(before any rebate or insurer discount)
Covers only one person
Available in Queensland
Closed to new members
# 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 must be purchased with a hospital policy.
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 | No annual limit (no limit on preventative dental) | Periodic oral examination - $40.00 Scale & clean - $80.00 Fluoride treatment - $25.00 |
| Major dental | 12 | $2,000 per policy (combined limit for major dental & orthodontic - Sub-limits apply) $2,500 lifetime limit for Orthodontic | Surgical tooth extraction - $202.00 Full crown veneered - $1,120.00 |
| Endodontic | 12 | $500 per policy | Filling of one root canal - $211.00 |
| Orthodontic | 12 | Combined limit - see Major dental | Braces for upper & lower teeth, including removal plus fitting of retainer - 100% of charge |
| Optical | 6 | $300 per policy | Single vision lenses & frames - 100% of charge Multi-focal lenses & frames - 100% of charge |
| Non PBS pharmaceuticals | 2 | $600 per policy | Per eligible prescription - $50.00 |
| Physiotherapy | 2 | $600 per policy | Initial visit - $57.00 Subsequent visit - $37.00 |
| Chiropractic | 2 | $400 per policy (combined limit for chiropractic & osteopathy) | Initial visit - $51.00 Subsequent visit - $31.00 |
| Podiatry | 2 | $600 per policy (combined limit for podiatry & orthotics (podiatric orthoses)) | Initial visit - $36.00 Subsequent visit - $29.00 |
| Psychology | 2 | $500 per policy (combined limit for psychology, dietetics/dietary advice, exercise physiology, eye therapy (orthoptics), occupational therapy, speech therapy & other services) | Initial visit - $97.00 Subsequent visit - $71.00 |
| Acupuncture | 2 | $400 per policy (combined limit for acupuncture, remedial massage, chinese medicine & other services) | Initial visit - $51.00 Subsequent visit - $31.00 |
| Remedial massage | 2 | Initial visit - $31.00 Subsequent visit - $31.00 | |
| Hearing aids | 24 | $1,600 per policy 1 appliance(s) every 5 years | Hearing aid - 100% of charge |
| Blood glucose monitors | 12 | $600 per policy 1 appliance(s) every 3 years (combined limit for blood glucose monitors & other services) | Per monitor - 80% of charge |
| Chinese medicine | 2 | Combined limit - see Acupuncture | Initial visit - $31.00 Subsequent visit - $31.00 |
| Dietetics/dietary advice | 2 | Combined limit - see Psychology | Initial visit - $58.00 Subsequent visit - $33.00 |
| Exercise physiology | 2 | Combined limit - see Psychology | Initial visit - $51.00 Subsequent visit - $51.00 |
| Eye therapy (orthoptics) | 2 | Combined limit - see Psychology | Initial visit - $98.00 Subsequent visit - $98.00 |
| Health management / Healthy lifestyle | 6 | $200 per policy (Sub-limits apply) | Health management - 80% of charge |
| Occupational therapy | 2 | Combined limit - see Psychology | Initial visit - $67.00 Subsequent visit - $43.00 |
| Orthotics (podiatric orthoses) | 12 | Combined limit - see Podiatry | Orthotics supply & fit - 80% of charge |
| Osteopathy | 2 | Combined limit - see Chiropractic | Initial visit - $51.00 Subsequent visit - $31.00 |
| Speech therapy | 2 | Combined limit - see Psychology | Initial visit - $92.00 Subsequent visit - $43.00 |
| Top Extras also includes cover for: Western Herbal Medicine (waiting period 2 months, $31 benefit up to combined limit - see Acupuncture), Naturopathy (waiting period 2 months, $31 benefit up to combined limit - see Acupuncture), Yoga (waiting period 2 months, $31 benefit for consultations, $10 benefit for group classes up to combined limit - see Acupuncture), Pilates (waiting period 2 months, $31 benefit for consultations, $10 benefit for group classes up to combined limit - see Acupuncture), Tai Chi (waiting period 2 months, $31 benefit up to combined limit - see Acupuncture), Shiatsu (waiting period 2 months, $31 benefit up to combined limit - see Acupuncture) and Alexander Technique (waiting period 2 months, $31 benefit for consultations, $10 benefit for group classes up to combined limit - see Acupuncture). This product also includes coverage for Counselling consultations under the Psychology limit. *Benefit replacement periods may apply to some Health Aids and Appliances - see insurer for details. | |||
| Other treatments - check with your insurer |
Ambulance cover is provided by the State government for Queensland residents (https://www.ambulance.qld.gov.au/). This includes cover whilst interstate.
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.