(before any rebate or insurer discount)
Covers only one person
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.
Employees/Members of organisations with arrangements with this health insurer
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.
| 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. | |||
|---|---|---|---|
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
| General dental* | 2 | $600 per policy | Periodic oral examination - $26.50 Scale & clean - $61.00 Fluoride treatment - $20.50 Surgical tooth extraction - $84.00 |
| Major dental* | 12 | $600 per policy | Full crown veneered - $540.00 |
| Endodontic | 12 | No annual limit | Filling of one root canal - $145.00 |
| Optical* | 2 | $200 per policy | Single vision lenses & frames - $177.50 Multi-focal lenses & frames - $200.00 |
| Physiotherapy* | 2 | $600 per policy (combined limit for physiotherapy, chiropractic & osteopathy) | Initial visit - $34.00 Subsequent visit - $22.50 |
| Chiropractic* | 2 | Initial visit - $32.00 Subsequent visit - $22.00 | |
| Remedial massage | 2 | $150 per policy | Initial visit - $28.50 Subsequent visit - $26.50 |
| Osteopathy* | 2 | Combined limit - see Physiotherapy | Initial visit - $39.50 Subsequent visit - $27.00 |
| Digital Mental Health 100% back of the fee agreed between Bupa and the provider up to yearly limits at Bupa recognised providers. | |||
| Acupuncture | Non PBS pharmaceuticals | Psychology |
| Blood glucose monitors | Orthodontic | Other treatments - check with your insurer |
| Hearing aids | Podiatry |
You'll get access to higher set benefits at our Optical Partners, yearly limits and waiting periods apply.
In Victoria this policy provides:
Emergency: Unlimited with a waiting period of 1 day.
Call-out fees: will not be paid.
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.
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.
For information on what is covered under each category, see https://www.privatehealth.gov.au/categories
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.
These categories are not covered by this policy.