No Gap Policy | Insurance Patients | HICAPS | Dental Rebates

No Gap Policy for Insurance Patients

At DentalOne, our goal is to make quality dental care accessible to all our patients. We are pleased to offer check-up and clean services, including x-rays, at no out-of-pocket cost for patients with dental insurance. This means that we will bill your health care provider directly (via HICAPS) and where a full benefit is provided you will not have to pay any additional amount towards your check up and clean.

This service is provided towards services ONLY including but not limited to:

Examinations, Cleans and X-rays.
Items such as Fillings, Extractions, Crowns, Root Canals, Dentures and Implants are excluded from our ‘No Gap’ dentistry and will have an out of pocket expense.
It is your responsibility to confirm whether you have an annual limit, how much is available and whether you will have sufficient funds to carry out your treatment
If your insurance provider does not provide the full rebate amount for a particular service due to reaching your yearly cap, you will need to pay the difference between the amount they would usually pay, and the amount they did pay.
If your insurance provider does not provide a rebate on the treatment code you will be required to pay the full amount out of pocket. We will always attempt to prepare a quote prior to any work commencing so you are aware of costs however it is ultimately the responsibility of the patient to ensure they have enough benefit remaining on their policy.
If a direct claim cannot be made on the day due to a patients insurance being un-financial (not up to date with payments), the card being too damaged to be read, or if the particular health fund is down via our Terminal, we may ask you to pay for the service and then claim back the total amount through your health fund. If the amount paid is higher than the claimed amount, we have a 30 day limit where DentalOne will refund you the difference between the amount paid by you and the amount paid by your health insurance.

Example:
Mary has an annual limit of $500 for General Dental per calendar year. She comes to DentalOne for a routine check-up and clean. The Dentist advises that Mary also needs 4 fillings and prepares a quote via HICAPS. Mary’s insurance will have enough funds to cover most of the treatment but will only cover $60 instead of $100 on the last filling. Mary will need to pay $40 out of pocket for the final filling. Mary will not have to pay any out of pocket on the other treatment.

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We are now located in Craigieburn, Essendon, Templestowe, South Yarra, Richmond, Reservoir, and Epping North. We believe every Melbournian deserves a perfect smile. Our accessible clinics offer comprehensive dental care tailored to your needs, ensuring quality treatment and personalised service across the city.

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4.9 Over 7066 Reviews

Dr. Adeela 1 week ago

Great dental experience today, friendly staff, and Dr Imran was amazing, Kind, gentle and explained everything well. Felt comfortable for my crown appointment. Highly recommended!

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LL LL 1 week ago

Kids had a great experience getting their teeth checked, and were keen on another visit. The doctors made the kids feel very comfortable.

Marya S 1 week ago

Professional staff. Good time management. Friendly reception. Had attended for both myself and my daughter. Great experience for both.

Yutika Saxena 1 week ago

It was a great experience with your staff members. Doctors are very friendly and proficient with their work. Hope to see you soon!

Angie Dandrea 1 week ago

This young dentist took the time to take all the stains out of my teeth with great care and dedication! Will be seeing her in future

Nazrah Jannoo 2 weeks ago

Very professional Dr Imran and very good approch of explaining everything before started.. I am very happy with the services and would recommend definitely 💯

Summer Nguyen 2 weeks ago

Really great experience with Dr. Hedra and nurse Tran! They made sure I was comfortable throughout the whole appointment and was very thorough. Definitely coming here again :)

jairo salazar 2 weeks ago

Excellent services 🤗
Very professional stuff, they receptionists were very kind and help me to much. The doctor did an amazing job. Thanks guys for your passion doing this 🙏

Neima Siraj 2 weeks ago

We had a great experience with Mimi. She was kind and had alot of patience with my 5 year old who was nervous for her first dental appointment.