Private Health Information Statement - General treatment policy

Extras Saver

Monthly Premium

$16.00 #

(before any rebate or insurer discount)

Covers only one person

Available in NSW & ACT

# 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 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.

This policy includes General treatment (Extras) cover for

General treatment legend
Note, for items marked with an asterisk *: 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$350 per policyPeriodic oral examination - 50% of charge
Scale & clean - 50% of charge
Fluoride treatment - 50% of charge
Surgical tooth extraction - 50% of charge

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

General treatment legend
AcupunctureMajor dentalPodiatry
Blood glucose monitorsNon PBS pharmaceuticalsPsychology
ChiropracticOpticalRemedial massage
EndodonticOrthodonticOther treatments - check with your insurer
Hearing aidsPhysiotherapy

Other features of this general treatment cover

Freedom to choose your own Bupa reocgnised provider and get 50% back on General Dental, up to yearly limits.

Ambulance cover

In NSW & ACT 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.