Private Health Information Statement - General treatment policy

Ancillary Lite

Monthly Premium

$103.04 #

(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.

Membership of this insurer is restricted to Seventh-day Adventist Church employees, Local Church Officers and their families.

General Treatment Cover

This health insurer does not operate a preferred provider scheme.

This policy includes General treatment (Extras) cover for

General treatment legend
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental9$700 per person
(combined limit for general dental, major dental, endodontic & other services - Sub-limits apply)
Periodic oral examination - $100.00
Scale & clean - $100.00
Fluoride treatment - $100.00
Major dental9Surgical tooth extraction - $168.00
Full crown veneered - $400.00
Endodontic9Filling of one root canal - $400.00
Optical4$200 per person
(combined limit for optical & other services)
Single vision lenses & frames - $200.00
Multi-focal lenses & frames - $200.00
Non PBS pharmaceuticals2$250 per personPer eligible prescription - $50.00
Physiotherapy2$300 per person
(combined limit for physiotherapy, chiropractic, podiatry, osteopathy & other services)
Initial visit - $37.50
Subsequent visit - $26.50
Chiropractic2Initial visit - $25.00
Subsequent visit - $25.00
Podiatry2Initial visit - $25.00
Subsequent visit - $25.00
Acupuncture2$100 per person
(combined limit for acupuncture & remedial massage)
Initial visit - $20.00
Subsequent visit - $20.00
Remedial massage2Initial visit - $20.00
Subsequent visit - $20.00
Osteopathy2Combined limit - see PhysiotherapyInitial visit - $25.00
Subsequent visit - $25.00

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

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

For further information about this policy see

https://acahealth.com.au/quote-details/?hospital=no_hospital&extras=lite

Ambulance cover

In All States this policy provides:

Emergency: Unlimited 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/).

For further information about this policy see

https://acahealth.com.au/quote-details/?hospital=no_hospital&extras=lite

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.