bupa-dentist-maroubra

We are specialist BUPA dental providers

This means we have an agreement with BUPA health fund to provide dental services to their members according to a fee schedule that is set by BUPA themselves; this is assuming that you have ‘dental’ as part of your insurance plan.

What does this mean for you?

When the health fund sets the fees, they are lower than the normal private prices the dentist would charge.This is because of the agreement with the health fund; if BUPA have specified a fee for a service, that is what the dentist must charge. BUPA have a selective schedule, meaning that they have set fees for certain item numbers, but not for others. Most check ups, fillings and routine work fall under this heading. However, endodontics (root canal treatment), veneers, bridges and implants are simply charged by your Maroubra dentist at standard treatment prices- these items are normal private prices, and as such, there will be a slightly larger gap payment- see below for how to calculate. Different levels of cover contribute different amounts, so it is important to speak to your insurance company.

To give you an example;

A standard new patient exam consists of the following item numbers. The costs for BUPA and our standard fees are shown

Service Item Service Description BUPA fee Standard Fee Difference (%)
011 Comprehensive Exam ? 68
114 Scale and Polish ? 97
121 Fluoride treatment ?
022022 Bitewing X-rays ? 46

http://www.bupa.com.au/for-providers/ancillary/members-first-dental

If you would like to check what you will end up paying out of pocket for your treatment, you will need a few bits of information before you contact the BUPA help line on 134 135 or you could go into one of their branches. You will need to know:

  1. The item number (s)
  2. The cost
  3. How many of that item number you need

They will tell you how much you will get back for each service and you can figure out the gap payment. If there are any waiting periods or restrictions with your cover they will tell you. If you have just joined BUPA, major dental work will often have a waiting period, so don’t be surprised! Hopefully they will have already told you this anyway.

An examination is required initially for us to formulate a treatment plan of work which needs to be done; we will print this out for you- it contains all the info above that you will be asked for.