Private Health Information Statement - General treatment policy

Everyday Extras

Monthly Premium

$130.50 #

(before any rebate or insurer discount)

Covers 2 adults (and no-one else)

Available in South Australia

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.

General Treatment Cover

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 70% back, up to your yearly limits. See http://www.bupa.com.au/find-a-provider.

This policy includes General treatment (Extras) cover for

General treatment legend
Note, for items marked with an asterisk *: 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. Claims for preventative treatment (012,121,114) do not reduce yearly limit. Pharmacy benefit paid after current PBS patient contribution deducted.
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental*2$300 per person
(no limit on preventative dental)
Periodic oral examination - $23.50
Scale & clean - $50.00
Fluoride treatment - $14.50
Surgical tooth extraction - $80.65
Major dental*12$300 per person
(combined limit for major dental & endodontic)
Full crown veneered - $300.00
Endodontic12Filling of one root canal - $96.00
Optical2$185 per personSingle vision lenses & frames - $195.00
Non PBS pharmaceuticals*2$150 per personPer eligible prescription - $50.00
Physiotherapy2$350 per person up to $200 per service
(combined limit for physiotherapy, chiropractic, podiatry, psychology, ante-natal/post-natal classes, eye therapy (orthoptics), occupational therapy, osteopathy, speech therapy & other services - Sub-limits apply)
Initial visit - $36.50
Subsequent visit - $29.00
Chiropractic2Initial visit - $35.00
Subsequent visit - $25.00
Podiatry2Initial visit - $35.00
Subsequent visit - $28.00
Psychology2Initial visit - $98.00
Subsequent visit - $83.50
Acupuncture2$200 per person
(combined limit for acupuncture, remedial massage, chinese medicine & exercise physiology)
Initial visit - $35.00
Subsequent visit - $25.05
Remedial massage2Initial visit - $27.00
Subsequent visit - $25.00
Ante-natal/Post-natal classes2Combined limit - see PhysiotherapyInitial visit - $28.00
Subsequent visit - $28.00
Chinese medicine2Combined limit - see AcupunctureInitial visit - $21.00
Subsequent visit - $21.00
Exercise physiology2Combined limit - see AcupunctureInitial visit - $24.50
Subsequent visit - $21.00
Eye therapy (orthoptics)2Combined limit - see PhysiotherapyInitial visit - $42.00
Subsequent visit - $35.00
Health management / Healthy lifestyle6$100 per personHealth management - 50% of charge
Occupational therapy2Combined limit - see PhysiotherapyInitial visit - $112.00
Subsequent visit - $86.50
Osteopathy2Combined limit - see PhysiotherapyInitial visit - $50.00
Subsequent visit - $34.00
Speech therapy2Combined limit - see PhysiotherapyInitial visit - $66.00
Subsequent visit - $51.00
Online Doctors Appointments, 100% of charge up to the yearly service limit of 3 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. 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 may apply.

This policy does not include General treatment (Extras) cover for

General treatment legend
Blood glucose monitorsOrthodontic
Hearing aidsOther treatments - check with your insurer

Other features of this general treatment cover

When requiring urgent hospital treatment as the result of an accident, the Accident Benefit can boost extras limits (subject to eligibility criteria).

Ambulance cover

In South Australia 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.

Other features of this ambulance cover

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.

For further information about this policy see

http://www.bupa.com.au/health-insurance/cover/ambulance

Disclaimer

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.

Covered

For information on what is covered under each category, see https://www.privatehealth.gov.au/categories

Restricted

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.

Not Covered

These categories are not covered by this policy.