(before any rebate or insurer discount)
Covers two adults & dependants (3 or more people, only 2 of whom are adults)
Available in All States
# 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 covers children and other dependants up to and including the age of 20, students up to and including the age of 24, as well as persons with a disability who qualify as a child or other dependant or student in these age ranges.
Overseas resident and employees/members of organisations with arrangements with this health insurer
This health insurer does not operate a preferred provider scheme.
| Note, for items marked with an asterisk *: Pharmaceutical benefits paid for items with an official pharmacy receipt, after you pay a sum equal to the Australian Government’s highest current PBS co-payment. | |||
|---|---|---|---|
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
| General dental | 0 | $4,000 per policy | Periodic oral examination - 85% of charge Scale & clean - 85% of charge Fluoride treatment - 85% of charge Surgical tooth extraction - 85% of charge |
| Major dental | 12 | $1,000 per person (combined limit for major dental, endodontic, orthodontic & other services) | Full crown veneered - 85% of charge |
| Endodontic | 12 | Filling of one root canal - 85% of charge | |
| Orthodontic | 12 | Braces for upper & lower teeth, including removal plus fitting of retainer - 85% of charge | |
| Optical | 0 | $200 per person | Single vision lenses & frames - 85% of charge Multi-focal lenses & frames - 85% of charge |
| Non PBS pharmaceuticals* | 0 | $500 per person | Per eligible prescription - 85% of charge |
| Physiotherapy | 0 | $350 per person | Initial visit - 85% of charge Subsequent visit - 85% of charge |
| Chiropractic | 0 | $700 per policy (combined limit for chiropractic, acupuncture, remedial massage, osteopathy & other services) | Initial visit - 85% of charge Subsequent visit - 85% of charge |
| Podiatry | 0 | $350 per person | Initial visit - 85% of charge Subsequent visit - 85% of charge |
| Psychology | 0 | $700 per policy | Initial visit - 85% of charge Subsequent visit - 85% of charge |
| Acupuncture | 0 | Combined limit - see Chiropractic | Initial visit - 85% of charge Subsequent visit - 85% of charge |
| Remedial massage | 0 | Combined limit - see Chiropractic | Initial visit - 85% of charge Subsequent visit - 85% of charge |
| Hearing aids | 12 | $600 per person 1 appliance(s) every 5 years | Hearing aid - 85% of charge |
| Blood glucose monitors | 12 | $200 per person (combined limit for blood glucose monitors & orthotics (podiatric orthoses)) | Per monitor - 85% of charge |
| Dietetics/dietary advice | 0 | $350 per person | Initial visit - 85% of charge Subsequent visit - 85% of charge |
| Eye therapy (orthoptics) | 0 | $350 per person | Initial visit - 85% of charge Subsequent visit - 85% of charge |
| Occupational therapy | 0 | $350 per person | Initial visit - 85% of charge Subsequent visit - 85% of charge |
| Orthotics (podiatric orthoses) | 0 | Combined limit - see Blood glucose monitors | Orthotics supply & fit - 85% of charge |
| Osteopathy | 0 | Combined limit - see Chiropractic | Initial visit - 85% of charge Subsequent visit - 85% of charge |
| Speech therapy | 0 | $350 per person | Initial visit - 85% of charge Subsequent visit - 85% of charge |
| Other treatments - check with your insurer |
85% for a large range of services and treatments
Ambulance cover is provided by the State government in Tasmania (https://www.health.tas.gov.au/ambulance/fees_and_accounts) and Queensland (https://www.ambulance.qld.gov.au/). In other states concession card holders may have free cover and there are subscription services in several states (https://privatehealth.gov.au/health_insurance/what_is_covered/ambulance.htm).
https://www.guhealth.com.au/forms-and-publications/fact-sheets
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.