Health insurance for major dental

The way health funds categorise their dental services can get confusing. If you’re not sure what’s included, simply give us a call and we’ll answer all your questions, and help you compare policies.

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Written by Joshua Malin
Reviewed by Steven Spicer
Updated 04 June 2024

Why take out major dental cover

We all know how important it is to look after your teeth, but it can be hard to know which types of dental treatments to get covered for. Here are some of the benefits of extras cover for major dental services:

  • For many, the cost of major dental procedures without insurance can be prohibitively expensive, but with a sufficient level of cover, you’ll have a more reasonable out-of-pocket cost, or in some cases no gap at all!
  • In Australia, dental care is rarely covered by Medicare, as it’s not considered medically necessary. However, looking after your oral health now could prevent a medical emergency in the future.
  • If you have kids, there’s a good chance they’ll need some dental work as they grow up. General dental could cover some of these costs, but something like a wisdom tooth extraction might be classified as a major dental treatment. In some cases, such as wisdom tooth extraction, a hospital admission may be required which would require an appropriate level of hospital cover.

Choosing cover for major dental

Once you’ve decided you want extras cover with major dental insurance, all that’s left to do is compare your options and pick a private health insurance policy that works for you. Here are a few things to consider while you browse:

  • What’s covered. The way that dental treatments are sorted into different categories varies between health funds, so remember to check which item numbers sit under major dental.
  • Waiting periods. Before you can claim on your policy, you’ll need to serve a waiting period. These periods vary between health funds and are occasionally waived for promotional purposes. Although, waiting period waivers typically only apply to 2 and 6 month waiting periods, while major dental traditionally has a 12 month waiting period.
  • Annual limits. This is the maximum amount you can claim on a service in a year. Other types of limits may also apply (e.g. lifetime limits, sub-limits and policy limits).

What major dental covers

What is classified as major dental?

General dental vs major dental

Health insurance and major dental

The cost of major dental without insurance

Can you get major dental cover with no waiting periods?

Meet our health insurance expert, Steven Spicer

Steven Spicer
Executive General Manager – Health, Life & Energy

As the Executive General Manager of Health, Life and Energy, Steven Spicer is a strong believer in the benefits of private cover and knows just how valuable the peace of mind that comes with cover can be. He is passionate about demystifying the health insurance industry and advocates for the benefits of comparison when it comes to saving money on your premiums.