How to Check CDBS Balance: A Comprehensive Guide for 2024

Have you ever wondered how to check CDBS balance? It’s crucial to check your CDBS balance for a number of reasons. It enables you to schedule your appointments appropriately and maintain track of your dental benefits. Also, being aware of your CDBS balance enables you to visit the dentist with confidence 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 and manage your dental benefits!

What is CDBS?

Overview

In Australia, the government-funded Child Dental Benefits Schedule, gives qualifying kids access to basic dental care. To guarantee that the benefits are used appropriately, it is crucial to comprehend the coverage that CDBS offers. By providing preventative and therapeutic services, the initiative seeks to enhance the dental health of children.

The way CDBS operates is by giving qualifying kids a $1,095 benefit cap spread out over two calendar years. Exams, x-rays, cleanings, fissure sealing, fillings, root canals on baby teeth, extractions, and partial dentures are among the dental procedures covered under this cap. 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 check 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

The many routine dental procedures covered by CDBS are essential for preserving children’s oral health. These consist of routine examinations and cleanings in addition to 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, it’s crucial to check CBDS balance to confirm your coverage, though, as some particular procedures might not be paid for by CDBS. For example, cosmetic procedures like teeth whitening or orthodontic treatments like braces are not covered.

Accessing Services

Fortunately, accessing CDBS-covered services takes teamwork with participating dental providers like Cosmoz Dental Care. To get started, make an online appointment or simply just call us so we can check 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

You have the convenient option to verify your child’s eligibility and track their Child Dental Benefits Schedule (CDBS) balance through multiple avenues. One accessible method is by accessing your Medicare online account via myGov, where you can conveniently view this information at your fingertips. Alternatively, a straightforward approach involves making a simple call to 132 150. Both avenues offer you the ease of staying updated on your child’s eligibility and remaining CDBS balance, ensuring their dental care needs are well-managed.

How to check 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’ll need to confirm your patient’s eligibility either through HPOS or via 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:

1. Navigate to the Child Dental Benefits Schedule within the Main Menu in HPOS.
2. Input your patient’s information, such as Medicare card number, Individual Reference Number (IRN), first name, or date of birth.
3. 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:

1. Access the MBS Items Online Checker from the Main Menu in HPOS.
2. Re-enter your patient’s details.
3. Proceed by entering your Provider number to search Provider details.
4. Select the relevant MBS item number intended for your patient’s claim.

It’s crucial to verify eligibility before initiating any claim submission to ensure a seamless process.