Is Dental Implant (Single)
covered by Medicare?

No. Medicare doesn't cover Dental Implant (Single) for cosmetic purposes. If the procedure is performed for a documented medical reason, the situation may differ. Ask your GP for a referral that specifies medical necessity.

A GP referral doesn't change whether Medicare covers a cosmetic procedure. For Dental Implant (Single), a referral won't open a Medicare rebate unless there is a documented medical indication.

Private health insurance can reduce out-of-pocket costs for Dental Implant (Single) if the procedure is performed in a private hospital and your policy includes the relevant clinical category. Check your extras cover and waiting periods before booking.

Ask your specialist for the specific MBS item numbers they plan to use, then check the Medicare Benefits Schedule to find the schedule fee and rebate. The gap is the difference between your provider's fee and the Medicare benefit.

The Medicare gap is the amount you pay after the Medicare rebate is applied. If your provider charges above the schedule fee, the gap is the difference between their fee and what Medicare pays. Providers using the known gap scheme agree to cap gaps at disclosed amounts.