We are determined to get better rebates from Health Insurance Funds for our patients, and as a result we have joined BUPA Members First Platinum. This initiative by BUPA means gap-free check-ups for patients and better coverage for dental services.
What does a Members First Platinum Provider mean?
If you are covered by BUPA for your health insurance, you are most likely eligible for better rebates at a BUPA Platinum Practice. Some older BUPA policies may not be automatically eligible, so we recommend you check with BUPA directly before your appointment.
To enjoy Bupa Members First Platinum benefits, you will need hospital cover, as well as extras cover, that includes general dental. Please be advised that Bupa’s Fund Rules still apply.
Does this mean no out-of-pocket costs?
When you get a basic* dental check-up and clean, you’ll pay nothing out-of-pocket with us for the following treatments:
|Consults and dental exams||011, 012, 013, 014 and 015|
|Scale and cleans||111, 114 and 115|
|Mouthguards||151 and 153|
A basic* dental check-up covers the above item codes. However, there are instances where the Dentist may need to take an OPG x-ray for further analysis of the jaw, bones and wisdom teeth. This item number is a 037 and there is an out-of-pocket cost associated.
What other benefits do I get?
With Members First Platinum, Bupa also covers more on other dental services such as fillings, crowns and extractions. Patients find they receive about 60% to 100% back for these dental services.
Are there any limits or waiting periods?
With all Health Funds, there are limits to how often you can claim for item numbers within a given period. For instance, Bupa pays a claim for a dental check-up once every six months, and not before.
If you’ve recently begun or upgraded your cover, you may have a waiting period before you can take advantage of the Member’s Platinum benefits. On some policies, what you pay for the dental service can come out of your annual limits.
Is there still No-Gap for kids?
Yes, depending on your family cover and if the son/daughter is single and dependant on their parents, there is no out-of-pocket costs for all general and major dental items for kids under 25. This unfortunately excluding Orthodontics and Hospital Treatments, waiting periods still apply.
Book an appointment at any of our 3 Dental practices and start getting the most out of your BUPA health insurance today!