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Are Dentures Covered by Medicare

Are Dentures Covered by Medicare?

By: | Tags: | August 15th, 2019

If you need to start wearing dentures, you will most certainly want to know what type of funding methods are available to you. This is necessary because you will need to visit your dental prosthetist on a regular basis for denture maintenance.

When it comes to the costs associated with dentures, prices tend to vary. A single full plate may cost as much as $5,000 or only a couple hundred dollars. The difference in pricing depends on the type of dentures and the amount of work that needs to be done. Moreover, a portion of the cost goes toward the removal of your teeth.

So, you may be wondering, are dentures covered by Medicare?

Dental care & Medicare – Two in one?

  • Medicare, the publicly funded universal health care system in Australia, is the primary funder of health care in Australia. You are eligible if:
  • You are a citizen of Australia or New Zealand;
  • You are a permanent Australian resident;
  • You have applied for permanent residency and meet a few other basic criteria;
  • You are a beneficiary of a Reciprocal Health Care Agreement cover by another country.

You can be issued with a Medicare card if you meet any of the aforementioned criteria. Children ages 15 and up have their own Medicare card, while children under the age of 15 can be a beneficiary of their parents’ Medicare.

When it comes to dental care, Medicare only covers treatments that are considered crucial to the patient’s well-being. That being said, cosmetic procedures that enhance the appearance of your smile are not covered by Medicare. However, diagnostic, preventative, and restorative dental procedures are covered by Medicare (depending on the state and territory, whole or partial cost may be covered).

While Medicare will cover the cost of a tooth extraction procedure, it will not cover the cost of dentures after the procedure. Similarly, if you have been in a car accident and you require tooth extraction as part of a surgical procedure to repair a facial injury, Medicare will cover the cost of your tooth extraction; however, it will not extend coverage to any other dental work that you may require once you have had the tooth removed.

Your dental insurance may cover a small portion of the cost of getting dentures, but you can expect the majority to be out of pocket expenses. For this reason, it is recommended to consult with a clinic that offers a prompt and efficient payment plan for all of your private health-related claims.

This is where we come in.

Staying true to our promise

At Aesthetic Denture Clinic, we utilise the latest in aesthetic technology and clinical techniques to offer you all types of dentures of the highest quality, thereby serving and meeting your expectations. Our aim is to provide you with dentures that are amazingly lifelike, comfortable, and customised for your individual needs so that you can feel confident when you speak, eat, and smile.

Most importantly, dentures should be pain-free – and you also shouldn’t have to feel the pain of breaking the bank to get them. We offer a complimentary initial consultation to discuss your needs and requirements, as well as to determine the appropriate costs for all denture fittings, repairs, and implants. If your private health insurance covers dental work, you should discuss the rebate on your treatment to avoid any unpleasant surprises when it comes to claiming expenses for your new dentures.

If you wish to obtain an accurate estimate of your out of pocket costs, you will need a quotation from the clinic, which we would be more than happy to provide. From there, with our interest-free financing options, you cannot go wrong.

To learn more about our interest-free financing options speak to the Aesthetic Dentures team today!