. 
Saver Options: Maximum of 4 teeth I Special Options: Maximum of 8 teeth I Super Options: Maximum of 10 teeth I Premium Options: Maximum of 12 teeth

SmartTeeth maximum dental rebate example.

Mary is covered under Super Options and she visits her family dentist who completes Mary’s first oral examination and her first plaque removal in the calendar year. As recommended by her dentist, Mary has a second (6 monthly) examination later that year. The following table is an example of the dentist’s fee and the rebates Mary will attract.

Dental ItemDescriptionDentist FeeRebate Paid to Mary
011Comprehensive Oral Examination (first visit)$55.00$55.00
114Removal of calculus (first visit)$120.00$107.15
012Periodic Oral Examination (second visit)$55.00$42.20

So good, even dentists are smiling.

SmartTeeth must be good because HIF is the only corporate partner health fund of the Australian Dental Association of Western Australia (ADAWA). And talking of dentists, we don’t restrict you to ‘contracted suppliers’ like some of the other big private health funds do. So, as long as your preferred dentist is legally qualified to practise in Australia (and therefore recognised by HIF), you’re free to see whichever one you want. Find out more.


HIF dental annual limits.

IMPORTANT: Before commencing any 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. Alternatively, you can complete our online dental estimate request form.

Premium Options Extras CoverDental Item NumbersYear 1Year 2Year 3Year 4Year 55 Years+
General - Unlimited022; 311-314; 511-525; 531-535No LimitNo LimitNo LimitNo LimitNo LimitNo Limit
General - Limited011-017; 025-171; 322- 399;
556-597; 911-986; 526; 536
$1,500$1,800$2,100$2,400$2,700$3,000
Inlay / Onlay541-555$1,000$1,100$1,200$1,300$1,400$1,500
Denture, Crown, Bridge611-691; 711-779$1,200$1,300$1,400$1,500$1,600$1,700
Periodontic and Endodontic213-247; 411-458$700$800$900$1,000$1,100$1,200
Orthodontic lifetime limit*811-878$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 Extras CoverDental Item NumbersYear 1Year 2Year 3Year 4Year 55 Years+
General - Unlimited022; 311-314; 511-525; 531-535No LimitNo LimitNo LimitNo LimitNo LimitNo Limit
General - Limited

011-017; 025-171; 322- 399;
556-597; 911-986; 526; 536

$1,150$1,350$1,550$1,750$2,050$2,350
Inlay / Onlay541-555$700$800$900$1,000$1,100$1,200
Denture, Crown, Bridge611-691; 711-779$900$1,000$1,100$1,200$1,300$1,400
Periodontic and Endodontic213-247; 411-458$500$600$700$800$900$1,000
Orthodontic lifetime limit*811-878$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 Extras CoverDental Item NumbersYear 1Year 2Year 3Year 4Year 55 Years+
General - Unlimited022; 311-314; 511-525; 531-535No LimitNo LimitNo LimitNo LimitNo LimitNo Limit
General - Limited011-017; 025-171; 322- 399;
556-597; 911-986; 526; 536
$800$950$1,150$1,350$1,550$1,750
Inlay / Onlay541-555$500$600$700$800$900$1,000
Denture, Crown, Bridge611-691; 711-779$600$700$800$900$1,000$1,100
Periodontic and Endodontic213-247; 411-458$300$400$500$600$700$800
Orthodontic lifetime limit*811-878$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 Extras CoverDental Item NumbersYear 1Year 2Year 3Year 4Year 55 Years+
General - Unlimited022; 311-314; 511-525; 531-535No LimitNo LimitNo LimitNo LimitNo LimitNo Limit
General - Limited011-017; 025-171; 322- 399;
556-597; 911-986; 526; 536
$750$850$950$1,050$1,150$1,250
Inlay / Onlay541-555Not coveredNot coveredNot coveredNot coveredNot coveredNot covered
Denture, Crown, Bridge611-691; 711-779Not coveredNot coveredNot coveredNot coveredNot coveredNot covered
Periodontic and Endodontic213-247; 411-458Not coveredNot coveredNot coveredNot coveredNot coveredNot covered
Orthodontic lifetime limit*811-878Not coveredNot coveredNot coveredNot coveredNot coveredNot covered
Annual Limit per Person $750$850$950$1,050$1,150$1,250

For benefits relating to our Vital Options Extras Cover, please refer to the Vital Options Factsheet and for benefits relating to our Simple Options Extras Cover, please refer to the Simple Options Factsheet.


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.
  • An overall annual limit applies to all dental services inclusive.
  • 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. Benefits towards orthodontic treatment (including payment plans) are not payable if treatment has commenced prior to joining HIF. Please refer to your product factsheet.

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