(before any rebate or insurer discount)
Covers 2 adults (and no-one else)
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.
This policy can only be purchased with certain hospital policies.
This health insurer does not operate a preferred provider scheme.
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
|---|---|---|---|
| General dental | 2 | Gap Free Preventative Dental 100% Benefit Limit 2 Service Person Per Year Items Number 011-015 111-116 | Periodic oral examination - 100% of charge Scale & clean - 100% of charge Fluoride treatment - $25.00 Surgical tooth extraction - $110.00 |
| Major dental | 12 | $1,100 per person | Full crown veneered - $800.00 |
| Endodontic | 12 | No annual limit | Filling of one root canal - $150.00 |
| Orthodontic | 12 | $600 per person $2,500 lifetime limit (Sub-limits apply) | Braces for upper & lower teeth, including removal plus fitting of retainer - $2,500.00 |
| Optical | 2 | $290 per person | Single vision lenses & frames - $210.00 Multi-focal lenses & frames - $290.00 |
| Non PBS pharmaceuticals | 2 | $700 per person | Per eligible prescription - $70.00 |
| Physiotherapy | 2 | $700 per person (combined limit for physiotherapy, occupational therapy & speech therapy) | Initial visit - $55.00 Subsequent visit - $45.00 |
| Chiropractic | 2 | $600 per person (combined limit for chiropractic, podiatry, psychology, acupuncture, remedial massage, dietetics/dietary advice, exercise physiology & osteopathy - Sub-limits apply) | Initial visit - $40.00 Subsequent visit - $35.00 |
| Podiatry | 2 | Initial visit - $45.00 Subsequent visit - $40.00 | |
| Psychology | 2 | Initial visit - $50.00 Subsequent visit - $50.00 | |
| Acupuncture | 2 | Initial visit - $40.00 Subsequent visit - $40.00 | |
| Remedial massage | 2 | Initial visit - $50.00 Subsequent visit - $30.00 | |
| Hearing aids | 36 | $750 per person (combined limit for hearing aids & other services - Sub-limits apply) | Hearing aid - $800.00 |
| Blood glucose monitors | 12 | $500 per person 1 appliance(s) every 1 year (combined limit for blood glucose monitors & other services) | Per monitor - 75% of charge |
| Ante-natal/Post-natal classes | 2 | $250 per person | Initial visit - $25.00 |
| Dietetics/dietary advice | 2 | Combined limit - see Chiropractic | Initial visit - $35.00 |
| Exercise physiology | 2 | Combined limit - see Chiropractic | Initial visit - $26.00 Subsequent visit - $22.00 |
| Health management / Healthy lifestyle | 2 | $65 per person | Health management - $65.00 |
| Home nursing | 2 | $950 per person | Initial visit - $35.00 |
| Occupational therapy | 2 | Combined limit - see Physiotherapy | Initial visit - $35.00 |
| Orthotics (podiatric orthoses) | 2 | $200 per person | Orthotics supply & fit - 75% of charge |
| Osteopathy | 2 | Combined limit - see Chiropractic | Initial visit - $35.00 Subsequent visit - $30.00 |
| Speech therapy | 2 | Combined limit - see Physiotherapy | Initial visit - $35.00 Subsequent visit - $40.00 |
| Does not include treatment for: Alexander technique; Aromatherapy; Bowen therapy; Buteyko; Feldenkrais; Western herbalism; homeopathy; iridology; kinesiology; naturopathy; Pilates; reflexology; Rolfing; Shiatsu; Tai chi; Yoga CSIRO Total Wellbeing Diet $60 Per Year Per Membership | |||
| Other treatments - check with your insurer |
Orthodontic is paid at 75% of account in current year to max $600.00 with $250.00 per year accumulated up to a maximum benefit of $2500.00 per person per lifetime.
Health Care Concession Card, Pensioner Concession Card, and Commonwealth Seniors Health Card holders are entitled to free ambulance transport services. If you are not eligible for a concession and want to be covered, you can purchase insurance from a private health fund.
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.