Do I have to pay for preventative dentistry with Medical Insurance?

Wednesday, May 10, 2023

Get Medical Insurance outlines the preventative dentistry benefits of Medical Insurance.

Maintaining good dental health is important, no matter how old you are. Regular dental checkups are vital. That’s why Medical Insurance pays for preventative dentistry.

What is preventative dentistry?

Preventative dentistry focuses on preventing dental problems before they occur. Preventative dentistry involves regular dental checkups and at-home dental care. This helps to prevent cavities and gum disease.

At-home dental care includes things like:

  • Brushing your teeth twice a day.
  • Flossing daily.
  • Using mouthwash.

Regular dental checkups are an essential part of preventative dentistry. During a dental checkup, a dentist will clean your teeth and examine your mouth for any dental issues. Having good oral hygiene and seeking regular dental care can prevent dental problems.

What are dentistry benefits with Medical Insurance?

Medical Insurance covers various treatments at dentists on the dental network. Some of the dentistry benefits include:

  • 1 x consultation per party per year with a dentist on the dental network. This includes a full mouth examination and oral hygiene advice. Pre-authorisation is not required for a consultation.
  • 1 x preventative treatment which includes cleaning, scaling and polishing. Fluoride treatment is also covered for children under the age of 12 years.

You also get cover for:

  • Restorations and composite fillings. Pre-authorisation is needed for four or more repairs to teeth, or five or more composite fillings per family per year.
  • Extractions. You need pre-authorisation for five or more extractions.
  • Oral radiography. A maximum of four X-rays per family per year. You need pre-authorisation from the third X-ray.
  • Emergency root canal during office hours for pain and sepsis only. You need pre-authorisation for this benefit.
  • Cover for Dentures. You're covered for plastic or acrylic dentures if you're over the age of 21 years. You will need to pay a copayment of 20% of the total account to the dentist and the laboratory.
  • Diagnosis and treatment for pain and sepsis.
  • Infection control.
  • Local anaesthetic.

Medical Insurance gives you access to various dentistry beyond preventative dental care.

Complete the form below to get a Medical Insurance quote.