Private Health Information Statement - General treatment policy

Focus Extras (FCE)

Monthly Premium

$146.65 #

(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

# 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

Using a preferred provider means you may have lower out of pocket costs and can access more No Gap treatments on dental, plus discounts on some optical purchases. A preferred providers list is available from Australian Unity.

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) 60% of the chiropractic x-ray fee, limit one per person per calendar year. 5) Travel vaccinations only.
TreatmentWaiting 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
(combined limit for general dental, major dental & endodontic)
Periodic oral examination - 60% of charge
Scale & clean - 60% of charge
Fluoride treatment - 60% of charge
Major dental*12Surgical tooth extraction - 60% of charge
Full crown veneered - 60% of charge
Endodontic*12Filling of one root canal - 60% of charge
Optical6$200 per person up to $400 per policySingle vision lenses & frames - 100% of charge
Multi-focal lenses & frames - 100% of charge
Physiotherapy2$400 per person
(combined limit for physiotherapy & exercise physiology)
Initial visit - 60% of charge
Subsequent visit - 60% of charge
Chiropractic*2$250 per person
(combined limit for chiropractic & osteopathy)
Initial visit - 60% of charge
Subsequent visit - 60% of charge
Psychology2$200 per personInitial visit - 60% of charge
Subsequent visit - 60% of charge
Acupuncture2$200 per person
(combined limit for acupuncture & remedial massage)
Initial visit - 60% of charge
Subsequent visit - 60% of charge
Remedial massage2Initial visit - 60% of charge
Subsequent visit - 60% of charge
Dietetics/dietary advice2$200 per personInitial visit - 60% of charge
Subsequent visit - 60% of charge
Exercise physiology2Combined limit - see PhysiotherapyInitial visit - 60% of charge
Subsequent visit - 60% of charge
Osteopathy2Combined limit - see ChiropracticInitial visit - 60% of charge
Subsequent visit - 60% of charge
Vaccinations*0$150 per personPer service - 60% of charge
Annual benefit limits apply per calendar year. Myotherapy - 60% of the consultation, maximum $200 per person (combined limit - see Acupuncture), 2 month 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
Blood glucose monitorsNon PBS pharmaceuticalsPodiatry
Hearing aidsOrthodonticOther treatments - check with your insurer

Ambulance cover

In Western Australia 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.