Providing dental services to Veteran Card holders? Here’s what you need to know.
If you are a dental health care professionals providing services to veterans and families with a Department of Veterans’ Affairs (DVA) Veteran Card, here’s what you should know.
We have a DVA-specific fee schedule
DVA accepts provider claims for services or treatments provided to eligible Veteran Card holders as listed in the latest fee schedules. By accepting a Veteran Card, you agree to accept the DVA fee as full payment. You cannot charge the Veteran Card holder any ‘gap’ fee.
Different Veteran Cards cover different services
DVA will fund a range of dental services and treatment, provided under DVA arrangements, necessary to meet a clinical need for Veteran Gold Card holders. For Veteran White Card holders, dental treatment can only be provided in relation to your patient’s accepted condition/s.
If you are unsure whether your patient is eligible to receive dental services under DVA arrangements, contact us on 1800 550 457.
Prior financial approval may be needed
Some dental services require prior financial approval. Providers must contact DVA before administering these services to be able to claim for payment. You can view the list of dental services that require prior approval on the DVA website.
Submit your claim for payment through Services Australia
Claims for payment must be submitted to Services Australia who process your claims on our behalf. For further details on how you can claim, visit our provider claims webpage.
Read our ‘notes’ for more info
Our Notes for allied health providers, section 1 – general explain the procedure to be followed when providing health care services to DVA clients.
Be sure to check out our Dental service providers webpage for everything you need to know when providing care to DVA clients.
