(before any rebate or insurer discount)
Covers only one person
Available in Queensland
# 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.
We have agreements with a network of dental practitioners, chiros, physios & podiatrists across Australia called Members First providers. By using them, you’ll receive at least 90% back, up to yearly limits. See http://www.bupa.com.au/find-a-provider.
| Note, for items marked with an asterisk *: Ante/Post-natal consultations and courses including lactation consultations, with Bupa recognised providers in private practice. Home nursing covers selected services. Dietary covers consultations only. Pharmacy benefit paid after current PBS patient contribution deducted. Step down benefits apply after first 10 total services across Chiropractic and Osteopathy. Blood glucose monitors, one per year (sub-limit $600). Hearing aids, one every 3 years (sub-limit $850). Two fully custom-made orthoses (one pair) are payable once per person per calendar year. Dentures, once every 3 years. Periodic oral examination 012, Scale & Clean 114, Fluoride treatment 121, once every 6 months. | |||
|---|---|---|---|
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
| General dental* | 2 | No annual limit | Periodic oral examination - $44.00 Scale & clean - $87.20 Fluoride treatment - $31.50 Surgical tooth extraction - $127.20 |
| Major dental* | 12 | $1,200 per policy (combined limit for major dental & endodontic) | Full crown veneered - $1,200.00 |
| Endodontic | 12 | Filling of one root canal - $270.00 | |
| Orthodontic | 12 | $1,400 per policy $2,800 lifetime limit | Braces for upper & lower teeth, including removal plus fitting of retainer - 100% of charge |
| Optical | 2 | $280 per policy | Single vision lenses & frames - $268.00 Multi-focal lenses & frames - $280.00 |
| Non PBS pharmaceuticals* | 2 | $750 per policy | Per eligible prescription - $45.00 |
| Physiotherapy | 2 | $900 per policy | Initial visit - $62.15 Subsequent visit - $49.50 |
| Chiropractic* | 2 | $700 per policy (combined limit for chiropractic & osteopathy) | Initial visit - $33.80 Subsequent visit - $24.80 |
| Podiatry | 2 | $750 per policy | Initial visit - $45.00 Subsequent visit - $40.00 |
| Psychology | 2 | $750 per policy | Initial visit - $110.00 Subsequent visit - $98.00 |
| Acupuncture | 2 | $500 per policy (combined limit for acupuncture, remedial massage, chinese medicine & exercise physiology - Sub-limits apply) | Initial visit - $38.00 Subsequent visit - $30.00 |
| Remedial massage | 2 | Initial visit - $44.00 Subsequent visit - $35.00 | |
| Hearing aids* | 12 | $1,200 per policy (combined limit for hearing aids, blood glucose monitors, orthotics (podiatric orthoses) & other services - Sub-limits apply) | Hearing aid - 90% of charge |
| Blood glucose monitors* | 12 | Per monitor - 85% of charge | |
| Ante-natal/Post-natal classes* | 2 | $450 per policy | Initial visit - $20.00 Subsequent visit - $20.00 |
| Chinese medicine | 2 | Combined limit - see Acupuncture | Initial visit - $32.00 Subsequent visit - $24.00 |
| Dietetics/dietary advice* | 2 | $750 per policy | Initial visit - $57.00 Subsequent visit - $34.00 |
| Exercise physiology | 2 | Combined limit - see Acupuncture | Initial visit - $32.00 Subsequent visit - $24.00 |
| Eye therapy (orthoptics) | 2 | $750 per policy | Initial visit - $34.00 Subsequent visit - $23.00 |
| Health management / Healthy lifestyle | 6 | $200 per policy | Health management - 50% of charge |
| Home nursing* | 2 | $400 per policy | Initial visit - $40.00 Subsequent visit - $40.00 |
| Occupational therapy | 2 | $750 per policy | Initial visit - $76.50 Subsequent visit - $59.50 |
| Orthotics (podiatric orthoses)* | 12 | Combined limit - see Hearing aids | Orthotics supply & fit - 85% of charge |
| Osteopathy* | 2 | Combined limit - see Chiropractic | Initial visit - $41.50 Subsequent visit - $30.50 |
| Speech therapy | 2 | $750 per policy | Initial visit - $85.00 Subsequent visit - $51.00 |
| Includes access to Blua Online Doctor Appointments. We pay 100% of the cost for eligible consults only, up to a yearly limit of 3 services per person. Benefits are not payable for services listed on the Medicare Benefits Schedule (MBS). 2-months waiting period, eligibility criteria, terms and conditions apply. 100% of travel expenses up to $100 per person, and $40 per night of accommodation fees up to $150 per person for essential hospital or medical treatment where the total return distance is 200km or more from home. Where applicable, benefits are paid under Hospital cover only (you cannot claim under both Hospital and Extras for the same trip). 2-months waiting period and eligibility criteria apply. Mental health includes Psychology, Digital Mental Health, Social Work (psychological therapies), and Counselling (including Indigenous Counselling). Sub-limits apply for Digital Mental Health. Blood glucose monitors, hearing aids, and other health aids, are payable under the Health Appliances category up to $1200 per year. Sub-limits and restrictions apply. | |||
| Other treatments - check with your insurer |
We recognise your loyalty, by increasing your percentage back by 2% each year at Members First Providers, up to a maximum of 10%. At Non-Members First providers, the set benefit you receive will increase by 2% each year up to a maximum of 10%. For more details or to purchase this product contact Bupa.
Ambulance cover is provided by the State government for Queensland residents (https://www.ambulance.qld.gov.au/). This includes cover whilst interstate.
You are covered for the costs associated with emergency ambulance transport services (via air or road), including on-the-spot emergency attendances where the service is provided by a Bupa recognised ambulance service capped at one trip for singles and two trips for couples memberships per calendar year. The following ambulance services are recognised by Bupa: ACT Ambulance Service, Ambulance Service of NSW, Ambulance Victoria, Queensland Ambulance Service, South Australia Ambulance Service, St John Ambulance NT, St John Ambulance WA, and Ambulance Tasmania. If you are eligible to claim from another source, a benefit won’t be paid by Bupa.
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.