Private Health Information Statement - General treatment policy

SMART EXTRAS

Monthly Premium

$174.10 #

(before any rebate or insurer discount)

Covers 2 adults (and no-one else)

Available in Tasmania

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.

General Treatment Cover

This policy must be purchased with a hospital policy.

Our nationwide network of No-Gap participating providers gives you access to comprehensive extras cover at an affordable price. Find out more See https://www.hcf.com.au/locations/find-a-participating-provider.

This policy includes General treatment (Extras) cover for

General treatment legend
Note, for items marked with an asterisk *: 100% back on 2 dental check-ups, prescription glasses and free digital retinal imaging with an eye test, an initial physio, chiro, osteo, podiatry consult as well as 100% back on high quality hearing aids. Available at participating providers and subject to annual limits.
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental*2$400 per personPeriodic oral examination - $33.00
Scale & clean - $67.00
Fluoride treatment - $27.00
Major dental12$700 per personSurgical tooth extraction - $165.00
Full crown veneered - $650.00
Endodontic12$400 per personFilling of one root canal - $148.00
Orthodontic12$400 per person
$1,800 lifetime limit
Braces for upper & lower teeth, including removal plus fitting of retainer - $400.00
Optical*2$200 per personSingle vision lenses & frames - 100% of charge
Multi-focal lenses & frames - 100% of charge
Non PBS pharmaceuticals2$600 per person
(combined limit for non pbs pharmaceuticals & vaccinations)
Per eligible prescription - $50.00
Physiotherapy*2$700 per person
(combined limit for physiotherapy, dietetics/dietary advice, eye therapy (orthoptics), occupational therapy & speech therapy)
Initial visit - $51.00
Subsequent visit - $47.00
Chiropractic*2$350 per person
(combined limit for chiropractic, exercise physiology & osteopathy)
Initial visit - $37.00
Subsequent visit - $32.00
Podiatry*2$200 per personInitial visit - $36.00
Subsequent visit - $30.00
Acupuncture2$300 per person
(combined limit for acupuncture, remedial massage & chinese medicine)
Initial visit - $35.00
Subsequent visit - $25.00
Remedial massage2Initial visit - $35.00
Subsequent visit - $25.00
Chinese medicine2Initial visit - $35.00
Subsequent visit - $20.00
Dietetics/dietary advice2Combined limit - see PhysiotherapyInitial visit - $45.00
Subsequent visit - $45.00
Exercise physiology2Combined limit - see ChiropracticInitial visit - $32.00
Subsequent visit - $32.00
Eye therapy (orthoptics)2Combined limit - see PhysiotherapyInitial visit - $40.00
Subsequent visit - $32.00
Health management / Healthy lifestyle2$150 per person up to $300 per policyHealth management - $150.00
Occupational therapy2Combined limit - see PhysiotherapyInitial visit - $62.00
Subsequent visit - $62.00
Orthotics (podiatric orthoses)12$120 per personOrthotics supply & fit - $120.00
Osteopathy*2Combined limit - see ChiropracticInitial visit - $47.00
Subsequent visit - $39.00
Speech therapy2Combined limit - see PhysiotherapyInitial visit - $60.00
Subsequent visit - $60.00
Vaccinations2Combined limit - see Non PBS pharmaceuticalsPer service - $50.00
General dental has service limits which are not included in the annual limit. A combined limit of $400 includes Endodontic, periodontic, oral surgery & In chair teeth whitening treatment provided by a dentist, a service limit of an in-chair treatment -max 8 teeth/session; applies every 36 months. Crowns, bridges and dentures have a combined annual limit of $700. Limit for dentures renews every 3 years. p. The $400 endodontic limit includes surgical extractions and periodontic services. The orthodontic limit accrues annually up to a lifetime limit of $1,800 for an Orthodontist ($1,500 for General Dentist). Foot orthotics limited to 1 pair per person per year. HCF-approved Online Cognitive Behavioural Therapy courses with a separate annual limit per person/ per policy. For selected therapies, benefits are lower after 14 visits.

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

General treatment legend
Blood glucose monitorsPsychology
Hearing aidsOther treatments - check with your insurer

Other features of this general treatment cover

Cover includes Health Management Programs to a limit of $150 per person /$300 per policy. Health Dollars Loyalty Rewards apply to a max after 4 years of $200 per person /$400 per family policy. Health Dollars Loyalty Rewards can be used to reduce hospital excess or top up current extras benefits.

Ambulance cover

Ambulance cover is provided by the State government for residents of Tasmania. This may include cover whilst interstate, except for South Australia and Queensland where no cover applies. In other states please check with Ambulance Tasmania - https://www.health.tas.gov.au/ambulance/fees_and_accounts.

Other features of this ambulance cover

If you are a resident of TAS, you're covered under your state ambulance service scheme in TAS only. In other states (excluding QLD and SA), you are covered under state reciprocal agreements for emergency road ambulance only. If you aren't offered cover under any arrangement, you have unlimited emergency ambulance services provided by state Ambulance Service Providers.

For further information about this policy see

https://www.hcf.com.au/faqs/faqs-cover#what-is-ambulance-cover

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.