Private Health Information Statement - General treatment policy

choosable 60 – teeth / eyes / muscle & bone

ahm health insurance

Monthly Premium

$189.60 #

(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 Tasmania

# 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

ahm Health Insurance does not operate a preferred provider scheme. Included Extras benefits apply to any recognised provider. See https://members.ahm.com.au/find-a-provider.

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 dental2$800 per person up to $1,600 per policy
(combined limit for general dental, major dental, endodontic & orthodontic)
$1,800 lifetime limit for Orthodontic
Periodic oral examination - 60% of charge
Scale & clean - 60% of charge
Fluoride treatment - 60% of charge
Surgical tooth extraction - 60% of charge
Major dental12Full crown veneered - 60% of charge
Endodontic12Filling of one root canal - 60% of charge
Orthodontic12Braces for upper & lower teeth, including removal plus fitting of retainer - 60% of charge
Optical6$250 per person up to $500 per policySingle vision lenses & frames - 60% of charge
Multi-focal lenses & frames - 60% of charge
Physiotherapy2$400 per person up to $800 per policy
(combined limit for physiotherapy, chiropractic, exercise physiology & osteopathy)
Initial visit - 60% of charge
Subsequent visit - 60% of charge
Chiropractic2Initial visit - 60% of charge
Subsequent visit - 60% of charge
Exercise physiology2Initial visit - 60% of charge
Subsequent visit - 60% of charge
Osteopathy2Initial visit - 60% of charge
Subsequent visit - 60% of charge
This cover includes no gap dental check-ups at select dentists. Learn more at ahm.com.au/nogap

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

General treatment legend
AcupunctureNon PBS pharmaceuticalsRemedial massage
Blood glucose monitorsPodiatryOther treatments - check with your insurer
Hearing aidsPsychology

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

Unlimited benefits for medically necessary ambulance trips to the nearest hospital that is able to provide the level of care you require. TAS and QLD have State schemes to cover ambulance services for residents of those States.

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.