We are proud to offer excellent dentistry and exceptional care at very comparable fees – setting our fees in line with the NSW average.
It’s a fact, that no-one enjoys surprises when it comes to the money side of things, so we will always ensure you are aware of the costs in ‘any’ treatment.
Wherever possible (unless you are having pain or a problem), we like to begin with a consultation or examination. This gives us an opportunity to present you with a breakdown of the fees involved, including all the item numbers – you can then easily check the rebate with your health fund (if you have one), and calculate your likely out of pocket expenses.
If you are attending for treatment on the ‘actual’ day, you’ll want an idea of the costs before you start – just ask Dr Jamie, or you can call us beforehand and we’ll give you an idea over the phone.
It’s important to remember, when considering costs, that not all treatments are created equal; there is good quality dentistry and ‘not so good’ quality dentistry. Remember dental procedures are largely irreversible, and you have limited tooth structure – a conservative, quality approach is always favourable.
Whether or not, you decide to become a valued patient of Dr Jamie, we would strongly recommend that you don’t simply select a dentist based purely on the cheapest price or, “Hey, I’ve found the cheapest dentist in Maroubra!”
- All payment methods (cash, cheque, debit and credit cards)
- All health funds: BUPA, MBP, CBHS and HCF etc.
- Children’s Dental Benefit Scheme
- Veteran Affairs
- Dental Hospital vouchers
To save you the time, and the hassle of needing to go into a branch to claim back your rebate, we use Hicaps for on the spot claims – you simply swipe your card and pay the gap!
So How Much Will a Visit Cost?
We have also created a summary box, at the base of each treatment page, in order to give you an idea of the costs involved in the various treatment procedures…. please bear in mind these are only a general estimate.
If you would like to know more about our fees… please give us a call… it would be our pleasure to help.
As a general guide expect to pay about $200 for a check, clean and fluoride (less for children) and add $100 if x-rays need to be taken.
A consultation is generally $65 (up to $100).
Dental treatment can be expensive, so we do our best to work within your budget – sometimes however, there simply aren’t any alternatives- if you need a crown… then you need a crown… but when it comes to cosmetic solutions, we have a greater range of options: whitening, cosmetic bonding, composite veneers, porcelain veneers, crowns, Invisalign or some combination of the these treatments.
We are currently looking at systems that can offer finance and a ‘payment plan’ for more expensive treatment. Currently, for ‘general dentistry’ treatments, we are able to stagger your treatment allowing you to pay off the fees over a period of time – thus maximising your health fund benefits.
We accept all health funds (including BUPA, MBP, NIB, and HCF – these are generally ones I’m asked about…), so you can make a claim straight away and just pay the gap – proving of course, that you have dental cover as part of your insurance.
The exact amount you get back will vary, depending on the level of cover you have with your health fund. We will provide a treatment plan to allow you check the out of pocket expenses for any treatment at your examination or consultation.
When you call your health fund, you will need to give them:
1. The ‘item number’
2. The cost of the ‘item number ‘
3. How many of that particular ‘item number’ you require.
They will also be able to tell you if there are any waiting periods, restrictions on your cover and/or maximum allowable amounts.
Are health funds actually worth it? (A word of warning!)
If you run the numbers looking at the amount you get back for dental treatment – based on the premiums you pay each month – it is highly debatable whether it’s a worthwhile investment!
Insurance companies make most of their money from their ‘extras’… in particular dental ‘extras’.
So, it can make more sense, depending on your level of use, to simply save the ‘health fund’ money, and pay for your treatment with it.
Everybody’s circumstances are slightly different, so we recommend taking the time to do a little bit of your own research and see what is right for you.
If you have just joined a health fund, there may be a waiting period for major dental treatments ie. more extensive treatments such as root canal, surgical extractions, crowns, veneers and implants.
Call the BUPA help line on 134 135 or you could go into one of their branches to get more information.
Are Preferred Providers Worth it?
Dentists can enter into a contract with a health fund to become a preferred provider which means that the health fund set the fees that will be charged to its members – not the dentist.
In general, these fees are lower per item, although your total expenditure/ treatment can actually end up being more.
Consider a dentist who drills and fills everything, versus a minimally invasive dentist who favours preventative advice and a more conservative approach. The former will have both an increased financial and biological cost to you even if each individual item is actually cheaper.
We have chosen not to be a preferred provider, so we don’t relinquish control to the heath funds (who have been known to not only change the rules, but dictate what treatments can be performed).We favour providing the best possible care for all our patients.
Commonwealth Bank have a preferred provider scheme where they set the fees that dentists are able to charge to its members. This tends to include the most commonly used services, but remember, all others fees are the normal dentist prices.
We are not a Commonwealth Bank preferred provider for the reasons discussed above, but are committed to providing the highest quality care at reasonable prices.
If you would like to check your out-of-pocket expenses with CBA, you will need the information mentioned above (and contained in your treatment plan). The number to call is 1300 654 123 .
Medibank Choice Providers have an agreement with Medibank Private Health fund to provide dental services to their members according to a fee schedule that is set by MBP not by the dentist. There will still be a gap payable and this will depend on your level of cover and the treatment that is necessary.
