(before any rebate or insurer discount)
Covers one adult & dependants, including non-student dependants (2 or more people, only one of whom is an adult)
Available in Queensland
# 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, students up to and including the age of 31 and non-students up to and including the age of 31, as well as persons with a disability who qualify as a child, student or non-student in these age ranges.
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 60% back, up to yearly limits See http://www.bupa.com.au/find-a-provider.
| 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. | |||
|---|---|---|---|
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
| General dental* | 2 | $650 per person | Periodic oral examination - $20.00 Scale & clean - $42.50 Fluoride treatment - $18.50 Surgical tooth extraction - $80.00 |
| Major dental* | 12 | $650 per person (combined limit for major dental & endodontic) | Full crown veneered - $666.00 |
| Endodontic | 12 | Filling of one root canal - $156.00 | |
| Optical | 2 | $200 per person up to $400 per policy | Single vision lenses & frames - $177.50 Multi-focal lenses & frames - $200.00 |
| Physiotherapy | 2 | $450 per person (combined limit for physiotherapy, chiropractic & osteopathy) | Initial visit - $37.00 Subsequent visit - $29.50 |
| Chiropractic | 2 | Initial visit - $35.00 Subsequent visit - $24.00 | |
| Acupuncture | 2 | $200 per person up to $400 per policy (combined limit for acupuncture, remedial massage, chinese medicine & exercise physiology) | Subsequent visit - $26.40 |
| Remedial massage | 2 | Initial visit - $28.50 Subsequent visit - $26.50 | |
| Chinese medicine | 2 | Initial visit - $28.80 Subsequent visit - $21.60 | |
| Exercise physiology | 2 | Initial visit - $28.80 Subsequent visit - $21.60 | |
| Osteopathy | 2 | Combined limit - see Physiotherapy | Initial visit - $43.00 Subsequent visit - $29.50 |
| Digital Mental Health 100% back of the fee agreed between Bupa and the provider up to yearly limits at Bupa recognised providers. | |||
| Blood glucose monitors | Orthodontic | Other treatments - check with your insurer |
| Hearing aids | Podiatry | |
| Non PBS pharmaceuticals | Psychology |
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.
Ambulance cover is provided by the State government for Queensland residents (https://www.ambulance.qld.gov.au/). This includes cover whilst interstate.
You are covered for the costs associated with uncapped 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. 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.