At Urban Smile, we believe everyone deserves a confident, beautiful smile—without worrying about the cost. If you have private health insurance with extras cover, you may be able to claim a portion of your clear aligner treatment and other services. Here’s everything you need to know to make the most of your health insurance benefits. You can find more info on ways to pay here.
Can I Claim Clear Aligners on Private Health Insurance?
Yes! If your extras cover includes orthodontics, you could receive a rebate for your Urban Smile clear aligner treatment. Every health fund is different, so it’s essential to check with your insurer about your specific policy, annual limits, and lifetime orthodontic limits. Some patients can receive as much as $2,500 back on their treatment, so it’s definitely worth checking with your insurer!
How Much Can I Claim?
The amount you can claim depends on several factors, including:
- Your Health Fund and Level of Cover: Each health fund offers different benefits based on your plan.
- Annual and Lifetime Orthodontic Limits: Many policies have a maximum amount claimable each year and a lifetime cap.
- Previous Orthodontic Claims: If you’ve claimed for orthodontics before, your available benefits may be reduced.
How Do I Claim?
Once you begin your treatment at Urban Smile, we’ll provide you with a detailed tax invoice to submit to your insurer. We also have HICAPS machines in-studio, allowing you to claim for teeth cleans on the spot. If you need help navigating your claim, our studio teams are happy to assist.
Not Sure What You’re Covered For? Ask These Questions:
If you’re unsure about your cover, a quick call to your health fund can clarify everything. Ask the following questions:
- Do I have orthodontic cover under my extras policy?
- What’s my annual limit?
- What’s my lifetime limit for orthodontics?
- How much of my limit have I already used?
Understanding Health Insurance Item Codes
Health insurers use specific item codes to identify dental and orthodontic services. You can provide these codes to your insurer to confirm your coverage or visit your local Urban Smile studio for an on-the-spot quote based on your plan:
- Clear Aligners: Code 825 Per arch (upper and lower aligners included)
- Removable Replacement Retainer: Code 811 Per arch
- Bonded Retainer: Code 845 per arch
- Bonded Retainer Repair or Removal: Code 872
- Express Teeth Clean: Codes 013, 114 or under general dental
- Teeth Whitening: Coverage varies by insurer. Contact your insurer or visit your local studio for a personalised quote.
Get the Most Out of Your Health Insurance
We’re here to help you maximise your health insurance benefits and achieve your dream smile. If you have questions or need assistance with your claim, contact your local Urban Smile studio today!