(before any rebate or insurer discount)
Covers 2 adults (and no-one else)
Available in Victoria
# 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 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 *: Pharmacy benefit paid after deduction of the PBS co-payment. Dietary covers consultations only. Dentures payable once every 3 years. Periodic oral examination 012, Scale & Clean 114, Fluoride treatment 121 payable once every 6 months. Preventative treatment (012,121,114) doesn't reduce yearly limit. Two fully custom-made orthoses (one pair) are payable once per person per calendar year. | |||
|---|---|---|---|
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
| General dental* | 2 | $750 per person | Periodic oral examination - $29.15 Scale & clean - $66.50 Fluoride treatment - $20.50 Surgical tooth extraction - $84.00 |
| Major dental* | 12 | $750 per person (combined limit for major dental & endodontic) | Full crown veneered - $540.00 |
| Endodontic | 12 | Filling of one root canal - $145.00 | |
| Orthodontic | 12 | $600 per person $1,200 lifetime limit | Braces for upper & lower teeth, including removal plus fitting of retainer - 100% of charge |
| Optical | 2 | $250 per person | Single vision lenses & frames - $181.60 Multi-focal lenses & frames - $250.00 |
| Non PBS pharmaceuticals* | 2 | $300 per person | Per eligible prescription - 60% of charge |
| Physiotherapy | 2 | $800 per person (combined limit for physiotherapy, chiropractic & osteopathy) | Initial visit - $37.75 Subsequent visit - $24.75 |
| Chiropractic | 2 | Initial visit - $32.00 Subsequent visit - $22.00 | |
| Podiatry | 2 | $200 per person (combined limit for podiatry & orthotics (podiatric orthoses)) | Initial visit - $29.90 Subsequent visit - $22.10 |
| Psychology | 2 | $300 per person | Initial visit - $96.50 Subsequent visit - $90.00 |
| Acupuncture | 2 | $400 per person up to $800 per policy (combined limit for acupuncture, remedial massage, chinese medicine & exercise physiology - Sub-limits apply) | Subsequent visit - $26.40 |
| Remedial massage | 2 | Initial visit - $34.50 Subsequent visit - $26.50 | |
| Chinese medicine | 2 | Initial visit - $28.80 Subsequent visit - $21.60 | |
| Dietetics/dietary advice* | 2 | $300 per person | Initial visit - $50.60 Subsequent visit - $25.30 |
| Exercise physiology | 2 | Combined limit - see Acupuncture | Initial visit - $28.80 Subsequent visit - $21.60 |
| Orthotics (podiatric orthoses)* | 12 | Combined limit - see Podiatry | Orthotics supply & fit - 60% of charge |
| Osteopathy | 2 | Combined limit - see Physiotherapy | Initial visit - $39.50 Subsequent visit - $27.00 |
| 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. 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 | Hearing aids | 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 Victoria this policy provides:
Emergency: Unlimited with a waiting period of 1 day.
Call-out fees: will not be paid.
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.