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Frequently Asked Questions

Health Funds

Date Posted: 12/1/2001

Question
Why do dental rebates differ from health funds?

Answer
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.

As a consumer, you choose the private health scheme that best suits your needs.

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.
Remember,
1. Your contract with the health fund is between you and the fund. It remains separate from the contract you have with your dentist.
2. 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.





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The ADA and the Local Organising Committee invite all associated with dentistry to participate in the Australian Dental Congress and Exhibition in Perth.
Mark the dates in your diaries 12-15 March 2009

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Dental Health Week is a community awareness program coordinated and funded by the ADA. In 2008 the ADA is leading a campaign to target 30-50 year olds and has developed a range of Fact Sheets on oral health care. August 4 - 10 is Dental Health Week

Click here for previous Dental Health Week material.


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On the 23rd July 2007 the ADA wrote to the major political parties seeking their policies on dental health issues. Click here to review the ADA Inc Report Card on Dental Health Policies Election 07 (PDF 122 KB) 



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Click here for information on the ADA Awards for Excellence in Dental Journalism



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