(before any rebate or insurer discount)
Covers only one person
Available in Victoria
# 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.
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 policy (Sub-limits apply) | Periodic oral examination - $34.65 Scale & clean - $74.45 Fluoride treatment - $25.50 Surgical tooth extraction - $99.00 |
| Major dental | 12 | $750 per policy | Full crown veneered - $510.00 |
| Endodontic | 12 | $600 per policy (combined limit for endodontic & other services) | Filling of one root canal - $120.55 |
| Orthodontic | 12 | $600 per policy $1,800 lifetime limit | Braces for upper & lower teeth, including removal plus fitting of retainer - 100% of charge |
| Optical | 0 | $200 per policy | Single vision lenses & frames - 100% of charge Multi-focal lenses & frames - 100% of charge |
| Non PBS pharmaceuticals | 0 | $350 per policy | Per eligible prescription - $50.00 |
| Physiotherapy | 0 | $350 per policy | Initial visit - $42.00 Subsequent visit - $32.00 |
| Chiropractic | 0 | $350 per policy | Initial visit - $42.00 Subsequent visit - $32.00 |
| Psychology | 0 | $250 per policy | Initial visit - $71.00 Subsequent visit - $45.00 |
| Acupuncture | 0 | $400 per policy (combined limit for acupuncture, remedial massage, chinese medicine, exercise physiology & other services) | Initial visit - $26.00 Subsequent visit - $26.00 |
| Remedial massage | 0 | Initial visit - $31.00 Subsequent visit - $31.00 | |
| Chinese medicine | 0 | Initial visit - $26.00 Subsequent visit - $26.00 | |
| Dietetics/dietary advice | 0 | $400 per policy | Initial visit - $45.00 Subsequent visit - $30.00 |
| Exercise physiology | 0 | Combined limit - see Acupuncture | Initial visit - $26.00 Subsequent visit - $26.00 |
| Health management / Healthy lifestyle | 0 | $250 per policy | Health management - $15.00 |
| Osteopathy | 0 | $350 per policy | Initial visit - $42.00 Subsequent visit - $32.00 |
| This cover also includes Hypnotherapy ($71 for initial consultations and $45 for subsequent consultations) and Health Improvement benefits including: Quit Smoking, Disease management association fees, Cancer Council UV products, Stress management courses, Preventative tests, scans and screenings, Health checks and Exercise classes. This product also includes unlimited emergency ambulance and Counselling services. Conditions and annual limits apply. Please refer to product guide for more details. | |||
| Blood glucose monitors | Podiatry |
| Hearing aids | Other treatments - check with your insurer |
In Victoria 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.