Private Health Information Statement - General treatment policy

Freedom Extras (FRE)

Monthly Premium

$162.95 #

(before any rebate or insurer discount)

Covers two adults & 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 and other dependants up to and including the age of 22, 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.

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) $40 for chiropractic x-ray, limit one per person per calendar year. 5) Orthotic benefits are for supply only. 6) Travel vaccinations only.
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental*2$800 per person up to $1,600 per policyPeriodic oral examination - $41.00
Scale & clean - $83.00
Fluoride treatment - $25.00
Major dental*12$800 per person up to $1,600 per policy
(combined limit for major dental & endodontic)
Surgical tooth extraction - $213.00
Full crown veneered - $643.00
Endodontic*12Filling of one root canal - $199.00
Orthodontic12$700 per person
$2,400 lifetime limit
Braces for upper & lower teeth, including removal plus fitting of retainer - 100% of charge
Optical6$250 per person up to $500 per policySingle vision lenses & frames - 100% of charge
Multi-focal lenses & frames - 100% of charge
Non PBS pharmaceuticals2$400 per personPer eligible prescription - $60.00
Physiotherapy2$500 per person
(combined limit for physiotherapy & exercise physiology)
Initial visit - $60.00
Subsequent visit - $60.00
Chiropractic*2$350 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))
Initial visit - $40.00
Subsequent visit - $40.00
Psychology2$400 per personInitial visit - $80.00
Subsequent visit - $80.00
Acupuncture2$300 per person
(combined limit for acupuncture & remedial massage)
Initial visit - $40.00
Subsequent visit - $40.00
Remedial massage2Initial visit - $40.00
Subsequent visit - $40.00
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 - 70% of charge
Annual benefit limits apply per calendar year. Myotherapy - $40 per consultation, maximum $300 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. There are Preventative Health Services available on this cover, waiting periods may apply. Sickness Travel & Accommodation, 70% of the cost, $100 for travel and $100 for accommodation per membership, 2 month waiting period, and School Accident Top-Up benefit $150 per Dependant Child. 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 monitorsHearing aidsOther treatments - check with your insurer

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

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. If you’re not covered, this cover includes emergency ambulance to hospital, if transport is coded and invoiced as emergency transport by a state/territory ambulance service/authority. Call-out fees where you're not taken to hospital are limited to 2 ambulance attendances per person per calendar year. This cover doesn't include non-emergency ambulance transportation

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.