Dental accident
Please check your specific membership plan to make sure that this benefit is included in your level of cover.
We will pay benefit, at the appropriate rate and up to the appropriate maximum in any one calendar year, for dental treatment you need as a result of an accidental injury to your teeth. The injury must have been caused by a direct impact to the head.
When you send us the claim form, you must also send us an original, fully-itemised receipt, showing the separate dates of your treatment. You must also provide full details of the accident. Your dentist must fill in and sign the claim form confirming the date of the accident and that the treatment received is as a result of that accident. We treat dental accident claims in a calendar year according to the date the accident happened.
What is covered
• Dental treatment directly related to an accident (for example, a sports injury or a fall), including the following.
• Anaesthetic fees
• Dental crowns, bridges and white fillings
• Dental veneers
• Replacement dentures or repairs
What is not covered
• Cancellation charges made by the dentist (for example, for missed appointments)
• Dental consumables (for example, toothbrushes, mouthwash, dental floss and so on)
• Dental prescription charges (we cover these charges under the ‘Prescriptions’ benefit)
• Dental insurance, practice plan premiums and joining fees
• Any treatment you receive 12 months after the date of the accident
• Dental treatment you receive for an accident which happened before you joined the plan
