Private Health Information Statement - General treatment policy

Freedom 60 Boost

Monthly Premium

$183.25 #

(before any rebate or insurer discount)

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

Available in Victoria

# 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, students up to and including the age of 31 and non-students up to and including the age of 31, as well as persons with a disability who qualify as a child, student or non-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 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. Dentures payable once every 3 years.
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental*2$650 per person up to $1,300 per policyPeriodic oral examination - 60% of charge
Scale & clean - 60% of charge
Fluoride treatment - 60% of charge
Surgical tooth extraction - 60% of charge
Major dental*12$650 per person up to $1,300 per policy
(combined limit for major dental & endodontic)
Full crown veneered - 60% of charge
Endodontic12Filling of one root canal - 60% of charge
Optical2$250 per person up to $500 per policySingle vision lenses & frames - 60% of charge
Multi-focal lenses & frames - 60% of charge
Physiotherapy2$500 per person up to $1,000 per policy
(combined limit for physiotherapy, chiropractic & osteopathy)
Initial visit - 60% of charge
Subsequent visit - 60% of charge
Chiropractic2Initial visit - 60% of charge
Subsequent visit - 60% of charge
Psychology2$200 per person up to $400 per policyInitial visit - 60% of charge
Subsequent visit - 60% of charge
Acupuncture2$200 per person up to $400 per policy
(combined limit for acupuncture, remedial massage, chinese medicine & exercise physiology)
Initial visit - 60% of charge
Subsequent visit - 60% of charge
Remedial massage2Initial visit - 60% of charge
Subsequent visit - 60% of charge
Chinese medicine2Initial visit - 60% of charge
Subsequent visit - 60% of charge
Exercise physiology2Initial visit - 60% of charge
Subsequent visit - 60% of charge
Osteopathy2Combined limit - see PhysiotherapyInitial visit - 60% of charge
Subsequent visit - 60% of charge
Mental health includes Psychology, Digital Mental Health, Social Work (psychological therapies) and Counselling (including Indigenous Counselling). 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
Blood glucose monitorsNon PBS pharmaceuticalsPodiatry
Hearing aidsOrthodonticOther treatments - check with your insurer

Ambulance cover

In Victoria 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 costs associated with uncapped 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.