Fact · Sleep
Oral appliance reimbursement: Australia, 2026-dva
Dental Market Radar Editorial Team · Updated · Data as of
Australia: Medicare (MBS): no item pays for an oral appliance for obstructive sleep apnoea (current MBS item descriptions, 1 Nov 2026); oral appliances are named only as a prior treatment in sleep-study eligibility (item 12205). Veterans (DVA dental schedule, 1 Jul 2026): items D983/S983 single-arch and D984/S984 bi-maxillary oral appliance for diagnosed snoring and obstructive sleep apnoea, fee by negotiation, prior approval required, only on diagnosis of sleep apnoea and prescription from a respiratory or ENT physician after consideration of CPAP; repair/addition item D985 A$355.05. Otherwise privately paid, with some private health insurance extras policies contributing. in 2026, according to DVA Fee schedule of dental services for dentists and dental specialists, effective 1 July 2026. Basis: other.
Comparability B Confidence high
Cite this
Department of Veterans' Affairs (DVA). (2026). Oral appliance reimbursement: Australia, as of 2026-07-01 [Data set]. Compiled by Dental Market Radar. https://dentalmarketradar.com/data/au/oral-appliance-reimbursement/2026-dva/
Permanent URL: https://dentalmarketradar.com/data/au/oral-appliance-reimbursement/2026-dva/. Licensed under CC BY 4.0.
Record
- Value
- Medicare (MBS): no item pays for an oral appliance for obstructive sleep apnoea (current MBS item descriptions, 1 Nov 2026); oral appliances are named only as a prior treatment in sleep-study eligibility (item 12205). Veterans (DVA dental schedule, 1 Jul 2026): items D983/S983 single-arch and D984/S984 bi-maxillary oral appliance for diagnosed snoring and obstructive sleep apnoea, fee by negotiation, prior approval required, only on diagnosis of sleep apnoea and prescription from a respiratory or ENT physician after consideration of CPAP; repair/addition item D985 A$355.05. Otherwise privately paid, with some private health insurance extras policies contributing.
- Unit
- text
- As of
- Accessed
- Revision
- 1
- Confidence
- high
- Method
- reported
- Basis
- other
- Scope
- other
- Comparability
- Comparability B B: close to the metric definition; the difference is noted
- Status
- Current revision
Source quote
Single arch oral appliance for diagnosed snoring and obstructive snoring and sleep apnoea | D983 S983 | Yes | FBN | Only on diagnosis of sleep apnoea and prescription from a respiratory or ENT physician and consideration of treatment with CPAP.
Locator: DVA fee schedule (dentists), items D983/S983 and D984/S984 rows; MBS description file item 12205
Local definition
Public reimbursement of oral appliances (mandibular advancement devices) for OSA: Medicare (MBS) and DVA veterans' dental scheme
Source
Department of Veterans' Affairs (DVA): Fee schedule of dental services for dentists and dental specialists, effective 1 July 2026. Registry entry: au-dva-dental-fees-2026.
Notes
Replaces the basis of au.oral_appliance_reimbursement.2026 (consumer article). MBS check: in the 20261101 description file (au-mbs-item-descriptions-2026-11), no current item description contains "mandibular advancement"; items mentioning appliances/splints are fracture treatment and cleft lip/palate orthodontics; item 12205 text: "positional therapy, appropriate oral appliance, weight loss" (listed as a prior intervention for a follow-up sleep study). DVA column order read as Description | Item | Prior approval | Fee | Notes | Schedule; items 983/984 fall in Schedule B (always prior approval). DVA covers only entitled veterans (Gold/White Card).
Metric definition
Public reimbursement status of oral appliances for OSA (text) All markets for this metric.
History
| Year | Value | Basis | As of | Comparability | Source | Series break |
|---|---|---|---|---|---|---|
| 2026 | No dedicated public (Medicare/MBS) benefit for oral appliances for OSA was identified; some private health insurance extras policies contribute towards dental devices for sleep apnoea. | other | Comparability C | Sleep apnoea and CPAP: what your health insurance actually covers | ||
| 2026-dva | Medicare (MBS): no item pays for an oral appliance for obstructive sleep apnoea (current MBS item descriptions, 1 Nov 2026); oral appliances are named only as a prior treatment in sleep-study eligibility (item 12205). Veterans (DVA dental schedule, 1 Jul 2026): items D983/S983 single-arch and D984/S984 bi-maxillary oral appliance for diagnosed snoring and obstructive sleep apnoea, fee by negotiation, prior approval required, only on diagnosis of sleep apnoea and prescription from a respiratory or ENT physician after consideration of CPAP; repair/addition item D985 A$355.05. Otherwise privately paid, with some private health insurance extras policies contributing. | other | Comparability B | Fee schedule of dental services for dentists and dental specialists, effective 1 July 2026 |
Please also cite the original source above.