(before any rebate or insurer discount)
Covers only one person
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.
Employees/Members of organisations with arrangements with this health insurer
This policy can only be purchased with certain hospital policies.
We have agreements with a network of dental practitioners, chiros, physios & podiatrists across Australia called Members First providers. By using them, in most cases you’ll receive up to 80% back, up to your yearly limits. See http://www.bupa.com.au/find-a-provider.
| Note, for items marked with an asterisk *: Dietary covers consultations only, with a recognised Bupa provider. Home nursing covers selected services. Step down benefits apply after first 10 total services across Chiropractic and Osteopathy. Dentures payable once every 3 years. Periodic oral examination 012, Scale & Clean 114, Fluoride treatment 121 payable once every 6 months. Pharmacy benefit paid after current PBS patient contribution deducted. Blood glucose monitors are payable once per year (sub-limit $500). Hearing aids are payable once every 3 years (sub-limit $850). Two fully custom-made orthoses (one pair) are payable once per person per calendar year. | |||
|---|---|---|---|
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
| General dental* | 2 | No annual limit (no limit on preventative dental) | Periodic oral examination - $61.60 Scale & clean - $121.00 Fluoride treatment - $43.50 Surgical tooth extraction - $189.60 |
| Major dental* | 12 | $800 per policy (combined limit for major dental & endodontic - Sub-limits apply) | Full crown veneered - $800.00 |
| Endodontic | 12 | Filling of one root canal - $214.40 | |
| Orthodontic | 12 | $1,200 per policy $2,400 lifetime limit | Braces for upper & lower teeth, including removal plus fitting of retainer - 100% of charge |
| Optical | 2 | $200 per policy | Single vision lenses & frames - $200.00 Multi-focal lenses & frames - $200.00 |
| Non PBS pharmaceuticals* | 2 | $350 per policy | Per eligible prescription - 85% of charge |
| Physiotherapy | 2 | $500 per policy | Initial visit - $92.15 Subsequent visit - $77.00 |
| Chiropractic* | 2 | $500 per policy (combined limit for chiropractic & osteopathy) | Initial visit - $69.60 Subsequent visit - $50.40 |
| Podiatry | 2 | $500 per policy | Initial visit - $68.80 Subsequent visit - $60.80 |
| Psychology | 2 | $500 per policy | Initial visit - $71.50 Subsequent visit - $53.00 |
| Acupuncture | 2 | $350 per policy (combined limit for acupuncture, remedial massage, chinese medicine & exercise physiology - Sub-limits apply) | Initial visit - $24.00 Subsequent visit - $24.00 |
| Remedial massage | 2 | Initial visit - $22.00 Subsequent visit - $24.00 | |
| Hearing aids* | 12 | $850 per service up to $1,000 per policy 1 service(s) every 3 years (combined limit for hearing aids, blood glucose monitors, orthotics (podiatric orthoses) & other services - Sub-limits apply) | Hearing aid - 80% of charge |
| Blood glucose monitors* | 12 | Per monitor - 80% of charge | |
| Chinese medicine | 2 | Combined limit - see Acupuncture | Initial visit - $24.00 Subsequent visit - $24.00 |
| Dietetics/dietary advice* | 2 | $500 per policy | Initial visit - $46.00 Subsequent visit - $27.00 |
| Exercise physiology | 2 | Combined limit - see Acupuncture | Initial visit - $24.00 Subsequent visit - $24.00 |
| Eye therapy (orthoptics) | 2 | $500 per policy | Initial visit - $32.00 Subsequent visit - $22.00 |
| Health management / Healthy lifestyle | 6 | $100 per policy | Health management - 50% of charge |
| Home nursing* | 2 | $350 per policy | Initial visit - $35.00 Subsequent visit - $35.00 |
| Occupational therapy | 2 | $500 per policy | Initial visit - $64.50 Subsequent visit - $44.00 |
| Orthotics (podiatric orthoses)* | 12 | Combined limit - see Hearing aids | Orthotics supply & fit - 80% of charge |
| Osteopathy* | 2 | Combined limit - see Chiropractic | Initial visit - $83.50 Subsequent visit - $59.00 |
| Speech therapy | 2 | $500 per policy | Initial visit - $69.00 Subsequent visit - $46.00 |
| 100% of travel expenses up to $100 per person, and $40 per night of accommodation fees up to $150 per person for essential hospital or medical treatment where the total return distance is 200km or more from home. Where applicable, benefits are paid under Hospital cover only (you cannot claim under both Hospital and Extras for the same trip). 2-months waiting period and eligibility criteria apply. Mental health includes Psychology, Digital Mental Health, Social Work (psychological therapies), and Counselling (including Indigenous Counselling). Sub-limits may apply. Blood glucose monitors, hearing aids, and other health aids, are payable under the Health Appliances category up to $1000 per year. Sub-limits and restrictions apply. | |||
| Other treatments - check with your insurer |
For more details or to purchase this product contact Bupa
Aged Pensioner concession holders are entitled to free ambulance transport services. If you are not eligible for a concession and want to be covered, you can purchase insurance from a private health fund or a subscription through the state ambulance service.
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.