Use the moneytime health insurance comparison engine to find the right health insurance policy for you.
I live in:
My status is:

Participating Health Funds

Health Fund: Mutual Community

Mutual Community Health Insurance

No gap dental for kids

Only Mutual Community covers all of the cost of your kids’ dental at Members First dentists right up until they turn 25.* That means you’ll benefit from no out-of-pocket costs on more than 250 dental services when you visit a Members First dentist – including check-ups, teeth cleaning, fillings, x-rays and more! Available on Ultimate and family hospital covers with Platinum, Gold or Silver Extras.

* Exclusive at Members First dentists on benefits payable. Excludes Orthodontics (normal benefits apply).Excludes hospital treatments. Waiting periods and normal fund dental rules apply. Child dependents only

Frequently asked questions:

Is orthodontic treatment included?

Orthodontics is not included.

Does 'No gap dental' for kids include wisdom teeth extraction in hospital?

No, only procedures done at a Members First dentist are fully covered. It is advisable that you contact Mutual Community for further information before undergoing a procedure as circumstances can vary Members First dentists.

We are with another health fund and would like to switch.  Will we be eligible for 'No gap dental' for our kids as soon as we join?

Provided that you are switching from a health fund where you and your children are on an equivalent level of cover, and you have served all the applicable waiting periods, you will be able to access 'No gap dental' for your kids.

If you are switching from a health fund that does not have the equivalent level of cover, you will only be able to access 'No Gap Dental' for kids once you have served the applicable waiting periods.

What are the applicable waiting periods?

If you are switching from a health plan that does not have the equivalent level of cover you will need to serve the applicable waiting periods for 'No gap dental', which are:

  • 2 months for general dental
  • 12 months for major dental, e.g. Root fillings, complex fillings, dental sleep apnoea devices and pre-existing ailments

Can we take our kids to any dentist and get 'No gap dental' for them?

No. You will only be able to take advantage of 'No gap dental' through a Members First dentist.

To be eligible for 'No gap dental' for kids, what type of health insurance is required?

You and your children need to be covered by a Family or Family Plus hospital cover plus one of the following extras covers: Platinum Extras, Gold Extras, Silver Extras, General Extras, Premier Extras, Ultimate Health Cover Extras, Executive Extras, Corporate Extras, Corporate 80 Extras or Corporate 60 Extras.

Will our kids automatically be eligible for 'No gap dental' if we are already members?

As long as you have one of the appropriate combinations of hospital and extras cover and have served your waiting periods you are eligible for 'No gap dental'.

If you do not have one of the appropriate levels of cover and would like to upgrade, you will only be able to take advantage of 'No gap dental' once you have served the waiting periods. Until then your dental benefits will be payable under your previous level of cover.

Up to what age can our kids receive 'No gap dental' on one of the eligible levels of cover?

A Family membership allows children to be covered if they are single and up to the age of 17 and if they are single and studying full-time they will be covered up until they are 25.

A Family Plus membership allows all single children to be covered up to the age of 25 even if they are not studying and are living away from home.


 

Back to Mutual Community main page