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 6850 Reviews

Brooklyn Zukanovic 1 day ago

come here often due to orthodontics and check up and cleans, nothing bad to say everyone’s so kind and they care about you

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Tracey Crain 1 day ago

Ragy was fabulous 👌 . Very professional and warm friendly manner. I'm travelling at present, but if I lived Melbourne he would be my new dentist.

Mubeen Riaz 2 days ago

It was a wonderful experience at dental one Cragieburn specially thanks to Victoria the way she treated us and Perody for the wonderful treatment.Highly recommend 👍🏻

D Z 3 days ago

I like the environment and experience with Dental One. And Seean is a very nice dentist for any age groups. Highly recommended.

Muhammed Demir 3 days ago

Amazing service by Dr. Ingrid and a great smile from the admin lady at the front named Houlia. Will definitely visit again

Nez Karabulut 3 days ago

Loved my experience here. My kids also come here. Dentists always care for each of our needs. Thankyou very much for all the help 😊😊

Geetha Khisty 1 week ago

Jacqueline, the oral therapist, was sweet to converse with & great at her task of cleaning out my teeth. Look forward to my regular check-ups up & clean in 6 months time.

Ghanshyam Boghara 1 week ago

The dentists were both very kind and helpful. They told us all relevant information and it was very quick and painless. It was great!

Ivan Lee 1 week ago

Dr. Francis Tenazas as my regular dentist has always been amazing. Makes sure you are comfortable all throughout the process. Thanks Dental One Richmond.

Ayesha Khan 1 week ago

Amazing experience with my Invisalign at the clinic. Laura and the team have done a great job I’m extremely satisfied with the treatment.