HBF Member Plus Dental FAQs

At an HBF Member Plus dental provider, eligible^* HBF members can get:

• Certainty on benefits and out of pockets^* on Preventative Dental treatment. Depending on an HBF member’s level of cover, they can get 75%, 85%, or 100% back on Preventative Dental services.
• Eligible^* HBF members can claim one fully covered scale and clean each year.^* 

There are several advantages to joining the HBF Member Plus Dental Network, including:

• Ability to promote percentage benefits to Eligible Members for Preventative Services and a no gap experience on Preventative Services to Eligible Members on the highest levels of extras cover. These percentages are 75%, 85% or 100% back depending on the member’s level of cover and up to their annual limit
• Ability to promote and provide one fully covered scale and clean to Eligible Members per calendar year
• Ability to promote the practice as an HBF Member Plus Dental Practice and ability to promote Practitioners at the practice as HBF Member Plus Dental Providers
• Inclusion in HBF’s ‘Find a Health Provider’ online directory
• Promotion of the HBF Member Plus dental network via HBF marketing campaigns
• Exposure to HBF’s ~890,000 members across WA (According to APRA data at 30 June 2024)

We invite applications from interested dental practices located in Western Australia. There is no restriction on the number of practices accepted to join the HBF Member Plus dental network.

Once accepted, an Agreement between HBF and a Practice Representative will be prepared which will cover all Practitioners at the location. The Practice Representative is generally the business owner, business partner, or the principal dentist. We do not accept practice managers as the Practice Representative.

A Practice Representative must be authorised by all Practitioners at the practice to enter into the Agreement on their behalf. It is the responsibility of the Practice Representative to uphold the Terms of the Agreement with all Practitioners. If any Practitioners at the dental practice do not wish to comply with the Terms of the Agreement, then you are not eligible to be an HBF Member Plus Dental Practice.

The dental practice must comply with the following criteria to be considered for an HBF Member Plus Dental Agreement:

• All dentists and dental prosthetists at the practice must be registered with the Australian Health Practitioner Regulation Agency (AHPRA) and HBF
• The dental practice must provide and intend to continue to provide Preventative Services at a minimum of scale and clean and/or provision of mouthguards (Minimal Services)
• The dental practice must be registered for electronic claiming
• The intended Practice Representative who will agree to the Terms of the Dental Agreement and Collection Statement must be authorised to act for and sign on behalf of all Practitioners at the practice

Specialists (such as Periodontists and Oral Surgeons) and those who do not provide the Minimum Services are not eligible to join as HBF Member Plus providers. However, having specialists at the practice will not prevent that practice from being eligible for HBF Member Plus, assuming all Practitioners who are eligible provide the Minimum Services and the practice meets all other criteria required by HBF.

To become a HBF Member Plus dental practice email dentalnetwork@hbf.com.au or contact us on 1300 810 475.

We will email the Practice Representative within five business days of receiving your application to advise whether your application has been accepted or declined.

For the practice to be eligible to apply for a Member Plus Agreement, all Practitioners at the practice who provide the Minimum Services must agree to be on the Agreement. If there are Practitioners at a practice who do not wish to join HBF Member Plus, then that dental practice is not eligible to become an HBF Member Plus dental practice.

We invite all interested practices to apply for an HBF Member Plus Dental Agreement. If you own multiple practices, please submit an individual application for each practice. We will review and consider each practice individually.

The Practice Representative must inform us of any change in control of the practice prior to such change occurring. Any change to the control of the practice or Practice Representative will require a new application for an HBF Member Plus Agreement to be submitted. Re-acceptance onto the HBF Member Plus Agreement for the new owners/Practice Representative is not guaranteed.

The Practice Representative can request to add new and remove departing Practitioners from an Agreement. The Practice Representative is required to give us at least seven days’ notice of any Practitioner who is proposed to commence or cease to provide Eligible Services at the Practice. All new Practitioners are subject to review and approval.

You cannot change the Practice Representative without triggering a termination of the Agreement. In all instances where the Practice Representative changes, the Agreement will be terminated and a new HBF Member Plus application must be submitted.

HBF Member Plus Practices cannot charge more than the set fees in the HBF Dental Schedule. The HBF Dental Schedule focuses on Preventative Services. It is closely aligned with the Diagnostic and Preventative categories in The Australian Schedule of Dental Services and Glossary. The only exception is item number D118 which falls into HBF’s General Restorative category.

The maximum fees have been determined following a detailed review of the Australian Dental Association’s average fees and fees identified from our claims history.

We will review the HBF Dental Schedule at our discretion, and when doing so will keep in mind the cost effect of fee changes on member’s premiums. At a minimum, we will review the item numbers and maximum fees on the HBF Dental Schedule when there is a change to those item numbers in The Australian Schedule of Dental Services and Glossary.

The practice is not required to offer all services on the HBF Dental Schedule. However, all Practitioners at the practice must offer the Minimum Services.

The Minimum Services are a scale and clean and/or the provision of mouthguards. All Practitioners (excluding specialists) at the practice must provide the Minimum Services for the practice to be eligible to apply for HBF Member Plus.

Yes. Member Plus Practices may offer discounts on services if they wish, including discounts on Preventative Services on the HBF Dental Schedule. However, any discounts must be subtracted from the fee prior to submitting a claim to HBF.

As a Practice Representative, you must ensure that all Practitioners will charge Eligible Members no more than the maximum fee for all services on the HBF Dental Schedule.

Where overcharges occur, you accept all responsibility and liability for ensuring the appropriate remediation actions are taken and repayments occur as directed by HBF.

You should read the Terms and Conditions of the Agreement to fully understand your obligations and rights, including your rights to terminate.