I propose to take Questions Nos. 1668, 1677, 1678, 1681, 1689, 1694 and 1723 together.
To benefit under the dental benefit scheme, insured persons must be treated by a dentist who has contracted to provide dental services. It is open to any dentist who wishes to participate in this scheme. The contract requires the dentist to provide a range of treatments at agreed prices. My Department pays the dentist directly at the contract price for the treatments provided.
Oral examination, scaling and polishing are free of charge to the patient under the scheme. The fee the dentist may charge for other treatments, with very limited exceptions, is fixed in the contract. The scheme does not cover orthodontic treatments.
Participating dentists agree to treat patients at the contract fee and not to impose charges on patients over the above what the contract allows. This is an essential feature of the scheme and a change involving subsidies to patients and open ended charges for all treatments would fundamentally change the nature of the scheme.
The present dispute arose due to the unilateral imposition of increased charges on an open ended basis and in breach of the contractual arrangements for the provision of dental benefit. My Department has advised insured workers through the newspapers to check that their dentist is not imposing increased charges prior to starting treatment. Patients undertaking treatment with dentists engaged in this dispute are doing so outside the scope of the dental benefit scheme and the costs they incur in the circumstances cannot be recouped. Patients have been advised that, where dentists offer to treat people as private patients, this is outside the terms of the dental benefit scheme. Therefore, my Department will not be in a position to refund any costs arising.