HBF Member Plus Dental FAQs

There are a number of advantages to joining the HBF Member Plus Dental Network:

• 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 level 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 100% back on the first scale and clean each year for 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 Member Plus provider online directory
• Promotion via HBF marketing campaigns
• Exposure to HBF’s more than 800,000 members across WA (According to APRA data at 30 June 2020)

HBF invites applications from interested dental practices located in Western Australia that wish to join our Member Plus network. There is no restriction on the number of practices accepted to join the Member Plus Dental Network.  

The Agreement will be held between HBF and a Practice Representative, with the Agreement covering all practitioners at the location. The Practice Representative is generally the business owner, business partner, or the principal dentist. HBF does 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 will be 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 should not apply to become 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 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 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 Member Plus providers. However, having specialists at the practice will not prevent that practice from being eligible for Member Plus, assuming all Practitioners who are eligible provide the Minimum Services and the practice meets all other criteria required by HBF.

Applications must be made via the Medipass Provider Portal, provided by Medipass Solutions Pty Ltd. You will need to register for the Medipass App. Please ensure that you read and understand the terms and conditions and the privacy statement that apply to use of Medipass, then follow the steps below:

1. Register for the Medipass Provider Portal
2. Once signed into Medipass, select ‘Documents’ on the left-hand side of the home page and follow the instructions provided
3. Review the application criteria to ensure your practice meets the criteria
4. Review and ensure you are comfortable with the terms and schedule
5. Complete the application and submit for review by HBF (HBF will respond to applications within 5 business days)

If you do not already have a Medipass account, register here. If you already have a Medipass account, sign in here.

HBF will email the Practice Representative within 5 business days of receiving the application to advise whether the application is accepted or declined.

We actively promote Full Cover providers to our members via our online search tool, HBF Provider Search. Powered by HealthShare, this tool allows members to search for Member Plus dental providers across Australia and find more information about providers such as contact details and practice locations.

In addition, we promote Full Cover providers via HealthShare’s website and GP online referral tools.

Please note, it can take up to 30 days for us to update your listing to identify you as a Member Plus provider.

To update your details on both the HBF Provider Search tool and HealthShare’s website, please contact HealthShare directly.

If you no longer wish to be promoted on HBF Provider Search, please contact HealthShare.

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

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

The Practice Representative must inform HBF 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 a Member Plus Agreement to be submitted. Re-acceptance onto the 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 HBF at least 7 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 Member Plus application must be submitted.

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 (i.e. item numbers D011 to D171). 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 ADA average fees and fees identified from HBF’s claims history. A copy of the HBF Dental Schedule is available via the Medipass Provider Portal.

HBF will review the HBF Dental Schedule at its discretion, and when doing so will keep in mind the cost effect of fee changes on member’s premiums. At a minimum, HBF 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 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 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. The Terms and Conditions can be found in the Medipass Provider Portal.