Private Health Information Statement - General treatment policy

Base Extras

Monthly Premium

$28.95 #

(before any rebate or insurer discount)

Covers only one person

Available in Northern Territory

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.

General Treatment Cover

We have agreements with a network of dental practitioners & physios across Australia called Members First providers. By using them, in most cases you’ll receive up to 60% back, up to your 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 *: Periodic oral examination (012), Scale & Clean (114), Fluoride treatment (121) payable once every 6 months. Major Dental, Endodontic and Orthodontic treatment is only covered if resulting from an accident requiring immediate medical attention sustained after joining this cover.
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental*2$400 per policyPeriodic oral examination - $19.00
Scale & clean - $41.00
Fluoride treatment - $13.50
Surgical tooth extraction - $65.00
Major dental*12$600 per policy
(combined limit for major dental, endodontic & orthodontic)
Full crown veneered - $440.00
Endodontic*12Filling of one root canal - $84.00
Orthodontic*12Braces for upper & lower teeth, including removal plus fitting of retainer - 100% of charge
Optical2$120 per policySingle vision lenses & frames - $120.00
Multi-focal lenses & frames - $120.00
Physiotherapy2$350 per policyInitial visit - $27.00
Subsequent visit - $20.50

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

General treatment legend
AcupunctureHearing aidsPsychology
Blood glucose monitorsNon PBS pharmaceuticalsRemedial massage
ChiropracticPodiatryOther treatments - check with your insurer

Other features of this general treatment cover

The longer you're with Bupa, the more you get back. For selected services, your yearly limit increases each calendar year, up to a set amount.

Ambulance cover

Pensioner Concession Card and Commonwealth Seniors Health Card holders are entitled to free ambulance transport services. St John's ambulance offers a subscription service for ambulance cover in the Northern Territory (https://www.stjohnnt.org.au/ambulance/ambulance-cover.php). Cover is included whilst interstate for less than 21 days.

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.