Our “No Gap” Policy

Our “No Gap” policy means that if your private Health Insurance pays the full benefit for general and preventative dental treatment, we will not charge you the “gap” amount – that is, the difference between the cost of your treatment and the insurance rebate received.

Among the “No Gap” methods are:

Check-ins and meetings
Cleans and measures
Fluoride X-rays may need to be cleaned up.

The No Gaps Policy covers people who, on the day of treatment, meet the following criteria:

You have dental coverage on the day of your visit or treatment.
You bring your current, valid health fund card with you. You haven’t used up all of your health fund’s benefits for the current time, so you get the full benefit for each treatment item.

In this case, “full benefit” does not mean that the health fund will pay for all of the cost of care. Instead, it means that the health fund will pay the full amount that it would have normally paid.

Some restrictions could be:

You have used up all the money in your health fund. (If you hit your health fund limit, it will say “limit reached” on the claim.)
You haven’t paid your health fund payments on time.
You don’t qualify for an advantage on an item.

If you don’t meet the above requirements, you’ll have to pay for the treatment in full on the day it happens.

The patient (or their legal guardian if they are under 18) is responsible for telling the surgery and your doctor about any changes to their personal information and health information. If we need more information about your medical health, you will give us permission to talk to your general practitioner.

Patients under 18 must have a parent or guardian with them when they get care.