Private Health Information Statement - General treatment policy

Value Extras

Monthly Premium

$100.80 #

(before any rebate or insurer discount)

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

Available in Western 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.

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 *: Dentures payable once every 3 years. Periodic oral examination 012, Scale & Clean 114, Fluoride treatment 121 payable once every 6 months.
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental*2$600 per person
(combined limit for general dental, physiotherapy, chiropractic & osteopathy)
Periodic oral examination - $31.00
Scale & clean - $55.00
Fluoride treatment - $16.50
Surgical tooth extraction - $84.00
Major dental*12$600 per person
(combined limit for major dental & endodontic)
Full crown veneered - $576.00
Endodontic12Filling of one root canal - $131.00
Optical2$180 per person up to $360 per policySingle vision lenses & frames - $177.50
Multi-focal lenses & frames - $180.00
Physiotherapy2Combined limit - see General dentalInitial visit - $37.00
Subsequent visit - $28.00
Chiropractic2Combined limit - see General dentalInitial visit - $31.00
Subsequent visit - $23.00
Remedial massage2$150 per person up to $300 per policyInitial visit - $28.50
Subsequent visit - $26.50
Osteopathy2Combined limit - see General dentalInitial visit - $38.00
Subsequent visit - $28.50
Digital Mental Health 100% back of the fee agreed between Bupa and the provider up to yearly limits at Bupa recognised providers.

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

General treatment legend
AcupunctureNon PBS pharmaceuticalsPsychology
Blood glucose monitorsOrthodonticOther treatments - check with your insurer
Hearing aidsPodiatry

Other features of this general treatment cover

You’ll get access to higher set benefits at our Optical Partners including a ‘no-gap’ fixed-priced package experience on glasses, yearly limits and waiting periods apply.

Ambulance cover

In Western 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.