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Benefit Review 2016

We aim to continuously improve the benefits provided to our members. With this in mind, we are making changes to the maximum claimable amount on a long list of dental items.

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As a member-based organisation, we aim to continuously improve the benefits provided to our members. However, we must also balance the cost of these benefits so as to maintain fair value for money. With this in mind, we are making changes to the maximum claimable amount on a long list of dental items and also updating our Health Benefit Fund Rules to ensure we continue to be transparent and fair to all members.

Changes to the maximum claimable amount per item

As a result of a recent review of all benefits, we will be increasing the maximum claimable amount per item on many dental items which means CBHS will contribute more the next time you visit the dentist for these items. When you make a claim, you will receive 100% of the cost of that item from CBHS up to the maximum claimable amount for each item listed below.

These benefits apply to KickStart package extras. These changes should, overall, provide members with more benefits for dental services received after 1 January 2016. In addition to these changes, our rules will change on 1 January and 1 February. Click here for more details.

 To download a PDF version of this table, please click here.

 

    Maximum Claimable Amount Per Item
Item# Description  Current  From 1-Jan-16 Increase 
 General Dental - Diagnostic
 12  Periodic examination
 25.00  30.00  5.00
 13  Oral examination  23.00  27.50  4.50
 14  Consultation  28.50  35.00  6.50
 37  X-ray: panoramic  36.50  45.00  8.50
Preventative Dental
114  Removal of calculus - first visit
 47.00  55.00  8.00
121  Fluoride. Topical application of remineralising agent  18.50  20.00  1.50
161  Fissure sealing - per tooth  23.00  30.00  7.00
General Dental - Extractions or Surgical dental
311  Removal of all or part tooth  60.00  70.00   10.00
323  Surgical removal of tooth - Bone removal  175.00  185.00  10.00
324  Surgical removal of tooth - Removal of bone and tooth division  190.00  200.00  10.00
General Dental - Fillings
521  1 surface adhesive restoration  64.00  70.00  6.00
532  2 surface posterior adhesive restoration  90.00  100.00  10.00
533   3 surface posterior adhesive restoration  100.00  110.00  10.00