(before any rebate or insurer discount)
Covers one adult & dependants, including non-student dependants (2 or more people, only one of whom is an adult)
Available in Western Australia
# You may be entitled to an Australian Government rebate on the above premium. Your premium may also include an insurer discount. Check with your insurer for details.
This policy covers children, students up to and including the age of 30 and non-students up to and including the age of 30, as well as persons with a disability who qualify as a child, student or non-student in these age ranges.
ahm Health Insurance does not operate a preferred provider scheme. Included Extras benefits apply to any recognised provider. See https://members.ahm.com.au/find-a-provider.
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
|---|---|---|---|
| General dental | 0 | $500 per person up to $1,000 per policy (Sub-limits apply) | Periodic oral examination - $28.55 Scale & clean - $66.30 Fluoride treatment - $21.40 Surgical tooth extraction - $99.00 |
| Optical | 0 | $150 per person up to $300 per policy | Single vision lenses & frames - $150.00 Multi-focal lenses & frames - $150.00 |
| Non PBS pharmaceuticals | 0 | $250 per person up to $500 per policy | Per eligible prescription - $40.00 |
| Physiotherapy | 0 | $200 per person up to $400 per policy | Initial visit - $34.00 Subsequent visit - $26.00 |
| Chiropractic | 0 | $200 per person up to $400 per policy | Initial visit - $34.00 Subsequent visit - $26.00 |
| Acupuncture | 0 | $200 per person up to $400 per policy (combined limit for acupuncture, remedial massage, exercise physiology & other services) | Initial visit - $18.00 Subsequent visit - $18.00 |
| Remedial massage | 0 | Initial visit - $23.00 Subsequent visit - $23.00 | |
| Dietetics/dietary advice | 0 | $100 per person up to $200 per policy | Initial visit - $28.00 Subsequent visit - $20.00 |
| Exercise physiology | 0 | Combined limit - see Acupuncture | Initial visit - $18.00 Subsequent visit - $18.00 |
| Health management / Healthy lifestyle | 0 | $150 per person up to $300 per policy | Health management - $10.00 |
| Osteopathy | 0 | $200 per person up to $400 per policy | Initial visit - $34.00 Subsequent visit - $26.00 |
| This cover also includes Health Improvement Benefits including: Yoga, Pilates, Quit Smoking, Disease management association fees, Cancer Council UV products, Stress management courses, Preventative tests, scans and screenings, Health checks and Exercise classes. Conditions and annual limits apply. Please refer to product guide for more details. This product also includes unlimited emergency ambulance. | |||
| Blood glucose monitors | Major dental | Psychology |
| Endodontic | Orthodontic | Other treatments - check with your insurer |
| Hearing aids | Podiatry |
In Western Australia this policy provides:
Emergency: Unlimited with a waiting period of 1 day.
Call-out fees: will be paid for each attendance, including emergency treatment without transport to hospital.
Unlimited benefits for medically necessary ambulance trips to the nearest hospital that is able to provide the level of care you require. TAS and QLD have State schemes to cover ambulance services for residents of those States.
The information contained in this Private Health Information Statement was provided by the insurer and is intended as general information. It may not take into account your particular circumstances. For information please contact the insurer.
For information on what is covered under each category, see https://www.privatehealth.gov.au/categories
Restricted categories partially cover your hospital costs as a private patient in a public hospital. You may incur significant expenses in a private room or private hospital.
These categories are not covered by this policy.