Private Health Information Statement - General treatment policy

Standard Extras

Monthly Premium

$90.20 #

(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 across Australia called Members First providers. By using them, in most cases you’ll receive up to 60% back, up to 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 *: Step down benefits apply after first 10 total services across Chiropractic and Osteopathy. Dentures payable once every 3 years. Periodic oral examination (012), Scale & Clean (114), Fluoride treatment (121) payable once every 6 months. Orthodontic treatment is only covered if resulting from an accident requiring immediate medical attention sustained after joining this cover.
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental*2$500 per person
(combined limit for general dental, major dental & endodontic)
Periodic oral examination - $19.00
Scale & clean - $40.50
Fluoride treatment - $15.00
Surgical tooth extraction - $58.00
Major dental*12Full crown veneered - $425.00
Endodontic12Filling of one root canal - $84.00
Optical2$150 per personSingle vision lenses & frames - $145.00
Multi-focal lenses & frames - $150.00
Physiotherapy2$350 per person up to $700 per policy
(combined limit for physiotherapy, chiropractic, acupuncture & osteopathy)
Initial visit - $26.00
Subsequent visit - $18.00
Chiropractic*2Initial visit - $24.00
Subsequent visit - $16.00
Acupuncture2Initial visit - $21.00
Subsequent visit - $15.00
Osteopathy*2Initial visit - $29.50
Subsequent visit - $19.50
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.

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

General treatment legend
Blood glucose monitorsOrthodonticRemedial massage
Hearing aidsPodiatryOther treatments - check with your insurer
Non PBS pharmaceuticalsPsychology

Other features of this general treatment cover

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.

Ambulance cover

South Australia has a subscription service to cover ambulance within the state, with an additional fee to cover interstate travel (http://www.saambulance.com.au/ProductsServices/AmbulanceCover.aspx).

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.