Dental extras at EasyCare
How your dental health fund works
Have dental extras cover? We can process eligible claims through HICAPS at EasyCare Family Dental. Your fund decides the rebate; we explain our fee and treatment items so you can understand the likely gap before proceeding.
Our reception team can help you with the claiming process.
At your appointment
Can I use my health fund at EasyCare?
Yes, we offer HICAPS on-the-spot claiming for eligible dental services with participating funds. Bring your current physical or supported digital membership card. After treatment, we submit the claim if it is available; you pay any remaining amount. If a claim cannot be processed on the day, our team can provide an itemised receipt so you can contact your fund about claiming.
Having a health fund card does not mean every service is fully covered. HICAPS processes an eligible claim; your insurer sets the benefit under your policy. Ask your fund whether any provider arrangement changes your rebate or gap.
Understand the gap
How much will my health fund pay for dental care?
The rebate depends on your extras policy, the dental item numbers, waiting periods, service and annual limits, remaining benefits and any fund-specific conditions. General dental often includes examinations, cleans, X-rays and fillings; crowns, bridges or root canals may have separate major dental or endodontic benefits. Orthodontics may have its own limits. Categories vary by insurer and policy, so confirm each item with your fund.
“100% back” can still have conditions, such as eligible items, a fund fee schedule, service limits or a provider arrangement. We cannot promise a no-gap appointment based on the wording of a policy alone.
Before you commit
Check these four things with your health fund
1. Is the item covered?
Ask about the actual dental item numbers on your quote, particularly for crowns, root canals, extractions and orthodontics. A general description may not tell you the benefit.
2. Has the waiting period ended?
Waiting periods differ between policies and types of treatment. Confirm your eligibility with the fund before relying on a rebate.
3. What benefits remain?
Check annual, combined, service and lifetime limits, plus when your particular benefit period resets. Do not assume every policy resets on 1 January.
4. What gap should I expect?
Give your fund the quoted fees and item numbers and ask what it expects to pay at EasyCare. Fund estimates can change if the treatment plan or eligibility changes.
If you are comparing policies, the Australian Government’s private health insurance comparison tool lists policies and their Private Health Information Statements. EasyCare cannot recommend a particular fund for your personal circumstances.
Larger treatment plans
Need a quote for major dental treatment?
After examination and any indicated imaging, we can explain the treatment options, fees and relevant item numbers. You can then ask your insurer for an estimate before you decide. A crown, root canal treatment or Invisalign treatment may be handled differently by your policy. We can also discuss payment options if a gap remains.
Do not delay a painful or spreading dental problem solely to wait for an extras limit to reset. Call us if you need urgent dental care.
Ready to visit?
Book dental care and bring your fund details
Choose an appointment online, or call our team if you want help understanding the claiming steps. We will explain the EasyCare fee and the next step for your care.
