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’s 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 6358 Reviews

Hanna Brzeski 1 day ago

My today's visit was for " dental hygenist" and I am very satisfied with professional service and I am looking forward for the next visit.

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Michele Ricchetti 2 days ago

Really good experience with Dr. Mags. He was friendly and professional and did a great job fixing my chipped front tooth.

Mr GoodKat 2 days ago

Excellent surgery, very modern and well appointed. Staff are very polite and well organised. Underground car parking is also very convenient. Definitely recommended.

Kaliopi 3 days ago

Dr Mohammad is so lovely and very knowledgeable. He developed a tailored treatment plan after intently listening to my needs/wants. I've definitely found my new permanent dentist!

Sonya Rezo 3 days ago

Very happy with treatment. I had deep clean. The dentist was very informative and made feel very calm. I recommend the team at Dental One Craigieburn

Rainnie Bell 4 days ago

Friendly and inviting place, I am terrified of the dentist but Dr Mohamed was very kind and understanding, as were his colleagues. I felt no judgement and felt very informed.

Megan Ung 1 week ago

Highly recommend this place! Great service from everyone - reception staff, dentists and dental assistants. Everyone was friendly, professional and warm.

Sarah Spalding 1 week ago

Dr Mags was kind caring professional and helped me overcome my initial anxieties
All the staff were welcoming and helpful

Lucia Franco 1 week ago

Very happy with the service. Also good location.
Dr. Daniel is very professional. He will make sure all your questions are answered.

Emre Coskun 1 week ago

Amazing work from the team at D1 Epping north, always a smooth and comfortable experience recommend everyone to visit and check out the team 👍👍👍👍👍👍