All You Need to Know About Dental Insurance in Australia

by | Sep 3, 2019 | Health Featured

Dental insurance is something everyone should have — whether it’s to cover a regular exam or an unexpected filling, dental insurance can be immensely beneficial. Fortunately for those in Australia, dental insurance is part of health insurance packages. But that doesn’t mean that it’s easy to choose an insurance provider and plan. So what should those in Australia know about dental insurance?

The difference between general and major dental coverage

Not everyone is going to have the same dental care needs, so it makes sense that people have a few different coverage options to choose from. The two main types of dental coverage are general dental coverage and major dental coverage. Normal dental care, such as annual exams and preventative work, will be covered under general dental coverage. But bigger dental issues and procedures, like fillings and teeth removal, will be covered under major dental coverage.

It’s important to note that what’s covered under general dental coverage and major dental coverage can differ between insurance providers, so it’s always a good idea to ask insurance providers about which specific procedures will be covered. If people assume that something is covered under general coverage but it’s actually only covered under major dental coverage, they may end up paying a lot of money for a dental procedure. It’s crucial to know what will actually be covered under a certain plan.

Understanding the extra expenses

Even with insurance, there may be some out-of-pocket expenses. This could include co-payments or covering expenses that extend beyond what insurance covers. Policies do have caps on how much someone can claim. So if the cost of the procedure exceeds that cap, you’ll have an out-of-pocket expense to pay.

Each insurance provider will have different caps on what their clients can claim. This may mean that expensive procedures, such as orthodontics, may not be completely covered by insurance. Furthermore, you’ll have different waiting periods before you can make a claim. So all in all, people need to be aware of the caps and waiting periods their insurance provider has so they can plan accordingly and be ready to pay extra expenses if needed.

Factors to keep in mind when choosing a provider

Australia residents have plenty of ways to find the right insurance provider. One good way is to go to iSelect to view dental insurance policies and find one that offers the right coverage. But people should consider a few important factors before finalizing their insurance provider choice.

One of the first things people should think about is dental health. When deciding between general and major dental coverage, those with overall healthy and problem-free teeth are probably going to be fine with choosing general coverage. But if you experience frequent dental issues or are going to need orthodontics in the future, major coverage may be the way to go.

Additionally, cost is, of course, a big deciding factor. It’s important to talk to potential providers to discuss premiums, co-payments, and caps on claim amounts. Families may also want to look into higher coverage options because they’ll have more people to take care of regarding insurance. And if someone has high coverage through their employer, paying for extra coverage may not be necessary.

Dental insurance may not seem like something necessary, especially if people don’t visit the dentist regularly. But dental insurance will help save money for unexpected expenses, such as a root canal or a filling. To avoid having to pay a lot of money out-of-pocket and struggling with a financial burden, be sure to invest in the right dental insurance for your needs.