WorkCover Dental Treatment in Toongabbie

Get Dental Treatments Covered by WorkCover

When workplace accidents happen, your dental health can also experience impact, not just your body. Whether you’ve suffered direct trauma to your teeth or your oral health has been affected by stress and psychological conditions, you may be eligible for treatment covered by WorkCover. 

Dentist Near Me Toongabbie specialises in WorkCover dental treatments, ensuring you receive the care you need while assisting with your WorkCover dental claim. Many dental clinics do not handle workers’ compensation claims for dental injuries, and only trained people may be able to help—just like us! Our experienced team understands the process and is here to help you claim your dental treatments with workers’ compensation.

construction worker having dental issues

Understanding How WorkCover Works

What is WorkCover?

WorkCover is a type of workers’ compensation insurance that helps cover the cost of medical treatments, including dental care, for workers injured on the job. If a workplace accident has caused damaged teeth, jaw pain, or other oral health issues, WorkCover dental claims may cover treatments such as crowns, bridges, implants, and general dentistry.

How Does WorkCover Work?

Some work-related injuries, like stress-related teeth grinding, can cause long-term damage. This means you may incur more costs to cover your injuries, unlike it was before. WorkCover may cover these costs for you to give you assistance as long as you follow the correct steps to access your benefits.

The process includes obtaining a GP referral, securing insurance approval, and receiving treatment from an approved WorkCover dental clinic like ours.

Injuries Covered by WorkCover or Workers’ Compensation

Dental Injuries

  • Dental trauma (injuries like broken, chipped, or knocked-out teeth due to falls, impacts, or collisions at work)
  • TMJ disorders
  • Jaw fractures
  • Misalignment
  • Injuries resulting from other work-related injuries

Important: To claim workers’ compensation for a dental injury, it must be verified as work-related. Eligibility for dental treatment also depends on the GP’s assessment and case report.

Physical Injuries

  • Injuries to the face or teeth caused by slips, trips, and falls
  • Falling objects

     

Psychological Injuries (Mental Health Conditions)

  • Violent incidents at work
  • Post-Traumatic Stress Disorder (PTSD)
  • Prolonged work stress
  • Anxiety
  • Depression

How to Make a WorkCover Claim for Dental Injuries

  • For emergency dental claims, you can access workers’ compensation insurance through WorkCover, which is paid for by your boss. Here’s what you need to do to get a claim:

    1. Visit Your GP – Your doctor will assess your injury and determine if a dental consultation is necessary.
    2. Referral Submission – If approved, your GP will send a referral to your WorkCover insurance provider. Inform them that you have a work-related injury requiring a referral to a dental professional under the workers’ compensation scheme.
    3. Insurance Approval – The insurer must approve your consultation before your appointment to prevent out-of-pocket expenses. If approval is still pending, you can follow up with them or cover the cost of treatment first and ask them for reimbursement once your claim is approved.

    To avoid upfront payments, it’s best to schedule your appointment and notify the insurer via email.

    1. Dental Consultation – Once approved, visit us for a thorough assessment and treatment plan proposal.
    2. Treatment Plan Approval – We submit the plan to your insurer for further approval.
    3. Receive Treatment – Once approved, we begin your dental treatment to restore your pre-injury dental health.

    If your workers’ compensation claim is denied, you may need legal assistance to dispute the decision. We recommend Andy at Spinak Lawyers, who provides a no-win, no-fee service. You can contact him at office@spinaksolicitors.com.

Who Pays for My Dental Treatment?

The cost of your treatment depends on your approved WorkCover dental claim:

  • If approved, WorkCover insurance covers the cost.
  • If not approved, you may need to cover the costs yourself or seek legal assistance.

When you’re confused about your benefits, our team is here to help you understand your coverage and explore your options.

Payment Plans

At Dentist Near Me Toongabbie, we understand that WorkCover dental claims can take some time. If your claim is still being processed, we offer flexible payment plans through HUMM, SuperCare, Smile Right, and Afterpay, allowing you to access necessary treatment without financial stress.

Prioritise Your Dental Health After a Workplace Injury

Your overall health matters—including your dental health. Workplace dental injuries require professional care from an experienced WorkCover dental provider. If you’ve suffered a work-related dental injury, don’t wait. Our team at Dentist Near Me Toongabbie is here to assist you with your WorkCover dental claim and ensure you receive the treatment you need.

Contact Dentist Near Me Toongabbie today to book your consultation.

Frequently Asked Questions

1. When will my WorkCover insurance approve my consultation and treatment?

Approval times vary. The initial consultation may be approved within days, but complete treatment plans may take longer. We will keep you updated throughout the process.

If your GP does not approve the referral, we recommend discussing your symptoms with them again or seeking a second opinion.

If your WorkCover dental claim is denied, we recommend contacting Spinak Lawyers for legal advice. Andy at Spinak Lawyers offers a no-win, no-fee service to help appeal denied claims.

Contact Andy at Spinak Lawyers: office@spinaksolicitors.com

Yes, if your claim is still being processed, you may need to pay for the consultation. However, once approved, WorkCover will cover the necessary treatments.