government scheme

Workers' Compensation (WorkCover Dental)

Dental Injuries from
Workplace Accidents

Workplace injuries do not just affect your body—they can also impact your dental health. Whether you’ve suffered a direct injury to your teeth or your dental health has been affected due to stress and psychological conditions, you may be eligible for treatment covered by workers’ compensation insurance. At Dentist Near Me Toongabbie, we provide expert dental care for WorkCover NSW patients, helping you restore your smile and overall well-being.

Navigating workers’ compensation is also specialised, and not many dental clinics offer this for patients who suffered workplace accidents and need dental services—and that’s where our help comes into the picture. 

What Is WorkCover and
How Does It Work?

What is WorkCover?

It’s a type of workers’ compensation insurance that helps cover the cost of medical treatments, including necessary dental care, for workers injured on the job. If you’ve experienced a workplace accident that has led to damaged teeth, jaw pain, or other oral health issues, WorkCover NSW may cover the necessary treatments, such as crowns, bridges, implants, and general dentistry.

How does WorkCover work?

Some work-related injuries (e.g., lower back pain leading to stress and teeth grinding) can have long-term effects, which means more cost. The good news is WorkCover can also cover those costs—even dental treatments that are related to your injuries—as long as you’re able to follow specific steps to ensure you will be able to access your benefits.

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

Injuries Covered by 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:
Remember that a dental injury must be proven to be work-related to be able to claim your workers’ compensation. Dental treatment eligibility should also depend on the GP’s 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 may be able to get a worker’s compensation claim from your WorkCover. Here’s what you need to do:

  1. Visit Your GP – Your doctor will assess your injury and determine if a dental consultation is necessary.
  2. Referral Submission – If approved, ask your GP to send a referral to your WorkCover insurance provider. Let them know that you have a work-related injury that needs a referral from a dental professional under the workers’ compensation scheme.
  3. Insurance Approval – The insurer must approve the consultation before your appointment to avoid out-of-pocket costs. If the insurance has not been approved, you can follow up with them, or you can also pay out-of-pocket and claim back from the insurance later once your claim is approved.


For ease of funds, it’s best to make the booking and email the insurance, so there is no out-of-pocket from you. 

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


If your insurance does not approve your workers’ compensation claim, you may need legal assistance to dispute the decision.
Contact our connection, Andy, at Spinak Lawyers if you’re ever denied. Email him at office@spinaksolicitors.com.

Who Pays for My Dental Treatment?

The cost of your treatment depends on WorkCover approval:

  • If your claim is approved, WorkCover insurance covers the treatment cost.
  • If your claim is not approved, you may need to cover the costs yourself or seek legal assistance for a dispute. There is no reason for an insurance company to decline the initial assessment under workers compensation if the GP has referred a patient for a dental assessment.


If you’re unsure about the coverage of your workers’ compensation, our team is happy to guide you through the process and discuss your options.

Affordable Dental Care

We know how scary dental costs can be. But we’re here to make it easier for you. Let’s find a payment plan that works with what you can afford. We accept Supercare, ZipPay, AfterPay, Smile Right, and HUMM.

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Get the Care You Need Today

Your overall health matters, including your dental. Dealing with a dental injury and workers’ compensation can be quite overwhelming and needs a specialist to help treat your injuries.

Only specific practices do this in Australia.

If you’re ever faced with a work-related injury that affects your teeth, do not wait or ignore it—go straight to Dentist Near Me Toongabbie for a professional screening and treatment of your teeth. Our team can also assist you in claiming your workers’ compensation that’s fair for you.

Contact Dentist Near Me Toongabbie today to book your consultation.

Frequently Asked Questions

When will my WorkCover insurance approve my consultation and treatment?

Approval times vary. The initial consultation may be approved within days, but full 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 claim is denied, we recommend contacting Spinak Lawyers for legal advice. Andy from Spinak Lawyers offers a no-win, no-fee service to help you appeal denied claims.

Contact Andy at Spinak Lawyers for assistance with declined claims. You can email him at 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.