Dental questions · Fees and health funds

Is Wisdom Tooth Removal Covered by Health Funds?

Usually, yes. Most extras policies cover wisdom tooth removal, often under major dental with a longer waiting period. Here is how cover works and what removal typically costs.

  • Usually major dental cover
  • Often $350 to $600 per tooth
  • Claim on the spot with HICAPS
  • Written estimate first
Treatment room at Dental Seasons in Sandgate, where wisdom teeth are assessed and removed

Planning wisdom tooth removal?

Ask us for the item numbers so you can check your benefit with your fund before treatment.

Call now →

Opening hours

Mon to Fri 8:30am to 5:00pm

Preferred provider

Medibank, CBHS and HIF

Health fund cover

How do health funds cover wisdom tooth removal?

Wisdom tooth removal is usually claimed under extras cover. Most funds treat it as major dental, which usually has a 12 month waiting period and its own annual limit.

What you get back depends on your level of cover, how much of your limit is left and the item numbers used. Some funds treat a simple extraction differently from a surgical one, so it is worth checking with your fund before booking.

How health fund dental cover works →

Before you book

  1. Check your waiting period

    Major dental waiting periods are commonly 12 months on a new or upgraded policy.

  2. Check your limit

    Find out how much of this year's major dental limit is left.

  3. Ask for item numbers

    We can give you the item numbers to quote to your fund.

  4. Know your reset date

    Many funds reset limits on 1 January, so timing can make a difference.

Cost

How much does wisdom tooth removal cost?

At Dental Seasons, wisdom tooth removal is often between $350 and $600 per tooth, depending on how difficult the tooth is to remove.

A tooth that has fully come through is usually simpler to remove than one that is partly through or sitting at an angle. We assess each tooth first, usually with an X-ray, and confirm the fee before treatment.

Removal in hospital

If removal in hospital under general anaesthetic is recommended, it is claimed differently, often under hospital cover. We explain your options and refer you where appropriate.

What affects the fee

  1. Position of the tooth

    Fully erupted, partly erupted or still under the gum.

  2. Root shape

    Curved or long roots can make removal more involved.

  3. Number of teeth

    The fee is per tooth, so it depends on how many need to come out.

  4. Imaging

    X-rays, or 3D CBCT where clinically appropriate, to plan safely.

Before you plan

Do my wisdom teeth need to come out?

Not always. Wisdom teeth that have come through fully, are healthy and can be cleaned properly may be left alone. Removal is usually considered when they are causing problems or are likely to.

We look at the position of each tooth and the space available, then explain your options and the best timing.

Learn about wisdom teeth removal →

Common reasons for removal

  1. Repeated gum infections

    Swollen, sore gum over a partly erupted tooth, known as pericoronitis.

  2. Decay

    Decay in the wisdom tooth or the tooth in front that is hard to treat or clean.

  3. Not enough room

    A tooth that is stuck at an angle and affecting the neighbouring tooth.

  4. Pain or swelling

    Ongoing discomfort at the back of the mouth. Call us if you have swelling.

Book a wisdom teeth assessment

Find out whether your wisdom teeth need treatment and what it will cost. Book online or call our Sandgate team on (07) 3269 2064.