Private Health Information Statement - General treatment policy

GENERAL EXTRAS

Monthly Premium

$128.17 #

(before any rebate or insurer discount)

Covers two adults & dependants, including non-student dependants (3 or more people, only 2 of whom are adults)

Available in NSW & ACT

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 covers children, students up to and including the age of 30 and non-students up to and including the age of 30, as well as persons with a disability who qualify as a child, student or non-student in these age ranges.

General Treatment Cover

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 *: Includes 100% back on 2 dental check-ups, prescription glasses and free digital retinal imaging with an eye test, and 100% back on an initial physio, chiro and osteo consult, 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 - $30.00
Scale & clean - $57.00
Fluoride treatment - $27.00
Major dental12$300 per person
(combined limit for major dental & endodontic)
Surgical tooth extraction - $150.00
Full crown veneered - n/a
Endodontic12Filling of one root canal - $115.00
Orthodontic12$250 per person
$1,500 lifetime limit
Braces for upper & lower teeth, including removal plus fitting of retainer - $250.00
Optical*2$180 per personSingle vision lenses & frames - 100% of charge
Multi-focal lenses & frames - 100% of charge
Non PBS pharmaceuticals2$500 per person
(combined limit for non pbs pharmaceuticals & vaccinations)
Per eligible prescription - $50.00
Physiotherapy*2$500 per person
(combined limit for physiotherapy, chiropractic, acupuncture, remedial massage, chinese medicine, exercise physiology, eye therapy (orthoptics), occupational therapy, osteopathy & speech therapy - Sub-limits apply)
Initial visit - $33.00
Subsequent visit - $23.00
Chiropractic*2Initial visit - $30.00
Subsequent visit - $21.00
Acupuncture2Initial visit - $22.00
Subsequent visit - $10.00
Remedial massage2Initial visit - $22.00
Subsequent visit - $10.00
Chinese medicine2Initial visit - $22.00
Subsequent visit - $10.00
Exercise physiology2Initial visit - $25.00
Subsequent visit - $20.00
Eye therapy (orthoptics)2Initial visit - $20.00
Subsequent visit - $20.00
Occupational therapy2Initial visit - $40.00
Subsequent visit - $30.00
Osteopathy*2Initial visit - $30.00
Subsequent visit - $22.00
Speech therapy2Initial visit - $40.00
Subsequent visit - $30.00
Vaccinations2Combined limit - see Non PBS pharmaceuticalsPer service - $50.00
General dental $400 limit is for direct fillings. Cover also includes dental check ups with service limits, that are not part of the general dental annual limit. Occlusal therapy, periodontics, crowns, bridges, implants and dentures are not covered. Orthodontic accrues at $250 per calendar year, up to lifetime limit of $1,500 for Orthodontists ($1,000 lifetime limit for General Dentist). HCF-approved Online Cognitive Behavioural Therapy courses are included with a separate annual limit per person/ per policy. Sub-limit of $250 each for chiro, osteo and exercise physiology. Combined sub-limit of $200 for speech and occupational therapy. Combined sub-limit of $100 for accupuncture, Chinese herbal medicine, remedial massage and myotherapy. Lower benefits for physio, chiro and osteo after the 11th visit.

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

General treatment legend
Blood glucose monitorsPodiatryOther treatments - check with your insurer
Hearing aidsPsychology

Other features of this general treatment cover

Includes school accident benefit of up to $400 annual limit to help pay for out-of-pocket expenses for extras in your cover (per eligible child).

Ambulance cover

In NSW & ACT this policy provides:

Emergency: Unlimited with a waiting period of 1 day.

Call-out fees:  will be paid for each attendance, including emergency treatment without transport to hospital.

Other features of this ambulance cover

For all NSW and ACT residents there is unlimited emergency ambulance cover for transport received within NSW or the ACT. For emergency transport received outside of NSW or ACT there is no annual limit for 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.