Changes that may impact you
Check to see the most recent changes to our products, benefits, and terms and conditions.
Dental service limits
From 2 June 2025, service limits will apply to Extras products that include preventative dental. This update aligns with industry best practice and helps ensure the long-term affordability of dental benefits for our members.
While your annual limits will not be changing, we’re introducing service limits (how many times you can claim within a calendar year) for some preventative dental services. We’ve also reclassified some general dental services to preventative dental.
What is a service limit?
A service limit means there’s a cap on how often you can claim for certain treatments. You’re still covered, but only up to a set usage limit.
What does this mean for you?
You can still visit the dentist, but some treatments will have service limits. For example, you can usually claim two scale and cleans every calendar year.
If you need a course of dental treatment, different parts of your treatment may have different limits on how much you can claim. The benefit limits depend on your nib policy. Contact us, opens in a new tab before your treatment so we can help you understand what’s covered and how much you’ll get back.
Some dentists are aware of service limits and may inform you, but it’s important to check yourself. Please find the impacted service limits in the table below.
Preventive dental service limit item listing table
| Dental item | Description | Rule |
|---|---|---|
| 11 | Initial oral examination | 1 per 2 calendar years per provider |
| 12 | Periodic oral examination | 2 per calendar year per provider |
| 22 | Intraoral periapical or bitewing radiograph –single film | N/A |
| 037 | Panoramic radiograph - per exposure | 1 per 2 calendar years per provider |
| 111 | Removal of plaque and / or stain | 2 per calendar year per provider |
| 114 | Removal of calculus – first visit | 2 per calendar year per provider |
| 115 | Removal of calculus – subsequent visit | 2 per calendar year per provider |
| 121 | Topical application of remineralisation agents | 2 per calendar year per provider |
| 151 | Provision of a mouth guard - indirect | 1 per calendar year |
| 153 | Bi-Maxillary mouth guard - indirect | 1 per calendar year |
| 161 | Fissure and/or tooth surface sealing – per tooth | 1 per tooth per 5 years |
How do I check my annual limits?
Log in to your member account, opens in a new tab or the nib App, opens in a new tab to review your Extras cover and check your annual limits, opens in a new tab.
Unsure if you need additional treatment? Contact us, opens in a new tab before you book your next dental appointment, we’re happy to help.