It’s natural to want to have a beautiful smile and the confidence that comes with it. Whether this applies to your child or to you, orthodontics can help create a more pleasing appearance.

What are you covered for with orthodontics?

With Doctors' Health Fund, orthodontics is covered under our Total Extras and Essential Extras as detailed below: 

Essential Extras:

  • Orthodontics services to a lifetime limit of $1,250 accumulated at $250 per year of membership
  • 100% of the cost of orthodontics up to the accumulated limit at the time of using the service and within the total dental limit

Total Extras:

  • Orthodontics services to a lifetime limit of $3,000 accrued at $600 per year of membership
  • 100% of the cost of orthodontics

What is a lifetime limit?

A lifetime limit is the maximum cumulative total benefit you can claim for any service in a lifetime. So if you’ve received orthodontics benefits from any other private health insurer in the past, the amount you’ve claimed will count toward your lifetime limit. This will also apply if you move from one level of cover to another with Doctors’ Health Fund. You can contact us to check how much you can claim.

How can you claim for orthodontics?

There are several convenient ways for you to make a claim: 

  • online by logging into our member portal; simply attach a photo of your claim and submit
  • using our mobile app for Android or iPhone
  • by downloading and completing a Claims Form and
    -    emailing it to info@doctorshealthfund.com.au; or
    -    posting it to PO Box Q1749, Queen Victoria Building, Sydney NSW 1230; or
    -    faxing it to 02 9260 9958.

Is there a waiting period for orthodontics?

A 12-month waiting period applies to all major dental services, including orthodontics, but only if you are new to extras dental cover or if you are switching from a lower level of extras dental cover.

Need orthodontics, but aren’t covered for it?

If you are looking to use the services of an orthodontist and aren’t covered for it, you can switch to a higher level of extras cover* by contacting our expert Member Service Team on 1800 226 126 (between 8:30am and 6:00pm AEST, Monday to Friday) or emailing info@doctorshealthfund.com.au


*Relevant waiting periods will need to be served