Private Health Information Statement - General treatment policy

Business 85 Benefits (Family)

Monthly Premium

$327.50 #

(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.

Employees/Members of organisations with arrangements with this health insurer

General Treatment Cover

This health insurer does not operate a preferred provider scheme.

This policy includes General treatment (Extras) cover for

General treatment legend
Note, for items marked with an asterisk *: Orthodontic treatment maximum lifetime limit is $2,200 per person. Hearing Aids are limited to one appliance per person every five years. 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.
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental0$500 per personPeriodic oral examination - 85% of charge
Scale & clean - 85% of charge
Fluoride treatment - 85% of charge
Surgical tooth extraction - 85% of charge
Major dental12$800 per person
(combined limit for major dental, endodontic, orthodontic & other services)
$2,200 lifetime limit for Orthodontic
Full crown veneered - 85% of charge
Endodontic12Filling of one root canal - 85% of charge
Orthodontic*12Braces for upper & lower teeth, including removal plus fitting of retainer - 85% of charge
Optical0$200 per personSingle vision lenses & frames - 85% of charge
Multi-focal lenses & frames - 85% of charge
Non PBS pharmaceuticals*0$700 per person
(combined limit for non pbs pharmaceuticals, podiatry, psychology, hearing aids, blood glucose monitors, occupational therapy, orthotics (podiatric orthoses) & speech therapy - Sub-limits apply)
Per eligible prescription - 85% of charge
Physiotherapy0$450 per person
(combined limit for physiotherapy & ante-natal/post-natal classes)
Initial visit - 85% of charge
Subsequent visit - 85% of charge
Chiropractic0$450 per person
(combined limit for chiropractic & osteopathy)
Initial visit - 85% of charge
Subsequent visit - 85% of charge
Podiatry0Combined limit - see Non PBS pharmaceuticalsInitial visit - 85% of charge
Subsequent visit - 85% of charge
Psychology0Combined limit - see Non PBS pharmaceuticalsInitial visit - 85% of charge
Subsequent visit - 85% of charge
Acupuncture0$200 per person
(combined limit for acupuncture, remedial massage, chinese medicine, dietetics/dietary advice, exercise physiology & other services)
Initial visit - 85% of charge
Subsequent visit - 85% of charge
Remedial massage0Initial visit - 85% of charge
Subsequent visit - 85% of charge
Hearing aids*12Combined limit - see Non PBS pharmaceuticalsHearing aid - 85% of charge
Blood glucose monitors12Combined limit - see Non PBS pharmaceuticalsPer monitor - 85% of charge
Ante-natal/Post-natal classes0Combined limit - see PhysiotherapyInitial visit - 85% of charge
Subsequent visit - 85% of charge
Chinese medicine0Combined limit - see AcupunctureInitial visit - 85% of charge
Subsequent visit - 85% of charge
Dietetics/dietary advice0Combined limit - see AcupunctureInitial visit - 85% of charge
Subsequent visit - 85% of charge
Exercise physiology0Combined limit - see AcupunctureInitial visit - 85% of charge
Subsequent visit - 85% of charge
Health management / Healthy lifestyle6$150 per policyHealth management - 85% of charge
Occupational therapy0Combined limit - see Non PBS pharmaceuticalsInitial visit - 85% of charge
Subsequent visit - 85% of charge
Orthotics (podiatric orthoses)12Combined limit - see Non PBS pharmaceuticalsOrthotics supply & fit - 85% of charge
Osteopathy0Combined limit - see ChiropracticInitial visit - 85% of charge
Subsequent visit - 85% of charge
Speech therapy0Combined limit - see Non PBS pharmaceuticalsInitial visit - 85% of charge
Subsequent visit - 85% of charge

This policy does not include General treatment (Extras) cover for

General treatment legend
Other treatments - check with your insurer

Other features of this general treatment cover

GU Health specialises in corporate health cover, providing superior health plans with executive benefits. Enjoy a generous 85% back on all included treatments and services including money back on a wide range of lifestyle services and treatments such as stress management, weight loss programs and quit smoking courses.

For further information about this policy see

https://www.guhealth.com.au/

Ambulance cover

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).

For further information about this policy see

https://www.guhealth.com.au/forms-and-publications/fact-sheets

Disclaimer

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.

Covered

For information on what is covered under each category, see https://www.privatehealth.gov.au/categories

Restricted

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.

Not Covered

These categories are not covered by this policy.