Patient Medicare rebate on anaesthesia fees (new)

Anaesthesia fee estimate for sleep dentistry - Medicare refund estimate
Sleep dentistry means you are completely asleep and unaware during your dental procedure, in the safe hands of our experienced anaesthetists
Your SDS quote sets out a fixed anaesthesia fee for the agreed treatment band and identifies the separate Medicare-eligible provider component. Other service components of the quote are not Medicare-claimable.

We estimate the Medicare rebate using the eligible provider component, relevant Medicare items and your Medicare Safety Net information, rather than applying a percentage to the total upfront fee. Your deposit is credited towards your quoted fee. Medicare claims can be lodged after the procedure has been performed. Estimates are indicative only; Services Australia determines actual benefits.
- If you would like to know your eligibility, please complete this form.
The form is easy and quick (2- 4 minutes) to complete, only requiring accessing your MyGov account either on your device or computer.

IMPORTANT

• We will never ask for your myGov password.

• Please do not email or SMS Medicare numbers, bank details, or card photos.

Use this secure form only.
STEP 1 - Enter your details here
Patient name

First NameLast Name
Patient Date of birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearEnter the patient's date of birth
Email address of person submitting this form

Confirmation Emailexample@example.com
Phone Number of person submitting this form
Please enter a valid phone number.Format: 0000 000 000.
Appointment date (if already booked)

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Estimated total anaesthesia duration in minutes, if provided by SDS or your anaesthetist
Itemised SDS anaesthesia quote

Cancelof
Name of dental practice (important)
To obtain your estimate we need to speak to your dentist.
Email address of dental practice

Confirmation Emailexample@example.com
MBS anaesthesia time items use 15-minute or part bands through 120 minutes, then 10-minute or part bands. Examples: 46–60 minutes 23045; 61–75 minutes 23055; 76–90 minutes 23065; 91–105 minutes 23075; 106–120 minutes 23085; 121–130 minutes 23091; 131–140 minutes 23101. The anaesthetist selects the applicable dental basic item 22900 for extraction or 22905 for restorative dental work, plus one applicable time item. These are reference examples, not automatic item assignments or guaranteed rebates. Medicare claims may be lodged after the procedure; Services Australia determines actual benefits.
Official MBS anaesthesia time definition
STEP 2 - Medicare details
Use either the MyGov app or website to locate your Safety Net Threshold and your accumulated out-of-pocket costs for this calendar year and copy them into the form entry fields below.
Your Safety Net Threshold
Your accumulated out-of-pocket costs for this calendar year
If you can, copy the out-of-pocket amount shown in your Medicare Safety Net page in myGov.
Have you confirmed whether you (or your child if they are the patient) are included in your family's Medicare Safety Net threshold?
STEP 3 - Consent and submit

Consent and privacy
Sleep Dentistry Services collects this information to prepare your anaesthesia estimate and contact you about it.

We will share your estimate with your dental clinic so they can discuss costs with you. We do not need to share your Medicare numbers with the clinic.

If you don’t provide the Medicare details, we may not be able to provide an accurate estimate.

We store information securely and limit access to trained staff. We keep it only as long as required for care, billing, and legal obligations.

You can request access or correction by contacting us. Privacy Policy
I consent to Sleep Dentistry Services
I would like this information
Need help now?

Call us (Mon–Thu, 830am to 5pm) or ask your clinic for in-person help.
Sleep Dentistry Services | office@sleepdentistryservices.com.au | 0480 641 626

www.sleepdentistryservices.com.au
Submit this form before your consultation to receive an estimated Medicare rebate and expected out-of-pocket anaesthesia cost.

Estimates are indicative only and Medicare benefits are determined by Services Australia.

Need help? Contact Sleep Dentistry Services
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Anaesthesia fee estimate for sleep dentistry - Medicare refund estimate

Sleep dentistry means you are completely asleep and unaware during your dental procedure, in the safe hands of our experienced anaesthetists

STEP 1 - Enter your details here

STEP 2 - Medicare details

STEP 3 - Consent and submit