Investing in dental implants to restore missing teeth often makes informed choices for long-term oral health. For many, getting these tooth restorations is a big financial aspect. Fortunately, various health funds can help with managing dental implant costs. Yet, it can be a bit tricky to figure out what they can cover and how they work in general.

In this blog, we’re going to make it all clear. We’ll discuss what dental implants are all about and how different health funds may support your journey towards a complete smile. We will also discuss the practicalities of financing this important oral health investment. Keep reading to discover how you can wisely invest in your smile with a little help from your health fund.

Summary of the Content

  • Dental implants are a significant advancement in dental care, providing a comprehensive restoration for missing teeth.
  • The cost of dental implants widely varies depending on factors such as the type of implants, materials used, and the clinic’s location. This is why consulting a qualified dentist is essential for financial readiness.
  • Health funds in Australia generally categorise dental implants under ‘major dental cover,’ which includes more complex procedures.
  • For financial planning, patients should review their health fund policy for specifics on dental implant coverage and understand any associated costs.
  • Alternative financing options are available, including government schemes and payment plans if health funds are not available.
  • Preparing for a dental implant procedure involves sharing your medical history, adhering to pre-surgical instructions, and planning for post-surgery recovery.
  • Dental implants provide long-term benefits, including improved oral functionality, prevention of jawbone deterioration, aesthetic enhancement of the smile, and easy maintenance.

Understanding Dental Implants and Your Health Fund Options

Dental implants stand out as a significant advancement in dental restoration. They offer a comprehensive alternative for those seeking to replace their missing teeth. Implants act as artificial tooth roots and support replacement teeth, such as dental crowns. This restoration is often preferred for its ability to function like natural teeth, giving you back your natural bite.

When it comes to financing dental implants, health funds in Australia often classify them under ‘major dental cover’. This is a type of policy that covers more complex and costly dental procedures, including tooth implants, crowns, and dentures. It’s different from general dental cover, which generally includes basic services like routine checkups and teeth cleanings. Major dental cover often has higher premiums, but it is designed to support more significant dental work.

Now, let’s look into how health fund policies in Australia might cover dental implants and what you need to know.

  • Check the policy of your preferred health fund:
    Before deciding on dental implants, it’s crucial to review your health fund’s policy thoroughly. Not all policies cover dental implants, so this is an important step.
  • Understand the limits:
    Since dental implants are classified under major dental procedures, they might not be fully covered by health funds. Policies might have caps on how much you can claim for dental implants.
  • Consider waiting periods:

    Some health fund policies require a waiting period. This is the duration of holding the cover before you can make a claim for dental implants.

Understanding these aspects of health funds can help you with your decision-making and financial planning for dental implants. This information is your first step towards achieving that complete, natural-looking smile with the financial support you need.

Navigating Health Fund Cover for Dental Implants

Understanding your health fund cover for dental implants doesn’t have to be complicated. With the proper approach, you can find out what your policy includes and how it can help with your dental implant costs. Let’s discuss the steps to make this process clear and manageable for you:

Start with Your Policy Document

  • As we’ve mentioned earlier, begin by reviewing your policy document. This is your roadmap to understanding what’s covered and what’s not.
  • Look for sections labelled ‘Major Dental’ or ‘Prosthodontics,’ as dental implants often fall under these categories.


Contact Your Health Fund

  • If the policy document isn’t clear, the next step is to call your health fund provider directly. They can clarify specific terms and the limits of dental cover.
  • Ask specific questions about dental implants and note down their responses for future reference.


Read the Fine Print

  • Pay attention to the fine print in your policy. It often contains crucial information about exclusions, limits, and waiting periods.
  • Look for any clauses that might affect your cover, such as restrictions on pre-existing conditions or if you need to choose from a network of approved dentists.


Understand the Financial Aspects

  • Inquire about the annual limits on claims for major dental procedures and whether there are any co-payments or gaps you may need to cover.
  • Discuss how much of the dental implant procedure costs they cover and what you would need to pay out-of-pocket.


