Private Health Information Statement - General treatment policy

Essential 50 Visitors Cover Extras

Monthly Premium

$60.60 #

(before any rebate or insurer discount)

Covers one adult & dependants (2 or more people, only one of whom is an adult)

Available in South 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 and other dependants up to and including the age of 20, students up to and including the age of 31, as well as persons with a disability who qualify as a child or other dependant or student in these age ranges.

General Treatment Cover

This policy must be purchased with a hospital policy.

We have agreements with a network of dental practitioner, chiros & physios across Australia called Members First providers. By using them, in most cases you’ll have lower out-of-pocket costs. 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 *: Periodic oral examination (012), Scale & Clean (114), Fluoride treatment (121) payable once every 6 months.
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental*2$300 per personPeriodic oral examination - 50% of charge
Scale & clean - 50% of charge
Fluoride treatment - 50% of charge
Surgical tooth extraction - 50% of charge
Optical2$150 per personSingle vision lenses & frames - 50% of charge
Multi-focal lenses & frames - 50% of charge
Physiotherapy2$200 per person
(combined limit for physiotherapy, chiropractic, acupuncture, remedial massage, chinese medicine, exercise physiology & osteopathy - Sub-limits apply)
Initial visit - 50% of charge
Subsequent visit - 50% of charge
Chiropractic2Initial visit - 50% of charge
Subsequent visit - 50% of charge
Acupuncture2Initial visit - 50% of charge
Subsequent visit - 50% of charge
Remedial massage2Initial visit - 50% of charge
Subsequent visit - 50% of charge
Chinese medicine2Initial visit - 50% of charge
Subsequent visit - 50% of charge
Exercise physiology2Initial visit - 50% of charge
Subsequent visit - 50% of charge
Osteopathy2Initial visit - 50% of charge
Subsequent visit - 50% of charge

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

General treatment legend
Blood glucose monitorsMajor dentalPodiatry
EndodonticNon PBS pharmaceuticalsPsychology
Hearing aidsOrthodonticOther treatments - check with your insurer

Other features of this general treatment cover

Specially designed for overseas visitors to provide extras cover with their Essentials Plus Visitors hospital cover. Government Rebate on Private Health Insurance applies only to people who hold a Medicare Card. For more details see Important Information available at bupa.com.au

Ambulance cover

In South Australia this policy provides:

Emergency: Unlimited with no waiting period.

Non-emergency: transport with no waiting period, limited to 3 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 uncapped 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. You are covered for three non-emergency ambulance services per person per calendar year provided by a Bupa recognised ambulance service. The following ambulance services are recognised: 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’re 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.