9 January 2024
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Have you ever wondered how to check CDBS balance? It’s crucial to check CDBS balance for several reasons. It enables you to schedule your appointments appropriately and track your dental benefits. Also, being aware of your CDBS balance enables you to visit the dentist confidently, knowing that you are making well-informed decisions regarding your oral health.
In this article, we’ll also address frequently asked questions and emphasize the advantages of knowing your CDBS balance. Now, let’s get started managing your dental benefits!
What is CDBS?
Overview
Australia’s government-funded Child Dental Benefits Schedule gives qualifying kids access to basic dental care. Understanding CDBS’s coverage is crucial to guaranteeing that the benefits are used appropriately. The initiative seeks to enhance children’s dental health by providing preventative and therapeutic services.
CDBS operates by giving qualifying kids a $1,095 (2024 Financial year)benefit cap spread out over two calendar years. This cap covers dental procedures such as exams, x-rays, cleanings, fissure sealing, fillings, root canals on baby teeth, extractions, and partial dentures. However, it’s crucial to remember that orthodontic and cosmetic dentistry operations are not covered by CDBS.
Eligibility Criteria
A child is eligible if they are:
- eligible for Medicare, and
- aged 0-17 years at any point in the calendar year, and
- receive a relevant Australian government payment, such as Family Tax Benefit Part A, at
any point in the calendar year.
Services Australia assesses a child’s eligibility from the start of each calendar year and
routinely checks for newly eligible children. A notification of eligibility will be sent to the child or
their parent/guardian either by post or electronically through MyGov.
It is optional for a parent/guardian or patient to present this notification to the practice at the
time of the appointment.
Covered Treatments
CDBS covers many routine dental procedures that are essential for preserving children’s oral health. These include routine examinations, cleanings, and essential restorative operations like extractions and fillings.
The services covered include:
- dental check-ups
- cleaning
- x-rays
- fissure sealing
- fillings
- root canals
- extractions
Before beginning any therapy, checking your CBDS balance to confirm your coverage is crucial. However, CDBS might not pay for some particular procedures. For example, cosmetic procedures like teeth whitening or orthodontic treatments like braces are not covered.
Accessing Services
Fortunately, accessing CDBS-covered services requires teamwork with participating dental providers like Cosmoz Dental Care. To get started, make an online appointment or simply call us so we can check your CDBS balance, assess your child’s dental needs, and provide any necessary treatments under the program.
Checking Eligibility and CDBS Balance
how to check CDBS balance
To check your child’s eligibility and monitor their Child Dental Benefits Schedule (CDBS) balance, you have several convenient options:
- Medicare Online Account: Log in to your Medicare online account via myGov to easily view your child’s eligibility status and remaining CDBS balance.
- Phone Call: To inquire about eligibility and balance, contact Medicare directly on their general inquiries line at 132 011, available 24/7.
- Services Australia Website: Visit the Services Australia website for comprehensive information about the CDBS program and additional resources.
Using these methods, you can stay informed about your child’s CDBS balance and ensure that their dental care needs are effectively managed.
How to check a patient’s eligibility and CDBS balance
Verifying a patient’s eligibility and remaining balance under the Child Dental Benefits Schedule (CDBS) within the Health Professional Online Services (HPOS) involves a structured two-step process. Initially, you must confirm your patient’s eligibility through HPOS or Interactive Voice Recognition by selecting the CDBS option within the main menu. Once eligibility is established and an available balance is confirmed, the subsequent step involves utilizing the MBS Items Online Checker within HPOS to validate the claimability of the specific CDBS item number.
The first step involves seeking your patient’s details:
- Navigate to the Child Dental Benefits Schedule within the Main Menu in HPOS.
- Input your patient’s information, such as Medicare card number, Individual Reference Number (IRN), first name, or date of birth.
- Upon confirming eligibility, HPOS will display pertinent details, including a confirmation message of eligibility, Medicare card number, IRN, first name, available cap balance, and the inquiry date.
The second step entails exploring a patient’s MBS history using the HPOS MBS Items Online Checker:
- Access the MBS Items Online Checker from the Main Menu in HPOS.
- Re-enter your patient’s details.
- Proceed by entering your provider number to search for provider details.
- Select the relevant MBS item number intended for your patient’s claim.
Verifying eligibility before initiating any claim submission is crucial to ensure a seamless process.
What is the Child Dental Benefits Schedule (CDBS)?
The CDBS is a government-funded program in Australia that provides eligible children with access to basic dental care, including exams, cleanings, fillings, and extractions, up to a $1,095 cap over two years.
What is the CDBS fee level for 2024?
If a child first accesses benefits in 2024, the 2024 cap of $1,095 applies.
What treatments are covered under CDBS?
Dental check-ups, cleanings, x-rays, fissure sealing, fillings, root canals, and extractions are covered treatments. Cosmetic and orthodontic treatments are not covered.
Who is eligible for CDBS?
Children eligible for Medicare, aged 0-17 years, and receiving a relevant government payment such as Family Tax Benefit Part A are eligible for CDBS.
How can I check CDBS eligibility over the phone?
Check CDBS simply by calling 132 011.
Where can I find a CDBS-participating dentist near me?
Check your eligibility and balance, then contact a local dental provider, such as Cosmoz Dental Care in Auburn, Sydney.
What is the easiest way for patients to check CDBS balance?
The easiest way is to call 132011; however, you can also use your MyGov account to check eligibility and the balance.
What is the easiest way for practices to check CDBS balance?
For practices, the easiest way to check a patient’s CDBS eligibility and balance is to call 132150 and follow the instructions.
I’m confused about how to find out the remaining credit on my child’s CDBS. Can someone guide me through the process of checking the balance online?
To check the remaining CDBS balance, log in to your Medicare online account through MyGov or call 132 011 for assistance.
How can I check if my child is eligible for the CDBS program? Are there specific requirements or forms I need to fill out?
You can check eligibility through your Medicare online account via MyGov. Eligible children are those aged 0-17 years who receive certain government benefits, like Family Tax Benefit Part A.