How much can I claim for dental each year?

Below are all the annual limits for dental services covered on our Saver, Special, Super and Premium Options Extras Cover policies. For benefits relating to our new entry-level cover 'Vital Options', please refer to the dental benefits page.

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 a benefit estimate for your rebates.

PremiumYear 1Year 2Year 3Year 4Year 55 Years+
General - UnlimitedNo LimitNo LimitNo LimitNo LimitNo LimitNo 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
SuperYear 1Year 2Year 3Year 4Year 55 Years+
General - UnlimitedNo LimitNo LimitNo LimitNo LimitNo LimitNo 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 OptionsYear 1Year 2Year 3Year 4Year 55 Years+
General - UnlimitedNo LimitNo LimitNo LimitNo LimitNo LimitNo 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 OptionsYear 1Year 2Year 3Year 4Year 55 Years+
General - UnlimitedNo LimitNo LimitNo LimitNo LimitNo LimitNo Limit
General - Limited$750$850$950$1,050$1,150$1,250
Inlay / OnlayNot coveredNot coveredNot coveredNot coveredNot coveredNot covered
Denture, Crown, BridgeNot coveredNot coveredNot coveredNot coveredNot coveredNot covered
Periodontic and EndodonticNot coveredNot coveredNot coveredNot coveredNot coveredNot covered
OrthodonticNot coveredNot coveredNot coveredNot coveredNot coveredNot 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.
Need some advice about dental cover? Call us on 1300 13 40 60 or send us an email
Category: Dental Cover
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