By following these steps, you can gain a clearer picture of your dental implant coverage and make informed decisions about your treatment. Remember, your health fund provider is there to assist you, so don’t hesitate to reach out for clarification.

The Cost Spectrum of Dental Implants in Australia

Recognising the costs associated with dental implants is crucial for anyone considering this as an oral health investment. Generally speaking, the price of straightforward dental implants can range between $4,500 and $5,000 per tooth. On the other hand, single tooth implants that require a bone graft can start at $11,500 per implant post.

Many factors can influence the cost of the procedure, so let’s discuss them in detail:

  • Number of Implants Required:
    The total cost is significantly influenced by how many dental implants you need. Replacing just one tooth will be less costly than multiple implants for several missing teeth​​​​.
  • Location of the Implants:
    The location of the missing teeth plays a role in determining the cost. Front teeth often come at a higher price due to the complexity of the placement.
  • Type of the dental implant:
    Different types of implants can impact the cost. While standard implants are generally more budget-friendly, premium implants are known for their higher-quality materials and results​​. They offer better aesthetic and functional results but at a higher price​​.
  • Additional procedures required:
    Procedures like dental bone grafting, sinus lift, or gum tissue grafting may be necessary before the implant placement. These preliminary procedures can add to the overall cost of your dental implant procedure​​​​.
  • Diagnostic scans and preliminary assessments:
    Initial diagnostic scans, such as dental X-rays and CT scans, might also add to the treatment costs. These are essential tools for assessing the jawbone’s suitability for supporting implants.
  • Choice of materials:
    Teeth implants are made from materials like titanium and zirconium, each affecting the cost differently. Titanium is widely used for its durability, while zirconium blends well aesthetically with natural teeth​​.
  • Dentist’s skills and experience:
    The cost can also vary based on the dentist’s experience and skills in implant dentistry. Dentists with higher levels of skill and experience might have higher fees, but they also bring valuable precision to the procedure. Hence, they tend to offer more successful and efficient treatment outcomes.
  • Geographical location:
    Dental implant costs can also differ based on the clinic’s location. For instance, prices in urban areas might be higher compared to rural areas due to the difference in operational costs.

Health Fund Cover Explained

Figuring out what your health fund covers when you get dental implant treatment is crucial. It helps you understand what costs might be covered and what you might have to pay yourself. This way, you can plan your dental implant treatment better and know what to expect financially.

  • Variability of health fund cover:
    The extent of cover for dental implants can vary significantly. Some providers may cover all or only a portion of the treatment cost. Even if your fund covers dental implants, you should prepare for out-of-pocket expenses due to annual claim limits or partial cover​​.
  • When you might get cover:
    Generally, dental implants are considered a cosmetic procedure and are not widely covered. However, if they are deemed medically necessary, then your health fund might cover part or all of the cost. Such instances include tooth loss from medical conditions like oral cancer or physical issues affecting speech or eating.
  • Breakdown of the health fund cover:
    If your health fund covers dental implants, the cover can include the following:
    • Pre-surgical procedures, such as tooth extractions.
    • The surgical implant procedure.
    • Post-operative care for recovery monitoring.
    • Restorative components like crowns, bridges, or dentures.


Exploring your health fund benefits for dental implants is crucial. We highly recommend reaching out to your health fund provider directly to fully understand the specifics of your plan. It should cover aspects including annual limits, waiting periods, and the extent of benefits provided for various stages of the implant procedure.

Understanding Waiting Periods

A waiting period is a time frame set by health fund policies before you can claim benefits for certain treatments. This period starts when you either take out a new policy or upgrade your level of cover. It’s designed to prevent individuals from making large claims soon after joining a fund and then cancelling their membership. That would otherwise lead to increased premiums for all policyholders​​.

