The Problem with Extras
Reviewed June 2026 by Our Content Experts.
Medibank Extras vs Smile™ Dental Cover: Which Gives You Better Value?
Smile™ vs Medibank: Dental Cover is Better with Smile™
For most Australians, dental health means dealing with a massive health fund—a company like Medibank—that bundles dental into an expensive 'Extras' package. But when it comes to getting the best value for your smile, this traditional approach is broken.
Why Australians Are Reconsidering Their Medibank Dental Insurance
If you're tired of paying huge cover costs only to also be slugged with out-of-pocket costs, waiting periods, treatment exclusions and annual benefit limits, you are not alone. It's time to move past this traditional approach and discover the dedicated, top-rated dental cover that beats Medibank Extras cover.
The key difference? Medibank is a health insurer that bundles and charges you for many services you don't or rarely need. Smile™ is exclusively dental cover that offers superior value on the spot, none of the usual restrictions, and no annual increase of the cover fee.
Why Members Overpay
The Pain Points of Medibank Extras: Hidden Cost of "Comprehensive"
Medibank Extras Pain Points: What Members Actually Face
Medibank, like other major funds, forces you to pay for a whole suite of health services (physio, chiro, podiatry, etc.) whether you use them or not. This is where the core value problem lies.
Here are the critical traps Medibank members face when trying to use their dental benefits, and how the Smile™ solution delivers true peace of mind.
The 'Premium and Gap Trap'
The Reality for Medibank Members
From $600+ to $3,000+ a year for a bundled Extras cover [1]— and yet, even with those hefty premiums, you still pay out-of-pocket gap costs.
The Smile™ Solution
$79 to $119 a year for a dedicated dental cover and you get reduced and capped dental fees that keep your out-of-pocket gap costs low — with a cover fee that's only a fraction of Medibank's price.
The 'Bundle Trap'
The Reality for Medibank Members
You pay high, constantly-increasing premiums for Extras cover that includes services you don't or rarely need, —like chiro and podiatry to get dental coverage.
The Smile™ Solution
Pay Only for What You Actually Need. Smile™ covers dental, exclusively. You're not having to pay for other health services that you don't or rarely need.
The 'Restrictions Trap'
The Reality for Medibank Members
Waiting Periods, Benefit Limits, & Exclusions. You must wait up to 2-12 months for general and major dental, face annual benefit limits (e.g., $1,200), and deal with treatment exclusions that leave you uncovered when it matters most. Need urgent work? You either wait or pay 100% out-of-pocket. Once your limit's gone or a service isn't covered, the costs are all yours.
The Smile™ Solution
No Restrictions, Just Peace of Mind. No waiting periods, no annual benefit limits, and no treatment exclusions. As soon as you become a member, you get reduced & capped dental fees on the spot on ALL treatments at every visit to any of our 4,000+ Smile™ dentists nationwide.
Real-Life Comparisons
Real-Life Comparisons: How Smile™ Beats Medibank on General and Major Dental
1. General Dental – Check-up and Clean
Medibank Extras vs Smile™: What Does a Dental Checkup and Clean Actually Cost?
Meet Mark from NSW, like millions of Australians, just needs his annual check-up and clean. The standard fee for this service is up to $394 [2]. Let's see what Mark actually pays out-of-pocket for one year of dental cover:
General Dental - Check-up & Clean
Based on NSW check-up & clean, standard fee is up to $394
| Smile™ Single Dental Cover | Medibank Single Top Extras | More Details | |
| Annual Cover Fee | $79 | $1,676 [3] | |
| Treatment Cost Paid By Member | $207 | $0 | |
| Mark Pays Up To | $286($79 annual cover fee + $207 capped fee) | $1,676 $1,676 annual cover fee + $0 gap fee | |
| The Winner is... | Winner! | Pay $1,390 more |
The Reality
Medibank heavily promotes that you get "100% back on up to 2 dental check-ups a year." While the treatment itself is $0 out-of-pocket at a Members' Choice provider, the real annual cost is the $1,676 cover cost you are forced to pay for the 'Top Extras' cover that includes dental, physio, chiro, and other services you never or rarely use.
