(before any rebate or insurer discount)
Covers 2 adults (and no-one else)
Available in Northern Territory
# 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 | 2 | $650 per person up to $1,300 per policy | Periodic oral examination - 70% of charge Scale & clean - 70% of charge Fluoride treatment - 70% of charge Surgical tooth extraction - 70% of charge |
| Major dental | 12 | $600 per person up to $1,200 per policy (combined limit for major dental, endodontic & other services) | Full crown veneered - 70% of charge |
| Endodontic | 12 | Filling of one root canal - 70% of charge | |
| Optical | 6 | $200 per person up to $400 per policy | Single vision lenses & frames - 100% of charge Multi-focal lenses & frames - 100% of charge |
| Physiotherapy | 2 | $350 per person up to $700 per policy (combined limit for physiotherapy, chiropractic, osteopathy & other services) | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Chiropractic | 2 | Initial visit - 70% of charge Subsequent visit - 70% of charge | |
| Remedial massage | 2 | $200 per person up to $400 per policy | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Health management / Healthy lifestyle | 2 | $200 per person up to $400 per policy | Health management - 70% of charge |
| Osteopathy | 2 | Combined limit - see Physiotherapy | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| This product also includes: Health Improvement Benefits including: yoga class and courses, Pilates class and courses, quit smoking, disease management association fees, Cancer Council UV products, stress management courses, preventative tests, scans and screenings, health checks, exercise classes, swimming lessons (for ages 0-17 years). Conditions and annual limits apply. Please refer to product guide for more details. | |||
| Acupuncture | Non PBS pharmaceuticals | Psychology |
| Blood glucose monitors | Orthodontic | Other treatments - check with your insurer |
| Hearing aids | Podiatry |
This cover includes a combined limit for physiotherapy, chiropractic and osteopathy. It also includes Health Improvement benefits.
In Northern Territory 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.