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Private Health Insurance: 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

Fequently asked questions:

Is orthodontic treatment included?

No, orthodontics is excluded.

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

No, only procedures done at a Members First dentist are fully covered. As circumstances can vary with our Members First dentists please contact us for further information.

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?

If you switch to Mutual Community from a health fund where you and your children were on an equivalent level of extras cover to one of the eligible Mutual Community covers and have served all the applicable waiting periods, you will be able to access 'No gap dental' for your kids .

However, if you switch to Mutual Community from a health fund where you and your children are not on an equivalent level of extras cover you will only be able to take advantage of 'No gap dental' for your kids once you join Mutual Community on an eligible level of cover and have served any applicable waiting periods.

If you have any queries or would like to switch to Mutual Community, please contact us.

What are the applicable waiting periods?

If you are not already on an eligible level of cover with Mutual Community and upgrade, or are not on an equivalent level of cover to the eligible Mutual Community covers with another health fund before you switch to Mutual Community, then the waiting periods for 'No gap dental' for kids are:

2 months for general dental

12 months for major dental, dental sleep apnoea devices and pre-existing ailments

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

No, your kids will need to receive treatment at a Members First dentist to enjoy the benefits of 'No gap dental'.

Which covers are eligible for 'No gap dental' for kids?

To enjoy the benefits of 'No gap dental' for your kids, you and your children need to be covered by a Family or Family Plus hospital cover plus one of the following extras covers: Ultimate Extras, Platinum Extras, Gold Extras, Silver Extras, Executive Extras, Corporate Extras, Corporate 80 Extras or Corporate 60 Extras.

We are already members so does that mean we are automatically eligible for 'No gap dental' for our kids?

Providing you have one of the eligible combinations of Mutual Community hospital and extras cover and have served all applicable waiting periods, you will be able to take advantage of 'No gap dental'.

If you do not have one of the eligible combinations of Mutual Community hospital and extras cover you can upgrade and will be able to take advantage of 'No gap dental' for your children once you have served any applicable waiting periods. Until all applicable waiting periods have been served on your new level of cover your dental benefits will be payable under your previous level of cover.

If you have any queries or would like to upgrade please contact us.

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

On Mutual Community Family memberships, any single children under 21 and single full-time students under 25 are covered.

On Mutual Community Family Plus memberships, all single children are covered up to the age of 25, even if they are no longer students and living away from home.

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