  • Standard waiting periods for dental implants
    Generally, the waiting period for dental implants could be anywhere from two to 12 months. The timeframe depends on the specifics of your health fund and the nature of the treatment​​​​.
  • The role of waiting periods
    Waiting periods are established to prevent immediate, high-cost claims by new members. Thus preserving the funds’s stability and fairness for all members. When you initiate a new health fund policy or opt for higher cover, these waiting periods come into effect.
  • Impact on dental implant planning

    These waiting periods are significant in planning the timeline for your dental implant procedure. This helps make certain you contribute to the health fund for a certain period before accessing cover for more significant procedures like implants​​.

Being informed about the waiting periods required by health funds is essential for managing your treatment expectations and financial planning.

Financing Your Dental Implants Beyond Health Funds

When health fund cover falls short for dental implants, there are alternative financing options that can also help patients manage the treatment cost. These include the following:

Government Schemes

For individuals seeking financial support beyond health funds, government dental schemes provide a valuable alternative. In Australia, several government programs are established to assist with dental costs, particularly for eligible groups. This includes children, older people, and those with special healthcare needs.

These schemes may vary from state to state. They offer subsidised rates for dental treatments, including implants. However, it’s important to check the eligibility criteria, as these schemes often target specific segments of the population.

  • Early super release:
    This program allows individuals to access their superannuation early for necessary, significant dental treatments like dental implants. It requires meeting specific criteria and a detailed application for approval.
  • Dental Care for DVA cardholders:
    For DVA (Department of Veterans Affairs) cardholders, there are specific dental care benefits that can include cover for dental implants.


Payment Plans:

Payment plans are another practical option for managing the cost of dental implants. These methods enable patients to spread the expenses over a set period, making it more manageable to access necessary dental care. These plans often involve instalments, either monthly or as agreed upon with the dental clinic. Some oral health providers might offer their own in-house payment plans, while others partner with external finance providers.

  • Afterpay:
    Afterpay is a popular financing option that allows you to receive your dental implant treatment immediately and pay for it in four equal instalments, due every two weeks. The service is interest-free if you pay on time, making it a convenient option for those who prefer to spread the cost over a short period.
  • ZIP Pay:
    This option allows you to pay off dental implant costs over a period that suits your budget. ZIP Pay offers the benefit of immediate treatment with the flexibility of choosing a repayment option. You can choose whether you prefer weekly, fortnightly, or monthly repayment options. There’s a small monthly account fee, but you’ll pay no interest on the amount you owe.
  • Fund My Dental:
    Fund My Dental is another financing alternative particularly intended for dental treatments. It offers tailored payment plans to cover dental costs, making it easier to afford necessary treatments without delay. This service is particularly useful for more significant expenses like dental implants, providing a structured payment schedule to ease the financial burden.


These financing options are designed to make dental implants and other oral care services more accessible and manageable, even without health funds. At TranscenDental Chatswood, we provide various payment methods to help our patients prioritise oral health without the stress of one-time full payments.

Preparing for Your Dental Implant Procedure

Undergoing a dental implant procedure requires careful preparation. Here’s a checklist to help you get ready for your upcoming oral surgery:

  • Medical and dental history:
    Provide your dentist with a full account of your medical and dental history. This information should include any chronic conditions, allergies, and a list of all medications you’re currently taking. Disclosing your medical and oral health history is crucial for the dentist to plan the procedure safely, particularly considering anaesthesia and post-operative care.
  • Pre-surgical instructions:
    Follow any specific pre-surgery instructions advised by your dentist leading up to the surgery. These might include fasting for a certain period before the surgery or temporary adjustments to your medication guidelines. Following these instructions is vital for a smooth procedure and reducing the risk of complications.
  • Post-surgery recovery preparations:
    Plan your recovery phase by arranging for someone to drive you home following the dental implant surgery. This is important, as you will be under the influence of anaesthesia or sedation. Consider taking time off work and preparing a comfortable rest area at home. It’s advisable to have someone stay with you for the first 24 hours after the procedure to assist you with food and other personal things.
  • Prepare food:
    Stock your kitchen with soft foods and nutrient-rich liquids. After the dental implant procedure, you’ll need to adhere to a diet that doesn’t put a strain on your new implants or food that requires less chewing. Think soups, smoothies, and other easy-to-eat meals that will aid in your recovery.
  • Emergency contact information:
    Keep a list of essential contact numbers, including your dentist’s clinic and a trusted emergency contact. Having these numbers readily available can provide peace of mind and quick access to help if needed.
  • Financial planning:

