(before any rebate or insurer discount)
Covers two adults & dependants (3 or more people, only 2 of whom are adults)
Available in Victoria
Closed to new members
# 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 and other dependants up to and including the age of 20, students up to and including the age of 31, as well as persons with a disability who qualify as a child or other dependant or student in these age ranges.
Employees/Members of organisations with arrangements with this health insurer
We have agreements with a network of dental practitioners, chiros, physios & podiatrists across Australia called Members First providers. By using them, in most cases you’ll receive up to 80% back, up to your yearly limits. See http://www.bupa.com.au/find-a-provider.
| Note, for items marked with an asterisk *: Home nursing covers selected services. Podiatry does not include Orthotics. Where applicable, benefits may be payable under Health Aids & Appliances. Dentures payable once every 3 years. Periodic oral examination (012), Scale & Clean (114), Fluoride treatment (121) payable once every 6 months. Pharmacy benefit paid after current PBS patient contribution deducted. | |||
|---|---|---|---|
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
| General dental* | 2 | $400 per person | Periodic oral examination - $26.00 Scale & clean - $52.00 Fluoride treatment - $20.00 Surgical tooth extraction - $82.20 |
| Major dental* | 12 | $500 per person (combined limit for major dental, endodontic & other services) | Full crown veneered - $500.00 |
| Endodontic | 12 | Filling of one root canal - $111.25 | |
| Orthodontic | 12 | $1,000 per person $1,600 lifetime limit | Braces for upper & lower teeth, including removal plus fitting of retainer - 100% of charge |
| Optical | 2 | $240 per person | Single vision lenses & frames - $192.00 Multi-focal lenses & frames - $240.00 |
| Non PBS pharmaceuticals* | 2 | $300 per person | Per eligible prescription - 80% of charge |
| Physiotherapy | 2 | $400 per person (combined limit for physiotherapy, ante-natal/post-natal classes & other services) | Initial visit - $38.50 Subsequent visit - $30.50 |
| Chiropractic | 2 | $500 per person up to $1,000 per policy (combined limit for chiropractic & osteopathy) | Initial visit - $36.20 Subsequent visit - $23.55 |
| Podiatry* | 2 | $600 per person (combined limit for podiatry, psychology, acupuncture, remedial massage, hearing aids, blood glucose monitors, chinese medicine, dietetics/dietary advice, exercise physiology, eye therapy (orthoptics), occupational therapy, orthotics (podiatric orthoses), speech therapy & other services - Sub-limits apply) | Initial visit - $32.00 Subsequent visit - $26.00 |
| Psychology | 2 | Initial visit - $69.50 Subsequent visit - $51.50 | |
| Acupuncture | 2 | Initial visit - $24.00 Subsequent visit - $24.00 | |
| Remedial massage | 2 | Initial visit - $22.00 Subsequent visit - $24.00 | |
| Hearing aids* | 12 | Hearing aid - 80% of charge | |
| Blood glucose monitors* | 12 | Per monitor - 80% of charge | |
| Ante-natal/Post-natal classes | 2 | Combined limit - see Physiotherapy | Initial visit - $18.00 Subsequent visit - $18.00 |
| Chinese medicine | 2 | Combined limit - see Podiatry | Initial visit - $24.00 Subsequent visit - $24.00 |
| Dietetics/dietary advice | 2 | Combined limit - see Podiatry | Initial visit - $46.00 Subsequent visit - $27.00 |
| Exercise physiology | 2 | Combined limit - see Podiatry | Initial visit - $24.00 Subsequent visit - $24.00 |
| Eye therapy (orthoptics) | 2 | Combined limit - see Podiatry | Initial visit - $32.00 Subsequent visit - $22.00 |
| Health management / Healthy lifestyle | 6 | $100 per person | Health management - 50% of charge |
| Home nursing* | 2 | $350 per person | Initial visit - $35.00 Subsequent visit - $35.00 |
| Occupational therapy | 2 | Combined limit - see Podiatry | Initial visit - $61.00 Subsequent visit - $42.50 |
| Orthotics (podiatric orthoses)* | 12 | Combined limit - see Podiatry | Orthotics supply & fit - 80% of charge |
| Osteopathy | 2 | Combined limit - see Chiropractic | Initial visit - $44.50 Subsequent visit - $29.00 |
| Speech therapy | 2 | Combined limit - see Podiatry | Initial visit - $69.00 Subsequent visit - $46.00 |
| Online Doctor Appointments, 100% of charge up to the yearly service limit of 6 per person, benefits payable for Blua Online Doctor Appointments only, benefits are not payable for services included in the Medicare Benefit Schedule (MBS), refer to blua.bupa.com.au for more details. Travel 100% up to $100. Accommodation (per night) $40 up to $150. Where applicable, benefits will be paid under your Hospital cover (cannot claim benefits on both hospital and extras for the same trip). Eligibility criteria apply. Ante/Post-natal consultations and courses including lactation consultations, with a Bupa recognised provider in private practice. 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, orthotics, and other health aids, are payable under the Health Appliances category, which share a yearly limit with other services specified in list. Sub-limits and restrictions apply. Blood glucose monitors are payable once per year. Hearing aids are payable once every 3 years. To find out about other health appliances included and relevant sub-limits and restrictions, please contact us. | |||
| Other treatments - check with your insurer |
The longer you're with Bupa, the more you get back. For selected services, your yearly limit increases each calendar year, up to a set amount. When requiring urgent hospital treatment as the result of an accident, the Accident Benefit can boost extras limits (subject to eligibility criteria).
In Victoria this policy provides:
Emergency: with no waiting period, limited to 2 services per year.
Call-out fees: will be paid for each attendance, including emergency treatment without transport to hospital.
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.