(before any rebate or insurer discount)
Covers one adult & dependants (2 or more people, only one of whom is an adult)
Available in Queensland
# 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 30, as well as persons with a disability who qualify as a child or other dependant or student in these age ranges.
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.
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
|---|---|---|---|
| General dental | 2 | $700 per person up to $1,400 per policy | Periodic oral examination - 70% of charge Scale & clean - 70% of charge Fluoride treatment - 70% of charge Surgical tooth extraction - 70% of charge |
| Major dental | 12 | $750 per person up to $1,500 per policy (combined limit for major dental, endodontic & other services) | Full crown veneered - 70% of charge |
| Endodontic | 12 | Filling of one root canal - 70% of charge | |
| Optical | 6 | $200 per person up to $400 per policy | Single vision lenses & frames - 100% of charge Multi-focal lenses & frames - 100% of charge |
| Non PBS pharmaceuticals | 2 | $350 per person up to $700 per policy | Per eligible prescription - 70% of charge |
| Physiotherapy | 2 | $400 per person up to $800 per policy (combined limit for physiotherapy, chiropractic, osteopathy & other services) | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Chiropractic | 2 | Initial visit - 70% of charge Subsequent visit - 70% of charge | |
| Podiatry | 2 | $250 per person up to $500 per policy (combined limit for podiatry, psychology, orthotics (podiatric orthoses) & other services) | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Psychology | 0 | Initial visit - 70% of charge Subsequent visit - 70% of charge | |
| Acupuncture | 2 | $250 per person up to $500 per policy (combined limit for acupuncture, remedial massage, exercise physiology & other services) | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Remedial massage | 2 | Initial visit - 70% of charge Subsequent visit - 70% of charge | |
| Dietetics/dietary advice | 2 | $250 per person up to $500 per policy | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Exercise physiology | 2 | Combined limit - see Acupuncture | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Health management / Healthy lifestyle | 2 | $250 per person up to $500 per policy | Health management - 70% of charge |
| Orthotics (podiatric orthoses) | 2 | Combined limit - see Podiatry | Orthotics supply & fit - 70% of charge |
| Osteopathy | 2 | Combined limit - see Physiotherapy | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| This cover also includes Hypnotherapy (70% back for initial and subsequent consultations) and Health Improvement Benefits including: Yoga, Pilates, Quit smoking, Disease management association fees, Cancer Council UV products, Stress management courses, Preventative tests, scans and screenings, Health checks, Exercise classes and Swimming lessons. Unlimited emergency ambulance and Counselling services are also included on this product. Conditions and annual limits apply. Please refer to product guide for more details. | |||
| Blood glucose monitors | Orthodontic |
| Hearing aids | Other treatments - check with your insurer |
Ambulance cover is provided by the State government for Queensland residents (https://www.ambulance.qld.gov.au/). This includes cover whilst interstate.
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.
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.