What is a Gap Discount?

Description

A gap discount is a saving offered when a patient’s private health insurance doesn’t cover the full cost of a dental treatment, and the clinic agrees to reduce or waive the remaining balance—known as the gap.

To put it simply:

The gap is the amount the patient normally has to pay out of pocket after their health fund covers part of the bill.

A gap discount means the clinic reduces or eliminates that out-of-pocket cost for the patient.

Some dental clinics partner with specific health funds to offer no-gap services, meaning the patient doesn’t have to pay anything extra for certain treatments.

Example

Let's say the patient needs a check-up and clean, and the dentist charges $150 for service.

The patient's private health insurance covers $120.

• Normally, the patient would pay the $30 gap out of pocket.

• But if the clinic offers a gap discount, they may waive all or part of that $30.

As a result, the patient could end up paying nothing at all—this is known as a no-gap dental service

How to enable or disable auto gap discount?

1. Go to the Location tab and select Fees Management.
2. Select the health fund and locate the item code.
3. On the far right of the item code, look for the Yes or No button under Disc?.

• Yes to enable the auto gap discount.
• No to disable the auto gap discount.

Note: Enabling the gap discount will ensure that 100% of the discount is covered by the clinic.

How to Set Up a Partial Gap Discount?

If the clinic offers a partial gap discount and does not cover 100% of the gap, there is no need to enable the discount under Fees Management—simply add the discount under the Payment tab.

If you have any questions, please click the yellow Help button at the bottom left and chat to us. We are more than happy to help!