The Smile™ Peace of Mind
Smile™ is pure dental cover for $79 a year. Even with a small capped payment for the treatment, Mark's total annual cost is a fraction of what Medibank charges. Why pay $1,676 to cover a $394 service? With Smile™, you don't.
2. Major Dental – Root Canal Treatment
Medibank Extras vs Smile™: Cost of a Root Canal
Now meet Sarah from NSW. She needs a Root Canal Treatment with a Filling, a critical procedure that is often unexpected, carrying a high fee of up to $1,842. See how Smile™ is the best solution for Sarah, better than Medibank.
Major Dental – Root Canal Treatment
Based on NSW root canal (1 canal) with filling, standard fee is up to $1,842
| Smile™ Single Dental Cover | Medibank Single Top Extras | More Details | |
| Annual Cover Fee | $79 | $1,676 | |
| Treatment Cost Paid By Member | $789 [4] | $642 | |
| Sarah Pays Up To | $868($79 annual cover fee + $789 capped fee) | $2,318 $1,676 annual cover fee + $642 gap fee | |
| The Winner is... | Winner! | Pay $1,450 more |
The Hidden Catch:
For a major procedure, Medibank hits Sarah with two crippling costs:
- The 'Premium Trap': Sarah must first pay the $1,676 annual fee for the Medibank Single Top Extras cover just to qualify for the rebate.
- The 'Gap Trap': Even with a high-level cover offering a "90% rebate limit", Sarah is left with a substantial $642 gap cost.
- The 'Restrictions Trap': The Medibank cover has a $1,200 annual benefit limit for Major Dental. If Sarah needs any other major dental work (e.g., a crown) in the same year, the entire additional cost is 100% out-of-pocket once that limit is reached.
The Smile™ Peace of Mind
Why pay $2,318 with Medibank — using up your benefit limits and still facing a high gap — when with Smile™, Sarah only pays $79 annual fee plus a capped $789 treatment fee, totaling just $868 — $1,450 less? Plus, with no limits or restrictions, Smile™ ensures she's covered for any future routine and major dental care, giving her true peace of mind. Like Mark and Sarah, you can enjoy the same peace of mind against unpredictable costs with our reduced & capped dental fees on ALL treatments at 4,000+ Smile™ dentists—cover free from restrictions & no annual increase. Join Smile™ today and benefit instantly!
The Numbers Don't Lie
Smile™ vs Medibank: Why Smile™ Members Come Out Ahead
Medibank Review: What Do Extras Cover Members Get Back?
When choosing a dental cover, the key question is simple: Am I getting the highest value for what I pay? Let's take a look at what members typically pay — and what they actually get back.
1. Medibank's Return Rate
According to Medibank's financial reports, their overall return rate — the proportion of premiums paid back to members as benefits — is about 82.5% [5]. However, that figure includes hospital claims. For Extras-only, the return rate drops to around 60–70%, meaning members typically get back far less than what they pay. So, you're losing a lot of money.
2. The Real Cost of Medibank Extras
Based on industry data from APRA and Canstar (2024), Medibank's Extras-only cover could cost around [6]:
Basic / Lower-Level
Mid-Level
Higher-Level
Even the most basic Extras cover can cost close to $1,000 a year, before you make a single claim.
3. What Medibank Members Get Back
Across all funds, Extras members receive an average of $464.68 in annual benefits, according to APRA. For Medibank members, dental makes up the largest share — around $204.69 per person per year — yet that's still far less than the typical extra cover cost [7].
Even Medibank's "Members' Choice" network, which advertises up to 100% back on two check-ups per year, comes with a catch: you're still paying hundreds more in cover costs just to access that benefit. So, you're paying more than you get back hence, you're making a loss.
