Medicare Dental – Health Plans
Department of Health and Ageing
Medicare dental items (Medicare items 85011-87777) are available for people with chronic conditions and complex care needs (including people on Health Plans). On referral from a GP, eligible patients can access up to $4,250 in Medicare benefits for dental services over two consecutive calendar years.
In line with its election commitment, the Government planned to close the Medicare chronic disease dental scheme to all patients by 1 July 2008, and to re-direct the savings to its new dental programs (Commonwealth Dental Health Program and Medicare Teen Dental Plan). However, on 19 June 2008, the Senate blocked the scheme’s closure. On 16 September 2008, the Senate blocked the Government’s second attempt to close the scheme.
Therefore, the scheme remains open and all eligible claims will be paid.
It remains the Government's intention to close the scheme in order to make funding available for its new dental programs, and the Government will continue to negotiate with the Senate in an effort to achieve this. GP groups, dentists, dental prosthetists and patients receiving services under the scheme will be advised as soon as negotiations are complete.