    As we’ve mentioned earlier, we highly recommend reviewing health fund policy to understand the extent of cover and required waiting periods. Additionally, have a clear financial plan in place for your procedure. This includes not just the cost of the surgery itself but also any follow-up appointments and oral care products you might need.

Proper preparation is crucial for a successful dental implant procedure and a smooth recovery. Taking the time to carefully plan and prepare can lead to a more comfortable experience and better surgical outcomes.

The Benefits of Dental Implants and Why They're Worth the Investment

Dental implants represent a significant advancement in dental care, offering numerous long-term benefits for oral health and overall well-being.

  • Improved oral functionality:
    Dental implants highly resemble natural teeth in terms of appearance and function. Because of their position in the jawbone, they replace and mimic the roots of lost teeth. Hence, they can restore your ability to chew and speak properly. They offer strength and stability that are unmatched by other tooth replacement options.
  • Enhanced oral health:
    Unlike some other tooth restorations, dental implants do not require altering adjacent teeth, thus preserving more of your natural tooth structure. They also help maintain jawbone health by preventing bone loss that often occurs with missing teeth.
  • Durability and reliability:
    Implants are made with durable materials and can last for a long time with proper care. This is one of the reasons why they can be a worthwhile oral health investment.
  • Aesthetic improvements:
    The artificial teeth implants support are crafted to blend seamlessly with your natural teeth, enhancing one’s confidence to smile again.
  • Preventing facial collapse:
    Dental implants stimulate the bone, which is vital for maintaining its density. By maintaining the jawbone’s integrity, dental implants prevent the facial collapse that can occur with tooth loss, preserving the natural shape of your face.
  • Convenience and comfort:
    Considering their position beneath the gums, dental implants won’t feel bulky in the mouth.
  • Improved oral hygiene:

    Easier to clean and maintain than dentures, implants contribute to maintaining optimal oral hygiene. This helps reduce the risk of gum disease and other oral health issues.

Opting for dental implants is an investment in more than just your oral health but also in the improvement of your overall quality of life. With these long-term benefits, dental implants make them a significant and good choice for tooth replacement.

Final Thoughts

As we’ve explored throughout this blog, dental implants present a transformative restoration for those looking to restore their missing teeth or worn-out dentures. Understanding the nuances of health fund cover and alternative financing options is crucial to making the journey smooth and accessible.

If dental implants are something you’re considering, or if you have any questions about the financing options and procedures, we encourage you to reach out to us. Please schedule a consultation at TranscenDental Chatswood to discuss how we can tailor a plan suited to your specific needs.

Visit our clinic or reach out through our website for more information and to set up your appointment. Our team is ready to guide you through every step, from understanding your health fund benefits to the actual dental implant procedure. We believe that being informed about these aspects can help you make good decisions for achieving better dental health outcomes.

meet dr josephine

Author

Dr. Josephine Ahn

Dr. Josephine Ahn is the principal dentist at Transcendental Chatswood, providing exceptional dental care to patients of all ages with her advanced training in General Dental Practice and Graduate Diploma in Orthodontics.
Translate »

No Gap New Patient Offer

Our New Patient Package at Transcendental Chatswood is GAP-FREE for private health fund holders! 🦷

 The New Patient Package includes?

🧑🏻‍⚕️ Comprehensive Examination
🩻 X-ray and OPG radiographs
🦷 Check-Up and Clean
⭐️ Fluoride

No Insurance? No problem! You can attend a thorough check-up, x-rays and clean appointment for $250.