Private Health Information Statement - General treatment policy

Corporate Essentials

Monthly Premium

$42.80 #

(before any rebate or insurer discount)

Covers only one person

Available in Western Australia

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.

Employees/Members of organisations with arrangements with this health insurer

General Treatment Cover

We have agreements with a network of dental practitioners, chiros & physios across Australia called Members First providers. By using them, in most cases you’ll receive up to 70% back, up to yearly limits. See http://www.bupa.com.au/find-a-provider.

This policy includes General treatment (Extras) cover for

General treatment legend
Note, for items marked with an asterisk *: 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.
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental*2$400 per policy
(combined limit for general dental, major dental & endodontic)
Periodic oral examination - $24.50
Scale & clean - $42.50
Fluoride treatment - $13.50
Surgical tooth extraction - $65.00
Major dental*12Full crown veneered - $400.00
Endodontic12Filling of one root canal - $125.00
Optical2$200 per policySingle vision lenses & frames - $161.50
Multi-focal lenses & frames - $200.00
Non PBS pharmaceuticals*2$150 per policyPer eligible prescription - 70% of charge
Physiotherapy2$300 per policy
(combined limit for physiotherapy, chiropractic, acupuncture, remedial massage, chinese medicine, exercise physiology & osteopathy)
Initial visit - $31.50
Subsequent visit - $24.00
Chiropractic2Initial visit - $24.00
Subsequent visit - $18.00
Acupuncture2Initial visit - $21.00
Subsequent visit - $21.00
Remedial massage2Initial visit - $19.50
Subsequent visit - $21.00
Chinese medicine2Initial visit - $21.00
Subsequent visit - $21.00
Exercise physiology2Initial visit - $21.00
Subsequent visit - $21.00
Health management / Healthy lifestyle6$100 per policyHealth management - 50% of charge
Osteopathy2Combined limit - see PhysiotherapyInitial visit - $29.50
Subsequent visit - $22.00

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

General treatment legend
Blood glucose monitorsOrthodonticPsychology
Hearing aidsPodiatryOther treatments - check with your insurer

Ambulance cover

In Western Australia this policy provides:

Emergency: with no waiting period, limited to 1 services per year.

Call-out fees:  will be paid for each attendance, including emergency treatment without transport to hospital.

Other features of this ambulance cover

You are covered for the costs associated with emergency ambulance transport services (via air or road), including on-the-spot emergency attendances where the service is provided by a Bupa recognised ambulance service capped at one trip for singles and two trips for couples memberships per calendar year. The following ambulance services are recognised by Bupa: ACT Ambulance Service, Ambulance Service of NSW, Ambulance Victoria, Queensland Ambulance Service, South Australia Ambulance Service, St John Ambulance NT, St John Ambulance WA, and Ambulance Tasmania. If you are eligible to claim from another source, a benefit won’t be paid by Bupa.

For further information about this policy see

http://www.bupa.com.au/health-insurance/cover/ambulance

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.