Enhanced Primary Care Program (EPC)

Dental services under Medicare

Medicare dental items (Medicare items 85011-87777) are available for people with chronic conditions and complex care needs, on referral from a GP. Eligible patients can access up to $4,250 in Medicare benefits for dental services over two consecutive calendar years.

Important Note

Subject to Parliament’s agreement, the Government intends to close this scheme to all patients at the earliest opportunity once Parliament resumes on 26 August 2008.

It is important that patients and providers understand that, in closing the scheme, the Government does not intend to provide a transition period for treatment to be completed. Once the scheme is closed, patients will not be able to access these Medicare rebates.

Information for Patients

Fact sheet for Patients

Information for GPs

Fact sheet for GPs
GP referral form (PDF 134 KB)
GP referral form (Word 358 KB)

Information for Dental Practitioners

Fact sheet for Dentists and Dental Specialists
Fact sheet for Dental Prosthetists
MBS Dental Services book (including schedule of Medicare dental items)
Dental practitioner checklist (PDF 86 KB)

Further information

GPs and dental practitioners can call the Medicare Provider Enquiry Line on 132 150 for queries about provider registration, claiming/billing, and checking patient eligibility. Information is also available at www.medicareaustralia.gov.au

Patients can call the Medicare Patient Enquiry Line on 132 011.

Previous Medicare EPC dental items (Medicare items 10975-10977)

The EPC dental items 10975-10977 are no longer available. These items ceased on 31 December 2007.