(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.
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 | $750 per policy | Periodic oral examination - $24.00 Scale & clean - $38.00 Fluoride treatment - $25.00 Surgical tooth extraction - $114.00 |
| Major dental | 12 | $600 per policy | Full crown veneered - $300.00 |
| Endodontic | 12 | No annual limit | Filling of one root canal - $70.00 |
| Orthodontic | 12 | $100 per policy $1,200 lifetime limit (Sub-limits apply) | Braces for upper & lower teeth, including removal plus fitting of retainer - $1,200.00 |
| Optical | 2 | $210 per person limited to $500 per policy | Single vision lenses & frames - 100% of charge Multi-focal lenses & frames - 100% of charge |
| Non PBS pharmaceuticals | 2 | $400 per policy (combined limit for non pbs pharmaceuticals & psychology - Sub-limits apply) | Per eligible prescription - $21.00 |
| Physiotherapy | 2 | $300 per policy (combined limit for physiotherapy, chiropractic, podiatry, osteopathy & speech therapy - Sub-limits apply) | Initial visit - $36.00 Subsequent visit - $30.00 |
| Chiropractic | 2 | Initial visit - $38.00 Subsequent visit - $32.00 | |
| Podiatry | 2 | Initial visit - $35.00 Subsequent visit - $30.00 | |
| Psychology | 2 | Combined limit - see Non PBS pharmaceuticals | Initial visit - $40.00 Subsequent visit - $40.00 |
| Acupuncture | 2 | $150 per policy (combined limit for acupuncture, remedial massage, dietetics/dietary advice & occupational therapy - Sub-limits apply) | Initial visit - $27.00 Subsequent visit - $27.00 |
| Remedial massage | 2 | Initial visit - $30.00 Subsequent visit - $20.00 | |
| Blood glucose monitors | 12 | 1 appliance(s) every 1 year (combined limit for blood glucose monitors & other services) | Per monitor - 75% of charge |
| Dietetics/dietary advice | 2 | Combined limit - see Acupuncture | Initial visit - $25.00 |
| Health management / Healthy lifestyle | 2 | $180 per policy | Health management - $60.00 |
| Home nursing | 2 | $150 per policy | Initial visit - $16.00 |
| Occupational therapy | 2 | Combined limit - see Acupuncture | Initial visit - $28.00 |
| Orthotics (podiatric orthoses) | 2 | No annual limit | Orthotics supply & fit - 75% of charge |
| Osteopathy | 2 | Combined limit - see Physiotherapy | Initial visit - $26.00 Subsequent visit - $26.00 |
| Speech therapy | 2 | Combined limit - see Physiotherapy | Initial visit - $28.00 Subsequent visit - $32.00 |
| 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 Membership Per Year | |||
| Hearing aids | Other treatments - check with your insurer |
Comprehensive Ambulance cover when taken with a Hospital Cover or additional Ambulance cover can be added. This product also allows benefits for Weight Management, First Aid training and Stop Smoking education
Pensioner Concession Card and Healthcare Card holders are entitled to free clinically necessary ambulance transport. If you are not eligible for a concession and want to be covered, you can purchase insurance from a private health insurer or take out a subscription with the state ambulance service (https://www.ambulance.vic.gov.au/membership).
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.