Private Health Information Statement - General treatment policy

Active Extras (ACE)

Monthly Premium

$188.50 #

(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 Northern Territory

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.

General Treatment Cover

Our network optical providers offer discounts on some optical purchases. Contact Australian Unity for more details.

This policy includes General treatment (Extras) cover for

General treatment legend
Note, for items marked with an asterisk *: 1)No waiting period for preventative dental and selected diagnostic services. Treatments claimed as No Gap Dental benefits (where available) do not count to the yearly limit. 2)Full denture replacement limited to once every three years. 3)Gum disease treatment included under Endodontics (12 month waiting period). 4)$40 for chiropractic x-ray, limit one per person per calendar year. 5) Benefit for each Hearing-Aid is payable every 3-calendar years (does not apply to repairs) 2-month waiting period for repairs 6)Benefits for Blood Glucose Monitors payable once every 2 calendar years. 7) Orthotic benefits are for supply only. 8)Travel vaccinations only.
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental*2$700 per personPeriodic oral examination - $41.00
Scale & clean - $83.00
Fluoride treatment - $25.00
Major dental*12$700 per person
(combined limit for major dental, endodontic & other services)
Surgical tooth extraction - $213.00
Full crown veneered - $643.00
Endodontic*12Filling of one root canal - $199.00
Orthodontic12Per person limits increase with continuous time of person on the product, Year 1-3:$400, 4:$500, 5:$600, 6:$700; Lifetime Limit:$2,400Braces for upper & lower teeth, including removal plus fitting of retainer - 100% of charge
Optical6$250 per personSingle vision lenses & frames - 100% of charge
Multi-focal lenses & frames - 100% of charge
Non PBS pharmaceuticals2$400 per personPer eligible prescription - $50.00
Physiotherapy2$400 per person
(combined limit for physiotherapy & exercise physiology)
Initial visit - $60.00
Subsequent visit - $60.00
Chiropractic*2$250 per person
(combined limit for chiropractic & osteopathy)
Initial visit - $40.00
Subsequent visit - $40.00
Podiatry2$300 per person
(combined limit for podiatry, orthotics (podiatric orthoses) & other services)
Initial visit - $40.00
Subsequent visit - $40.00
Psychology2$300 per personInitial visit - $80.00
Subsequent visit - $80.00
Acupuncture2$250 per person
(combined limit for acupuncture, remedial massage & other services)
Initial visit - $40.00
Subsequent visit - $40.00
Remedial massage2Initial visit - $40.00
Subsequent visit - $40.00
Hearing aids*12$1,200 per personHearing aid - 70% of charge
Blood glucose monitors*12$400 per person
(combined limit for blood glucose monitors & other services)
Per monitor - 70% of charge
Audiology2$300 per person
(combined limit for audiology, eye therapy (orthoptics), occupational therapy & speech therapy)
Initial visit - $70.00
Subsequent visit - $70.00
Dietetics/dietary advice2$400 per personInitial visit - $40.00
Subsequent visit - $40.00
Exercise physiology2Combined limit - see PhysiotherapyInitial visit - $60.00
Subsequent visit - $60.00
Eye therapy (orthoptics)2Combined limit - see AudiologyInitial visit - $70.00
Subsequent visit - $70.00
Occupational therapy2Combined limit - see AudiologyInitial visit - $70.00
Subsequent visit - $70.00
Orthotics (podiatric orthoses)*12Combined limit - see PodiatryOrthotics supply & fit - 70% of charge
Osteopathy2Combined limit - see ChiropracticInitial visit - $40.00
Subsequent visit - $40.00
Speech therapy2Combined limit - see AudiologyInitial visit - $70.00
Subsequent visit - $70.00
Vaccinations*0$200 per personPer service - $50.00
Annual benefit limits apply per calendar year. Myotherapy - $40 per consultation, maximum $250 per person (combined limit - see Acupuncture), 2 month waiting period. Braces, Splints and Garments - up to 70% of the cost, maximum $300 per person (combined limit - see Podiatry), 12 month waiting period. Devices and Aids: Asthma Pumps, Peak Flow Meters, Blood Pressure Monitors, TENS machines, CPAP/BPAP devices, Non-Surgical Prosthesis - up to 70% of cost, maximum $400 per person (combined limit - see Blood Glucose Monitors), 12 month waiting period. Benefit for each item is payable every 2 calendar years (does not apply to Wigs). Wheelchairs and Crutches - up to 70% of cost, maximum $400 per person (combined limit - see Blood Glucose Monitors), 2 months waiting period. There are Preventative Health Services available on this cover, waiting periods may apply. Please refer to the product Fact Sheet or contact Australian Unity for further details.

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

General treatment legend
Other treatments - check with your insurer

Ambulance cover

In Northern Territory 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.

Other features of this ambulance cover

Despite the above, call-out fees where you're not taken to hospital are limited to 2 ambulance attendances per-person per-calendar year. Please note: This cover doesn't include non-emergency ambulance transportation. Emergency ambulance transportation to hospital is only covered if transport is coded and invoiced as emergency transport by a state/territory ambulance service/authority. Some authorities provide certain ambulance services at no cost to eligible residents. Refer to your local ambulance provider for more information. Australian Unity won't pay a Benefit if you're eligible to claim from, or are covered by, another source. Australian Unity doesn't pay a benefit towards ambulance subscription services.

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.