Pensioner Dental Plans Could Blow the Budget

11 June 2021

The Pensioner Dental Plans alone isn’t enough to provide free dental care for Australian pensioners. The cost of one dental implant can be five times that of what the Plan is offering over a two-year period. This proposal has the potential for considerable cost blowouts year after year.

“If the next Federal Government is serious about improving the dental care of older Australians, they will have to collaborate with health funds. In recent years health funds have played an increasingly important role in this area of healthcare but more needs to be done.

“Health funds have the experience and infrastructure in place to provide a more affordable and accessible dental health system and Private Healthcare Australia has met with both the Government and Opposition to express a willingness to work towards this goal.

“Increasingly, health funds are contracting with dentists and vertically integrating with dental practices, thereby consolidating and creating economies of scale. This is driven largely by a need to standardise quality, increase transparency on services provided, and reduce out-of-pocket costs for consumers.

“The facts are that 77% of people aged over 65 years have private health insurance; one-in-two Australians claim for dental services using their pensioner dental plan services through a health fund. Health funds now pay out over $2.7 billion per annum in dental benefits, which is more than Federal Government dental programs.

“In addition, 90 percent of dental services provided to low and middle-income earners get some level of reimbursement from a health fund and 60 percent of dental treatments/services in hospitals are also funded by health funds. In the year ending September 2018, private health insurance has funded almost 42 million dental services.”

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