Private Health Information Statement - General treatment policy

Super Extras

Monthly Premium

$180.70 #

(before any rebate or insurer discount)

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

Available in South Australia

# 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 & podiatrists 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 *: Blood Glucose monitors are payable once per year, Hearing Aids are payable once every 3 years, yearly limits and waiting periods apply. Home nursing covers selected services. Pharmacy benefit paid after deduction of the PBS co-payment. 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$900 per person
(no limit on preventative dental)
Periodic oral examination - $28.00
Scale & clean - $60.00
Fluoride treatment - $18.50
Surgical tooth extraction - $97.00
Major dental*12$900 per person
(combined limit for major dental & endodontic)
Full crown veneered - $661.00
Endodontic12Filling of one root canal - $140.00
Optical2$250 per personSingle vision lenses & frames - $192.00
Multi-focal lenses & frames - $250.00
Non PBS pharmaceuticals*2$400 per personPer eligible prescription - $40.00
Physiotherapy2$800 per person
(combined limit for physiotherapy, chiropractic & osteopathy)
Initial visit - $41.50
Subsequent visit - $32.50
Chiropractic2Initial visit - $44.00
Subsequent visit - $27.00
Podiatry2$300 per person
(combined limit for podiatry & orthotics (podiatric orthoses))
Initial visit - $43.50
Subsequent visit - $37.50
Psychology2$300 per person
(combined limit for psychology, acupuncture, chinese medicine & exercise physiology)
Initial visit - $120.00
Subsequent visit - $111.50
Acupuncture2Subsequent visit - $28.60
Remedial massage2$200 per personInitial visit - $47.00
Subsequent visit - $36.00
Hearing aids12$500 per person
1 service(s) every 3 years
Hearing aid - 60% of charge
Blood glucose monitors12$300 per person
1 service(s) every 1 year
(combined limit for blood glucose monitors & other services)
Per monitor - 60% of charge
Chinese medicine2Combined limit - see PsychologyInitial visit - $31.20
Subsequent visit - $23.40
Dietetics/dietary advice2$300 per person
(combined limit for dietetics/dietary advice, eye therapy (orthoptics), occupational therapy & speech therapy)
Initial visit - $55.20
Subsequent visit - $27.60
Exercise physiology2Combined limit - see PsychologyInitial visit - $31.20
Subsequent visit - $23.40
Eye therapy (orthoptics)2Combined limit - see Dietetics/dietary adviceInitial visit - $26.40
Subsequent visit - $22.80
Home nursing*2$250 per personInitial visit - $35.00
Occupational therapy2Combined limit - see Dietetics/dietary adviceInitial visit - $98.00
Subsequent visit - $65.50
Orthotics (podiatric orthoses)12Combined limit - see PodiatryOrthotics supply & fit - 60% of charge
Osteopathy2Combined limit - see PhysiotherapyInitial visit - $54.00
Subsequent visit - $33.00
Speech therapy2Combined limit - see Dietetics/dietary adviceInitial visit - $96.00
Subsequent visit - $61.20
Mental health includes Psychology, Digital Mental Health, Social Work (psychological therapies), and Counselling (including Indigenous Counselling). Travel 100% up to $100 per person, accommodation (per night) $40 up to $150 per person. Where applicable, benefits will be paid under your Hospital cover (cannot claim benefits on both hospital and extras for the same trip). Eligibility criteria apply.

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

General treatment legend
OrthodonticOther treatments - check with your insurer

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 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.