Basic Dental Trauma Benefit

The Fund pays for basic dental trauma procedures from the Basic Dental Trauma Benefit.

This benefit covers you for sudden and unanticipated impact injuries because of an accident or injury to teeth and the mouth when there is partial or complete loss of one or more teeth that requires urgent care. Payment is subject to clinical criteria and the Fund Rules.

This is how we pay for basic dental trauma procedures

We pay claims for your authorised treatment up to 100% of the Fund Rate, up to a specific limit per beneficiary per year.

You must pay an upfront payment (deductible) to the facility if the procedure is done in a hospital or day clinic.

Read the member guide for more information.