(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 Western Australia
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.
Membership of this insurer is restricted to current or former members of the ADF and the Defence community and their families.
This policy can only be purchased with certain hospital policies.
Visit a network dentist for quality dental care at special member prices. Plus, network optical providers offer no-gap glasses and discounts on other optical purchases up to the optical limit. See https://www.defencehealth.com.au/Health-Insurance/Find-Providers-and-Hospitals.
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
|---|---|---|---|
| General dental | 2 | $400 per person (combined limit for general dental, major dental, endodontic & orthodontic) | Periodic oral examination - $30.00 Scale & clean - $55.00 Fluoride treatment - $14.80 |
| Major dental | 12 | Surgical tooth extraction - $81.60 Full crown veneered - $400.00 | |
| Endodontic | 12 | Filling of one root canal - $121.90 | |
| Orthodontic | 12 | Braces for upper & lower teeth, including removal plus fitting of retainer - $400.00 | |
| Optical | 2 | $150 per person | Single vision lenses & frames - 100% of charge Multi-focal lenses & frames - 100% of charge |
| Non PBS pharmaceuticals | 2 | $250 per person | Per eligible prescription - $50.00 |
| Physiotherapy | 2 | $450 per person (combined limit for physiotherapy, chiropractic, ante-natal/post-natal classes & osteopathy) | Initial visit - $30.00 Subsequent visit - $22.00 |
| Chiropractic | 2 | Initial visit - $30.00 Subsequent visit - $22.00 | |
| Acupuncture | 2 | $150 per person (combined limit for acupuncture, remedial massage & other services) | Initial visit - $19.00 Subsequent visit - $15.00 |
| Remedial massage | 2 | Initial visit - $19.00 Subsequent visit - $15.00 | |
| Ante-natal/Post-natal classes | 2 | Combined limit - see Physiotherapy | Initial visit - $10.00 Subsequent visit - $10.00 |
| Osteopathy | 2 | Combined limit - see Physiotherapy | Initial visit - $30.00 Subsequent visit - $22.00 |
| Vaccinations | 2 | $250 per person | Per service - $50.00 |
| Health and Wellbeing annual limit $150 includes: Acupuncture, Remedial Massage, Myotherapy - initial consultation: $19.00, subsequent consultation: $15.00, and Group Physiotherapy - $10.00 per session. | |||
| Blood glucose monitors | Podiatry | Other treatments - check with your insurer |
| Hearing aids | Psychology |
All benefits are per person. Benefits reset on 1 July each year. Details and claim conditions are provided in product guides available at defencehealth.com.au or 1800 335 425.
In Western Australia this policy provides:
Emergency: Unlimited with a waiting period of 2 months.
Non-emergency: Unlimited transport with a waiting period of 2 months.
Call-out fees: will be paid for each attendance, including emergency treatment without transport to hospital.
Comprehensive cover for ambulance services by state-appointed ambulance providers across Australia. This includes emergency services, non-emergency dispatch, mobile intensive care and air and sea ambulance services. Non-emergency services are those that are classed as clinically necessary; for example, you need to be monitored by a paramedic during transport. Patient transfer services and transport services by Patient Transport vehicles are not ambulance services and are not claimable.
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.