4. The Smile™ Difference: Lower Annual Cover Fees
Real Member Savings: Smile™ vs Medibank Extras
While Medibank makes you pay more than you get back, Smile™ turns that around – helping you keep more money in your pocket to spend with the ones you love and on the things you love.
Smile™ is a new era of dental cover. It's a better, simpler dental cover, giving 1+ million members instant access to reduced and capped dental fees on all treatments at 4,000+ Smile™ dentists — from $79 a year, cover free from restrictions & no annual increase.
5. The Smile™ Difference: Real Smile™ Member Savings
Smile™ members typically save more than the cost of their cover, with the majority saving hundreds to thousands each year on treatments.
With Smile™, it's not just about paying less — it's about getting peace of mind, knowing you're covered against unpredictable costs with our reduced and capped dental fees on all treatments, especially when you need care the most. So, you're coming out ahead… profiting!
The Final Verdict
Smile™ Beats Medibank on Value and Cost
Smile™ vs Medibank Extras Cover: Full Side-by-Side Comparison
While Medibank continues to raise premiums and shrink returns, Smile™ members enjoy real, immediate benefits. Here's how Smile™ dental cover beats Medibank Extras cover.
Smile™ Flips the Script: Smile™ is a new era of dental cover! It's simple and built purely around what you actually need — great-value dental cover from unpredictable and expensive dental costs with reduced & capped dental fees on the spot at 4,000+ quality-monitored dentists nationwide. Stop paying for expensive Medibank extras to cover you for health services that you don't or rarely need, plus many restrictions, & cover fee increases every April.
Dental Cover is Better with Smile™
Enjoy peace of mind with cover for $79 to $119 a year, no waiting periods, no treatment exclusions, no annual benefit limits, no annual cover fee increase, no overpaying for cover for services you don't need - just dental, done right.
Simple as 1, 2, 3
Here's How Smile™ Works and How You Can Benefit Instantly!
Visit
Visit any of 4,000+ Smile™ dentists, show your Smile™ card, & pay reduced & capped dental fees!
Check Savings
Request your printed invoice from the Smile™ dentist then use the Smile™ app to Check Savings!
Got Questions
Frequently Asked Questions
Frequently Asked Questions: Medibank Extras vs Smile™
Quick Facts About Smile™ Dental Cover
1. What is the difference between Medibank Extras and Smile™
dental cover?
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2. How much does Medibank Extras cover cost compared to Smile™?
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3. Can I switch to Smile™ at any time, or do I need to wait until
my current extras cover renews?
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4. How does Smile™ work?
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1. Join: Join Smile™ online to get your Smile™ app with Smile™ card instantly!
2. Visit: Visit any of 4,000+ Smile™ dentists, show your Smile™ card, & pay reduced & capped dental fees!
3. Check Savings: Request your printed invoice from the Smile™ dentist then use the Smile™ app
5. Does Smile™ have waiting periods like Medibank?
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6. Does Smile™ increase the cover fee each year like Medibank?
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7. Can Smile™ replace my extras cover if dental is my major need?
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8. How do Smile™ members claim or receive benefits?
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References
- Medibank Extras Cover - Extras Only Health Insurance - Link
- Dental Cost In NSW - Check-Up & Clean - 1st Visit - Link
- Medibank Single Top Extras for a single person with top extras in NSW on an annual income under $101,000 as of June 2026 - Link
- Dental Cost In NSW - Root Canal (1 Canal) With Filling Example - Link
- Private Health Insurance Ombudsman State of the Health Funds Report 2023 - Link
- Canstar - What does extras-only cover cost? - Link
- APRA Quarterly private health insurance membership and benefits summary - March 2025 - Link
- Medibank Extras Cover - Extras Only Health Insurance - Link
- Product Review - Medibank Health Insurance - Link