COVID-19 payments to members
HBF is returning $42 million to members who held Hospital and/or Extras cover between 25 March 2020 and 30 June 2020.
Members highly value visiting a Member Plus Dental Practice so they can take advantage of:
There are a number of advantages to joining the HBF Member Plus Dental Network:
The dental practice must comply with the following criteria to be considered for an HBF Member Plus Dental Agreement:
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:
If you do not already have a Medipass account, register here. If you already have a Medipass account, sign in here.
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.
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.
Agreement means all current HBF Member Plus Dental Agreements.
Eligible Member means a person who:
HBF Dental Schedule means the schedule of maximum prices for dental services which is located in the Medipass Provider Portal app.
Medipass Provider Portal means the Medipass Provider Portal app available via www.medipass.com.au
If you do not already have a Medipass account, register here.
If you already have a Medipass account, sign in here.
Minimum Services means Preventative Services, which must include a scale and clean and/or the provision of mouthguards.
Practitioner means a qualified dentist or prosthetist who:
Preventative Services is closely aligned with the Diagnostic and Preventative categories in The Australian Schedule of Dental Services and Glossary. Specifically, item numbers D011 to D171 with the exception of item number D118 which falls into HBF’s General Restorative category.
Service means any dental service including an Eligible Service.
Eligible Service means an item set out in the HBF Dental Schedule.
Specialist means a specialist Practitioner such as an oral surgeon or periodontist.
For all ancillary registration queries please feel free to contact our provider registration team. For any Member Plus specific queries, please contact our ancillary provider relations team.
1300 810 475 8am-4pm AWST*
1300 810 475 8am-4pm AWST*
1300 810 4758am-4pm AWST*
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