The Child Dental Benefits Schedule (CDBS) is a government-funded system that provides financial assistance for basic dental services, capped at $1,095 over two consecutive calendar years. CDBS funds accounted for over $5 million in dental care services in 2022/23.
The program is designed to help families access essential dental care for eligible children, covering services like check-ups, cleanings, and fillings.
If you’re unsure of how CDBS works or if your family is eligible, get in touch with us at Brisbane Paediatric Dentist. Our professional and friendly staff will be able to provide you with all the information you need.
Are All Kids Eligible for Child Dental Benefits?
Not all children are eligible for CDBS. To qualify, children must meet specific criteria related to age, Medicare eligibility, and receipt of certain government payments.
1. Age Requirements
Children aged 0 to 17 years old for at least one day during the calendar year are eligible for the CDBS. This means that if a child turns 18 during the year, they remain eligible for the entire year.
2. Medicare Eligibility
Eligibility for the CDBS requires that the child is enrolled in Medicare. Being enrolled allows access to a range of health services, including those covered by the CDBS.
3. Family Tax Benefit A or Equivalent Payments
In addition to age and Medicare requirements, the child or their parent, carer, or guardian must receive certain government payments at least once during the calendar year. Eligible payments include Family Tax Benefit Part A and other relevant Australian Government payments, like:
- Youth Allowance
- ABSTUDY
- Disability Support Pension
- Parenting Payment Special Benefit
- Carer Payment
- Double Orphan Pension
- Veterans Children Education Scheme (if child is 16 or over)
- Military Rehabilitation and Compensation Act Education and Training Scheme (if child is 16 or over)
How do I Apply for the Child Dental Benefits Schedule?
Eligibility for the Child Dental Benefits Schedule is automatically assessed by Services Australia at the start of each calendar year. If your child qualifies, you’ll receive a notification letter.
You can verify your child’s eligibility for CDBS by logging in to your Medicare online account through myGov, navigating to “History and statements”, and selecting “Child Dental Benefits Schedule”.
How do I Access CDBS Benefits?
Once your child’s eligibility is confirmed, you can access CDBS benefits by:
- Selecting a Dental Provider: Choose a public or private dentist who accepts CDBS. Inform them of your intent to use CDBS when booking.
- Giving Your Consent: During the appointment, you’ll be required to sign a consent form agreeing to the services and fees. Make sure you understand any potential out-of-pocket expenses, especially if the dentist does not bulk bill.
- Claiming Your Benefits: If the dental clinic bulk bills, you won’t need to pay upfront or submit a claim. If not bulk billed, you’ll pay the dentist directly and can claim the benefit from Medicare online, through the Express Plus Medicare app, or in person. After processing, the benefit will be deposited into your bank account.
What Dental Services are Covered Under the Child Dental Benefits Schedule?
Dental treatment that’s considered essential for oral health is covered by CDBS. Any dental health care considered to be cosmetic or non-essential is not.
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How does the Child Dental Benefits Schedule Work?
The CDBS provides a benefit cap of up to $1,095 over two consecutive calendar years for each eligible child. This cap begins annually on 1 January. The two-year period begins from the calendar year in which the child receives their first eligible dental service.
Unused funds from the first year can be transferred over to the second year if the child is still eligible during the second year. Unused funds after 2 years can’t be transferred into the new 2-year cycle.
Need help with CDBS? Get in touch with Brisbane Paediatric Dentist and our dental professionals will provide you with all the information you need.
Child Dental Benefits Schedule FAQs
What If I Run Out of Funds?
The CDBS cap is $1,095 over two consecutive calendar years. If you use their full benefits within the first year, no further benefits will be available until the next two-year period begins. You can track the remaining balance through your Medicare online account or by contacting your dental provider.
What If My Child Becomes Ineligible for CDBS?
If a child becomes ineligible during the year—for example, due to changes in family income or government payments—they remain eligible for the remainder of that calendar year. They won’t qualify for benefits in the following years unless eligibility requirements are met again.
Do Private Clinics Accept CDBS?
Yes, many private dental clinics accept CDBS, although it’s always a good idea to confirm with your chosen clinic beforehand. Some private clinics bulk bill under the program, meaning no out-of-pocket costs, while others may charge a gap fee. Public dental clinics also accept CDBS and usually don’t charge additional fees.
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