(before any rebate or insurer discount)
Covers only one person
Available in Northern Territory
# 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.
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 70% back, up to yearly limits. See http://www.bupa.com.au/find-a-provider.
| Note, for items marked with an asterisk *: Ante/Post-natal consultations and courses including lactation consultations, with a Bupa recognised provider in private practice. Pharmacy benefit paid after deduction of the PBS co-payment. Home nursing covers selected services. Dietary covers consultations only. Blood Glucose monitors are payable once per year, Hearing Aids are payable once every 3 years, yearly limits and waiting periods apply. Dentures payable once every 3 years. Two fully custom-made orthoses (one pair) are payable once per person per calendar year. Periodic oral examination 012, Scale & Clean 114, Fluoride treatment 121 payable once every 6 months. | |||
|---|---|---|---|
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
| General dental* | 2 | $1,000 per policy (no limit on preventative dental) | Periodic oral examination - $42.90 Scale & clean - $90.45 Fluoride treatment - $23.50 Surgical tooth extraction - $133.00 |
| Major dental* | 12 | $1,000 per policy (combined limit for major dental & endodontic) | Full crown veneered - $1,000.00 |
| Endodontic | 12 | Filling of one root canal - $182.00 | |
| Orthodontic | 12 | $800 per policy $1,600 lifetime limit | Braces for upper & lower teeth, including removal plus fitting of retainer - 100% of charge |
| Optical | 2 | $300 per policy | Single vision lenses & frames - $245.00 Multi-focal lenses & frames - $300.00 |
| Non PBS pharmaceuticals* | 2 | $400 per policy | Per eligible prescription - 70% of charge |
| Physiotherapy | 2 | $950 per policy (combined limit for physiotherapy, chiropractic & osteopathy) | Initial visit - $59.95 Subsequent visit - $48.40 |
| Chiropractic | 2 | Initial visit - $40.00 Subsequent visit - $28.00 | |
| Podiatry | 2 | $450 per policy (combined limit for podiatry & orthotics (podiatric orthoses)) | Initial visit - $50.00 Subsequent visit - $45.50 |
| Psychology | 2 | $450 per policy (combined limit for psychology, acupuncture, chinese medicine & exercise physiology) | Initial visit - $127.50 Subsequent visit - $111.50 |
| Acupuncture | 2 | Initial visit - $44.20 Subsequent visit - $35.10 | |
| Remedial massage | 2 | $250 per policy | Initial visit - $51.50 Subsequent visit - $40.50 |
| Hearing aids* | 12 | $1,000 per policy 1 service(s) every 3 years | Hearing aid - 70% of charge |
| Blood glucose monitors* | 12 | $500 per policy 1 service(s) every 1 year (combined limit for blood glucose monitors & other services) | Per monitor - 70% of charge |
| Ante-natal/Post-natal classes* | 2 | $250 per policy | Initial visit - $21.00 |
| Chinese medicine | 2 | Combined limit - see Psychology | Initial visit - $36.40 Subsequent visit - $27.30 |
| Dietetics/dietary advice* | 2 | $450 per policy (combined limit for dietetics/dietary advice, eye therapy (orthoptics), occupational therapy & speech therapy) | Initial visit - $61.20 Subsequent visit - $33.60 |
| Exercise physiology | 2 | Combined limit - see Psychology | Initial visit - $36.40 Subsequent visit - $27.30 |
| Eye therapy (orthoptics) | 2 | Combined limit - see Dietetics/dietary advice | Initial visit - $33.60 Subsequent visit - $24.00 |
| Home nursing* | 2 | $350 per policy | Initial visit - $35.00 |
| Occupational therapy | 2 | Combined limit - see Dietetics/dietary advice | Initial visit - $112.00 Subsequent visit - $81.50 |
| Orthotics (podiatric orthoses)* | 12 | Combined limit - see Podiatry | Orthotics supply & fit - 70% of charge |
| Osteopathy | 2 | Combined limit - see Physiotherapy | Initial visit - $49.00 Subsequent visit - $34.50 |
| Speech therapy | 2 | Combined limit - see Dietetics/dietary advice | Initial visit - $105.60 Subsequent visit - $68.40 |
| Includes access to Blua Online Doctor Appointments. We pay 100% of the cost for eligible consults only, up to a yearly limit of 3 services per person. Benefits are not payable for services listed on the Medicare Benefits Schedule (MBS). 2-months waiting period, eligibility criteria, terms and conditions apply. 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). | |||
| Other treatments - check with your insurer |
You’ll get access to higher set benefits at our Optical Partners including a ‘no-gap’ fixed-priced package experience on glasses, yearly limits and waiting periods apply.
In Northern Territory this policy provides:
Emergency: Unlimited with a waiting period of 1 day.
Call-out fees: will be paid for each attendance, including emergency treatment without transport to hospital.
You are covered for the costs associated with uncapped emergency ambulance transport services, including on-the-spot emergency attendances where the service is provided by a Bupa recognised ambulance service. 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.
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.