(before any rebate or insurer discount)
Covers 2 adults (and no-one else)
Available in Northern Territory
# 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 | 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 - $125.00 |
| Major dental | 12 | $850 per person | Full crown veneered - $800.00 |
| Endodontic | 2 | No annual limit | Filling of one root canal - $125.00 |
| Orthodontic | 12 | $400 per person $2,400 lifetime limit | Braces for upper & lower teeth, including removal plus fitting of retainer - $2,400.00 |
| Optical | 2 | $299 per person | Single vision lenses & frames - 100% of charge Multi-focal lenses & frames - 100% of charge |
| Non PBS pharmaceuticals | 2 | $700 per person (combined limit for non pbs pharmaceuticals & vaccinations - Sub-limits apply) | Per eligible prescription - $70.00 |
| Physiotherapy | 2 | $700 per person (combined limit for physiotherapy, occupational therapy & speech therapy - Sub-limits apply) | Initial visit - $40.00 Subsequent visit - $36.00 |
| Chiropractic | 2 | $480 per person (combined limit for chiropractic, podiatry, psychology, acupuncture, remedial massage, dietetics/dietary advice, exercise physiology & osteopathy - Sub-limits apply) | Initial visit - $26.00 Subsequent visit - $22.00 |
| Podiatry | 2 | Initial visit - $26.00 Subsequent visit - $22.00 | |
| Psychology | 2 | Initial visit - $38.00 Subsequent visit - $38.00 | |
| Acupuncture | 2 | Initial visit - $35.00 Subsequent visit - $35.00 | |
| Remedial massage | 2 | Initial visit - $40.00 Subsequent visit - $40.00 | |
| Hearing aids | 12 | $750 per person | Hearing aid - 75% of charge |
| Blood glucose monitors | 12 | $100 per person | Per monitor - 75% of charge |
| Ante-natal/Post-natal classes | 2 | $150 per person | Initial visit - $15.00 Subsequent visit - $15.00 |
| Dietetics/dietary advice | 0 | Combined limit - see Chiropractic | Initial visit - $26.00 |
| Exercise physiology | 2 | Combined limit - see Chiropractic | Initial visit - $26.00 Subsequent visit - $26.00 |
| Health management / Healthy lifestyle | 2 | $100 per person | Health management - $50.00 |
| Home nursing | 2 | $750 per Calendar Year | Initial visit - $16.00 Subsequent visit - $16.00 |
| Occupational therapy | 2 | Combined limit - see Physiotherapy | Initial visit - $28.00 Subsequent visit - $28.00 |
| Orthotics (podiatric orthoses) | 12 | $150 per person | Orthotics supply & fit - 75% of charge |
| Osteopathy | 2 | Combined limit - see Chiropractic | Initial visit - $26.00 Subsequent visit - $22.00 |
| Speech therapy | 2 | Combined limit - see Physiotherapy | Initial visit - $28.00 Subsequent visit - $32.00 |
| Vaccinations | 2 | Combined limit - see Non PBS pharmaceuticals | Per service - $70.00 |
| CSIRO Total Wellbeing Diet $299 1 Per Membership Per Year | |||
| Other treatments - check with your insurer |
Pensioner Concession Card and Commonwealth Seniors Health Card holders are entitled to free ambulance transport services. St John's ambulance offers a subscription service for ambulance cover in the Northern Territory (https://www.stjohnnt.org.au/ambulance/ambulance-cover.php). Cover is included whilst interstate for less than 21 days.
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.