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Isn't this something your husband should be negotiating with his ex wife? Just stay out of it.
Just pay the extras if you want the extras, surely you don’t need to consult her for such a thing esp since it will benefit the kids and her.
It’s usually not much more and possibly not worth having to chase up money or tye fuss of taking it out of child support
Mind your own business
I think you and your husband should pay for it if you want the benefit. Do you go halves in medical expenses? If so, you each get half the bill. If you choose to claim for your half and get a rebate then that’s yours to keep. Do the girls need dental or optical or do they play sport? I think if the mum wanted them to have extras she would have organised it by now