Private Health Information Statement - General treatment policy

Corporate Everyday Extras

Monthly Premium

$126.00 #

(before any rebate or insurer discount)

Covers two adults & dependants (3 or more people, only 2 of whom are adults)

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.

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

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 *: Get 100% back on optical and 100% back on your first remedial massage visit every year, up to yearly limits. Periodic oral examination (012), Scale & Clean (114), Fluoride treatment (121) payable once every 6 months. Pharmacy benefit is 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$600 per personPeriodic oral examination - $19.00
Scale & clean - $40.50
Fluoride treatment - $15.00
Surgical tooth extraction - $58.00
Optical*2$200 per personSingle vision lenses & frames - 100% of charge
Non PBS pharmaceuticals*2$100 per personPer eligible prescription - 60% of charge
Physiotherapy2$300 per person
(combined limit for physiotherapy, chiropractic, acupuncture, chinese medicine, dietetics/dietary advice, exercise physiology & osteopathy)
Initial visit - $26.00
Subsequent visit - $18.00
Chiropractic2Initial visit - $24.00
Subsequent visit - $16.00
Acupuncture2Initial visit - $21.00
Remedial massage*2$150 per personInitial visit - $21.00
Subsequent visit - $23.00
Chinese medicine2Combined limit - see PhysiotherapyInitial visit - $21.00
Subsequent visit - $21.00
Dietetics/dietary advice2Combined limit - see PhysiotherapyInitial visit - $46.00
Subsequent visit - $27.00
Exercise physiology2Combined limit - see PhysiotherapyInitial visit - $21.00
Subsequent visit - $21.00
Osteopathy2Combined limit - see PhysiotherapyInitial visit - $29.50
Subsequent visit - $19.50

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

General treatment legend
Blood glucose monitorsMajor dentalPsychology
EndodonticOrthodonticOther treatments - check with your insurer
Hearing aidsPodiatry

Ambulance cover

In South Australia this policy provides:

Emergency: Unlimited with a waiting period of 1 day.

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 uncapped 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. 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.