Dental Surgery

What is covered under Dental Surgery?

Hospital Cover for Dental Surgery includes hospital treatment for surgery to the teeth, gums and jaw.

Examples include:

• removing a wisdom tooth under general anaesthesia
• removing a tooth or a tooth fragment under general anaesthesia
• dental implant surgery
• jaw growth guidance using removable or functional appliances (like braces), including supply of appliances and all adjustments to appliances.

This clinical category includes these treatments listed in the Medicare Benefits Schedule (MBS).

Which Hospital Cover tiers include Dental Surgery?

What does it mean if cover is ‘optional’?

‘Optional’ means that the Australian Government allows insurers to choose whether or not to cover the clinical category under that Hospital Cover tier.

What does ‘restricted cover’ mean? 

Restricted cover means the insurer pays only limited benefits. 

If insurers offer cover for Dental Surgery under a Basic policy, they can do so on a ‘restricted’ basis. If you are admitted as a private patient in a private hospital for treatments under this clinical category, you will face considerable out-of-pocket costs.

Always check with your insurer before agreeing to be treated as a private patient in a private hospital if you have restricted cover for Dental Surgery. 

Does Medicare cover Dental Surgery?

Yes. Medicare includes all treatments under the Dental Surgery clinical category.

If there is an MBS item number for the treatment, Medicare covers it. 

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