Our orthodontic services, which include corrective appliances such as braces and plates, are covered under Rolling Extras and Gold Combined.
No, we don't have preferred providers so you'll receive the same benefits at all recognised providers.
Yes - clear aligners, such as Invisalign, are covered under our orthodontic services, on condition that the service is provided by a recognised provider.
However, we don't cover clear aligners (or any other orthodontic treatment) that are purchased online or overseas, or when the service is not provided in a face-to-face environment.
We’ll pay the same benefit whether the service is provided by an orthodontist or general dentist – so long as they’re a recognised provider.
Yes, to be eligible to claim benefits for orthodontic services, a 12-month waiting period must have been served prior to the date of the treatment.
If you’ve held Rolling Extras or Gold Combined cover with us for 12-consecutive-months leading up to your orthodontic treatment (and you haven’t already exhausted your orthodontic lifetime limit) you’d be eligible to receive orthodontic benefits.
If you recently transferred from another fund, we offer continuity of cover so you don't lose the time you've already served on waiting periods.
No, we offer continuity of cover, so you don't lose the time you've already served on waiting periods – they switch with you.
That means if you previously held orthodontics cover for 12-months at your previous fund, you’d be eligible to claim on orthodontic services with us.
This is the total amount of benefits you can receive for orthodontic treatment in your lifetime. That means once you’ve claimed your lifetime limit for orthodontic services, the limit will never reset, even if you change health funds.
With us, orthodontic services is its own modality – it’s not grouped with major dental or any other service.
No, we will not pay benefits on any orthodontic services you received prior to serving your waiting periods.
For example, if you finished serving your 12-month waiting period on 1 July 2022, we would not pay benefits towards any orthodontic service with a date of service prior to 1 July 2022.
You can check this on the Police Health App or the Online Member Portal.
We recommend members go through the following checklist;
- Does my cover include orthodontic services?
- Have I served the 12-month waiting period for orthodontic services?
- Have I already used any of my lifetime limit?
- Have I received a treatment plan and am I aware how long I will have the braces or appliance on for?
- Will I reach my annual maximum this calendar year?
- Have I discussed payment options with my dentist and/or orthodontist?
- Have I called my health insurer for a benefit quote?