Again we are not a Medibank choice provider for the same reasons reasons – we are committed to providing the highest quality care at Industry standard prices.
If you wish to check your out-of-pocket expenses, or if you have any questions regarding your level of cover, you will need to contact the Medibank Provider help line on 134 190 or pop into one of their stores. https://www.medibank.com.au/locations/#/
Bupa Members first Dental Network are dentists who have entered in to an agreement with Bupa Health Fund to provide dental services to their members according to a fee schedule that is set by BUPA themselves, not by the dentist. There will still be a gap payable and this will depend on your level of cover and the treatment that is required.
Once more, we are not a Bupa preferred providers for the above reasons, but are committed to providing the highest quality care at fair prices.
If you want to check your out of pocket expenses or If you have any questions regarding your level of cover, you will need to contact Bupa on 134 135 or visit one of their stores. https://www.bupa.com.au/find-a-centre
You can use your HCF insurance with us. If you want to check your out-of- pocket expenses, or if you have other questions regarding your cover, you can all them on 13 13 34 or visit one of their stores. https://www.hcf.com.au/locations/find-a-branch
HCF don’t partner with individual dental practices or have preferred providers, instead they have a number of their own clinics to provide treatment to their members. We see a lot of patients from HCF clinics that get tired of seeing someone different and want a real longer term relationship with someone they can trust and who provides a high level of care and dentistry.
We accept all health funds and process payments via HICAPS, meaning on the spot claims, allowing you the convenience of simply paying the gap and not having to go into a store or online to claim your rebate.
The actual amount you get back will be determined by the health fund and your level of cover. There may be annual caps on claims and waiting periods on certain items such as major dental so it is always worth checking your situation.
A treatment plan will be provided after your consultation or examination, containing all the information that will be required by your health fund to advise you on the rebates and out of pocket expenses.
Medicare doesn’t cover dental procedures like cleaning, fillings, tooth extractions, crowns or dentures. Medicare Part A (Hospital Insurance) will however pay for certain dental related services that occur whilst you’re in a hospital. The dental part of the procedure is not covered but Part A can pay for inpatient hospital care if you require emergency or complicated dental procedures.
There are however a few government schemes or initiatives that will allow you to access dental treatment if you meet certain specific criteria.
The Child Dental Benefits Schedule started on the 1st January 2014 and allows about 3 million eligible children, aged 2 to 17, to access benefits for simple dental treatments. Families must receive Family Tax Benefit Part A or other relevant government payments to be eligible. Up to $1000 of benefit is available per child over a period of two years. At the end of the two-year cycle, the family can apply again for the same amount. If the cap for treatment is exceeded during this time, then standard dentist fees will apply.
To check eligibility, please contact the Department of Human Services on 132 011. More information can be found here:
All dental treatment under the Child Dental Benefits Schedule is bulk billed in our practice with no gap up to the $1000 threshold. You will be required to bring the government letter of acceptance into the scheme, a child’s Medicare card and the concession card that proves your are eligible, in order to receive treatment and for us to be able to make a claim. Benefits are not available for any orthodontic or cosmetic dental treatment, or any services provided in hospital.
The Department of Veterans’ Affairs (DVA) is a government initiative that provides benefits and services to veterans who served in the Australian Defence Force.
If you hold a Gold or White Department of Veterans’ Affairs (DVA)Card you are eligible for free dental treatment at certain registered dentists of which Dr Jamie is one. We simply bulk bill (i.e. no gap to you) through the Medicare Benefits Scheme the services you require. Routine dental treatments, such as check ups, cleans, dentures, extractions and fillings can be completed without prior approval. However, there are some limitations or restrictions on specific treatments. Dental implants and crown and bridgework for example, require prior consent from the government and have limits imposed on the amount of that can be completed each year.
If you have any further enquiries about the DVA dental care program, you can phone 1800 555 254 or email firstname.lastname@example.org
The NSW Oral Health Fee for Service Scheme OHFFSS helps improve access to dental care and to reduce waiting lists by issuing vouchers to eligible patients to receive treatment at specific private dentists like Dr Jamie – who have registered to help with the scheme. It is public dental treatment that is being carried out by private dentists!
These vouchers cover emergency treatment, general dental care and dentures. It does not cover cosmetic dental work, root canal treatment (except emergency pain management) or any crown and bridgework.
Before being issued, you will be seen by a public dental clinician who will determine what treatment is necessary and formulate a treatment plan which the private dentist will carry out. We must provide the exact service on the voucher to render it redeemable; any additional treatment you require or desire would be charged at our standard dental fees.
If you have been given a voucher, you need to:
Contact us within 10 days of the date on the Oral Health Treatment Voucher
Tell us you have been provided with a voucher and require treatment under the NSW Oral Health Fee for Service Scheme
Bring the voucher, proof of identity and eligibility to the appointment
Sign the voucher at the end of the appointment to say treatment has being completed.
For more information on the OHFFSS please see https://www.health.nsw.gov.au/oralhealth/Publications/ohffss-brochure.pdf