(before any rebate or insurer discount)
Covers only one person
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.
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 have lower out-of-pocket costs. See http://www.bupa.com.au/find-a-provider.
| 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. 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 | $700 per policy | Periodic oral examination - $31.50 Scale & clean - $67.50 Fluoride treatment - $27.00 Surgical tooth extraction - $126.00 |
| Major dental* | 12 | $800 per policy (combined limit for major dental & endodontic) | Full crown veneered - $800.00 |
| Endodontic | 12 | Filling of one root canal - $148.50 | |
| Orthodontic | 12 | $2,500 per policy $2,500 lifetime limit | Braces for upper & lower teeth, including removal plus fitting of retainer - 90% of charge |
| Optical | 2 | $250 per policy | Single vision lenses & frames - 90% of charge Multi-focal lenses & frames - 90% of charge |
| Non PBS pharmaceuticals* | 2 | $500 per policy | Per eligible prescription - $70.00 |
| Physiotherapy | 2 | $1,000 per policy (combined limit for physiotherapy, chiropractic, podiatry, psychology, acupuncture, remedial massage, chinese medicine, dietetics/dietary advice, eye therapy (orthoptics), occupational therapy, osteopathy, speech therapy & other services - Sub-limits apply) | Initial visit - $54.50 Subsequent visit - $50.50 |
| Chiropractic | 2 | Initial visit - $49.50 Subsequent visit - $35.10 | |
| Podiatry* | 2 | Initial visit - $49.50 Subsequent visit - $31.50 | |
| Psychology | 2 | Initial visit - $128.50 Subsequent visit - $124.00 | |
| Acupuncture | 2 | Initial visit - $67.50 Subsequent visit - $37.80 | |
| Remedial massage | 2 | Initial visit - $49.50 Subsequent visit - $54.00 | |
| Hearing aids | 12 | $700 per policy 1 appliance(s) every 3 years | Hearing aid - $550.00 |
| Blood glucose monitors | 12 | $200 per policy 1 appliance(s) every 1 year | Per monitor - $200.00 |
| Chinese medicine | 2 | Combined limit - see Physiotherapy | Initial visit - $72.00 Subsequent visit - $72.00 |
| Dietetics/dietary advice | 2 | Combined limit - see Physiotherapy | Initial visit - $68.00 Subsequent visit - $41.00 |
| Eye therapy (orthoptics) | 2 | Combined limit - see Physiotherapy | Initial visit - $40.50 Subsequent visit - $36.00 |
| Health management / Healthy lifestyle | 6 | $100 per policy | Health management - 50% of charge |
| Occupational therapy | 2 | Combined limit - see Physiotherapy | Initial visit - $81.00 Subsequent visit - $54.00 |
| Orthotics (podiatric orthoses) | 12 | $500 per policy (combined limit for orthotics (podiatric orthoses) & other services - Sub-limits apply) | Orthotics supply & fit - $135.00 |
| Osteopathy | 2 | Combined limit - see Physiotherapy | Initial visit - $110.50 Subsequent visit - $110.50 |
| Speech therapy | 2 | Combined limit - see Physiotherapy | Initial visit - $92.00 Subsequent visit - $55.00 |
| Mental health includes Psychology, Digital Mental Health, Social Work (psychological therapies), and Counselling (including Indigenous Counselling). Sub-limits may apply. Orthotics, and other health aids, are payable under the Health Appliances category up to $500 per year. Sub-limits and restrictions apply. To find out about other health appliances included and relevant sub-limits and restrictions, please contact us. | |||
| Other treatments - check with your insurer |
In Victoria this policy provides:
Emergency: with no waiting period, limited to 1 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 and family 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.