(before any rebate or insurer discount)
Covers 2 adults (and no-one else)
Available in All States
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.
By using onemedifund's 'preferred providers' you may have lower out of pocket costs on Dental and Optical treatments and have access to more 'no gap' treatments. A list of 'preferred providers' is available from the fund.
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
|---|---|---|---|
| General dental | 2 | No annual limit (Sub-limits apply) | Periodic oral examination - $50.00 Scale & clean - $80.00 Fluoride treatment - $30.00 Surgical tooth extraction - $200.00 |
| Major dental | 12 | $2,650 per person (Sub-limits apply) | Full crown veneered - $850.00 |
| Endodontic | 2 | No annual limit (Sub-limits apply) | Filling of one root canal - $200.00 |
| Orthodontic | 12 | $2,100 per person $2,100 lifetime limit | Braces for upper & lower teeth, including removal plus fitting of retainer - $2,100.00 |
| Optical | 6 | $275 per person | Single vision lenses & frames - $275.00 Multi-focal lenses & frames - $275.00 |
| Non PBS pharmaceuticals | 2 | $500 per person up to $1,000 per policy (combined limit for non pbs pharmaceuticals & vaccinations - Sub-limits apply) | Per eligible prescription - $65.00 |
| Physiotherapy | 2 | $550 per person up to $1,100 per policy (combined limit for physiotherapy, exercise physiology, eye therapy (orthoptics), occupational therapy & other services - Sub-limits apply) | Initial visit - $60.00 Subsequent visit - $40.00 |
| Chiropractic | 2 | $750 per person up to $1,500 per policy (combined limit for chiropractic, podiatry, acupuncture, remedial massage, dietetics/dietary advice, osteopathy & other services - Sub-limits apply) | Initial visit - $40.00 Subsequent visit - $30.00 |
| Podiatry | 2 | Initial visit - $40.00 Subsequent visit - $30.00 | |
| Psychology | 2 | $500 per person up to $650 per policy (Sub-limits apply) | Initial visit - $120.00 Subsequent visit - $80.00 |
| Acupuncture | 2 | Combined limit - see Chiropractic | Initial visit - $40.00 Subsequent visit - $30.00 |
| Remedial massage | 2 | Combined limit - see Chiropractic | Initial visit - $40.00 Subsequent visit - $30.00 |
| Hearing aids | 24 | $1,500 per person 1 appliance(s) every 5 years | Hearing aid - $1,500.00 |
| Blood glucose monitors | 12 | $130 per person 1 appliance(s) every 3 years (combined limit for blood glucose monitors & other services) | Per monitor - $130.00 |
| Ante-natal/Post-natal classes | 12 | $150 per person | Initial visit - 80% of charge Subsequent visit - 80% of charge |
| Dietetics/dietary advice | 2 | Combined limit - see Chiropractic | Initial visit - $40.00 Subsequent visit - $30.00 |
| Exercise physiology | 2 | Combined limit - see Physiotherapy | Initial visit - $60.00 Subsequent visit - $40.00 |
| Eye therapy (orthoptics) | 2 | Combined limit - see Physiotherapy | Initial visit - $90.00 Subsequent visit - $75.00 |
| Health management / Healthy lifestyle | 6 | $300 per policy | Health management - $150.00 |
| Home nursing | 2 | $1,000 per person | Initial visit - $45.00 Subsequent visit - $45.00 |
| Occupational therapy | 2 | Combined limit - see Physiotherapy | Initial visit - $60.00 Subsequent visit - $40.00 |
| Orthotics (podiatric orthoses) | 2 | $250 per person up to $500 per policy | Orthotics supply & fit - 80% of charge |
| Osteopathy | 2 | Combined limit - see Chiropractic | Initial visit - $40.00 Subsequent visit - $30.00 |
| Speech therapy | 2 | $800 per person | Initial visit - 80% of charge Subsequent visit - 80% of charge |
| Vaccinations | 2 | Combined limit - see Non PBS pharmaceuticals | Per service - $65.00 |
| Other treatments - check with your insurer |
Loyalty bonuses apply to Surgical Equipment/Health Aids, Crowns & Bridges, Dentures & Orthodontics after 5yrs continuous cover on this product. Ambulance Cover Nationwide.
https://www.onemedifund.com.au/siteassets/documents/cover-descriptions/oms/extras.pdf
In All States this policy provides:
Emergency: Unlimited with no waiting period.
Non-emergency: Unlimited transport with no waiting period.
Call-out fees: will be paid for each attendance, including emergency treatment without transport to hospital.
State schemes provide ambulance services for residents of Tasmania (https://www.health.tas.gov.au/ambulance/fees_and_accounts) and Queensland (https://www.ambulance.qld.gov.au/).
https://www.onemedifund.com.au/siteassets/documents/cover-descriptions/oms/extras.pdf
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.