No-Gap Dental
No-Gap Dental
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What is no-gap dental?
No-gap dental is an option offered by some Private Health Insurers as part of their Dental Extras. Since Medicare doesn’t tend to cover dental services, Dental Extras can be a way to help cover the costs of fillings, extractions, crowns and more.
When it comes to the ‘no gap’ part, this means you may not need to pay for anything after your visit. So, you could visit a dentist for a routine check-up and clean, then leave bill and plaque free.
The catch is, you need to see a participating or preferred dentist. This is a dentist who has agreed with your insurer to offer a no-gap service. As a result, you might need to change dentists or go further afield to take advantage of this deal.
What does no-gap dental include?
Unfortunately, no-gap dental doesn’t cover the entire scope of dental services, or even everything covered by Dental Extras.
It typically tends to just be for what you’d need as part of a routine check-up and clean. Think things like:
• A comprehensive exam
• A scale and clean
• Fluoride treatment
More complicated procedures, like X-rays, fillings and removing teeth might not make the cut. Of course, this can vary a bit between providers, so you may want to read the policy document to double check.
Helpful tip
Sometimes you might need a little more than a quick clean and polish. If you’re concerned about the bill for extra treatment, you could ask your dentist to tell you what treatments they recommend. You can then reach out to your insurer to check if you can also claim for these services and how much you could expect to get back.
Are there waiting periods for no-gap dental?
Your waiting periods can differ between Health Insurance Providers too. One may have no waiting period — after all, there’s no time like the present to look after your oral health — or you may need to wait a couple of months. The latter might not be such a bad option if you’ve got a busy schedule and need to plan ahead.
Again, this is when sitting down with the policy document can be a good idea. The waiting period should be listed in there.
How often can I use my no-gap Dental Cover?
Depending on your policy, you might be able to enjoy a no-gap check-up and clean once or twice a year. Given this is how often most people are advised to visit the dentist, that’s not a bad deal!
However, before you book your appointment in, it may be worth checking your claim limits. Some insurers may count any no-gap claims against your overall annual limit while others may treat them as outside this limit.
Still got that policy document handy? You’ve now got two more things to check. The last thing you want is to discover that a bill-free visit is less free than you thought.
Is no-gap dental the best value Dental Cover?
Everyone’s dental needs are different, but most of us can keep bigger oral health problems at bay by visiting the dentist every six months. With their trained eye and a thorough examination, a dentist can spot and treat issues before they become serious and need a more advanced intervention.
So, by making the most of your no-gap Dental Cover, you could reduce your need for more expensive Dental Cover, like major dental.
There’s also plenty of value to be had in simply having any form of Dental Cover. For instance, while dental service costs have been rising, benefits have been keeping pace, if not exceeding the hikes. Your benefits now could be as much as 10% more than they were roughly a decade ago.1Private Health Care Australia – Senate Select Committee into the Provision and Access of Dental Services in Australia – Submission, p3
Benefits aside, being able to access a private dental clinic could mean the difference between looking after your teeth or leaving them to manage on their own. Across Australia, you need to meet certain eligibility requirements to qualify for public dental services, as well as often sit on a long waiting list. But with Dental Cover you could get in sooner with a private dentist.
Combine this all with the old adage of ‘prevention is better than cure’ and you might really get a lot out of your no-gap Dental Cover (as long as you’re using it, of course).
Helpful Tip:
No-gap dental usually only covers the basics like examination, clean and scale, and fluoride treatment. However, some health funds go the extra mile by including additional services like basic fillings, if you visit one of their preferred providers. Have a chat to your insurance fund, or one of iSelect’s Comparison Experts to find out how you can make the most of your dental policy.
How do I find a no-gap dentist?
Whether you’re looking to make the most of your existing no-gap policy or want to compare your options, you’ll need to know which dentists you can see. Handily, your insurer is likely to have a list available on their website of who you can see. Often, it’s as easy as entering your postcode, and a map of nearby participating dentists is displayed.
When you’re booking your appointment, you can also confirm with the dental clinic if they offer a no-gap service.
How do I find and compare Private Health Insurance?
If it’s time to go back to the dentist or simply switch up your Private Health Insurance, iSelect is here to help. Using our online comparison tool, you can compare a range of policies from different providers, including options with Dental Cover. Alternatively, you can call one of our Health comparison experts on 1800 784 772. Whichever option you choose, we’re ready to help you save time and effort for other important things (like remembering to floss).
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- 1.Private Health Care Australia – Senate Select Committee into the Provision and Access of Dental Services in Australia – Submission, p3