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Health Industry Claims and Payments Service (HICAPS):
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HICAPS is an electronic system for on-the-spot health insurance claims.
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Allows patients to claim rebates directly at the time of their dental appointment.
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Reduces out-of-pocket costs by processing health fund rebates immediately.
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Patients only pay the remaining balance after the rebate is applied.
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Accepted by most dental practices, streamlining the payment process.
Child Dental Benefits Schedule (CDBS):
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Eligibility: The CDBS is available to children aged 2 to 17 who are part of a family receiving certain government benefits, such as Family Tax Benefit Part A or other relevant payments.
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Coverage: It provides financial assistance for a range of basic dental services, including:
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Preventative care (check-ups, cleaning, and fluoride treatments).
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Minor treatments (fillings, extractions, and X-rays).
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Other basic dental services, depending on the child’s needs.
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Limit: The CDBS provides up to $1,013 in benefits over a two-year period. This amount covers all eligible dental services provided during that time frame.
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No Out-of-Pocket Costs: If the dental practice bulk-bills, there are no out-of-pocket expenses for eligible services under the CDBS, reducing the cost burden for families.
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Accessing Benefits: To use the CDBS, parents or guardians need to ensure their child is eligible through Medicare, and they must visit a participating dentist who can claim directly through Medicare
Department of Veterans' Affairs (DVA):
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Offers dental care benefits to eligible veterans, current serving members, and their families.
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Covers a range of services including routine check-ups, treatments for service-related injuries, and essential dental care.
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Eligibility and coverage depend on the individual's service and specific DVA programs.