Private Health Information Statement - General treatment policy

Executive Benefits Direct (Family)

Monthly Premium

$563.33 #

(before any rebate or insurer discount)

Covers two adults & dependants (3 or more people, only 2 of whom are adults)

Available in All States

# 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 24, as well as persons with a disability who qualify as a child or other dependant or student in these age ranges.

Employees/Members of organisations with arrangements with this health insurer

General Treatment Cover

This health insurer does not operate a preferred provider scheme.

This policy includes General treatment (Extras) cover for

General treatment legend
Note, for items marked with an asterisk *: Major Dental limit increases by $175 per year up to $2,000 and Optical limit increases by $25 per year up to $350. Hearing Aids are limited to one appliance per person every five years. Pharmaceutical benefits paid for items with an official pharmacy receipt, after you pay a sum equal to the Australian Government’s highest current PBS co-payment.
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental2$2,400 per policy
(Sub-limits apply)
Periodic oral examination - $30.00
Scale & clean - $38.00
Fluoride treatment - $30.00
Surgical tooth extraction - $101.00
Major dental*12$1,300 per person
(combined limit for major dental, endodontic & orthodontic - Sub-limits apply)
$2,000 lifetime limit for Orthodontic
Full crown veneered - $650.00
Endodontic12Filling of one root canal - $120.00
Orthodontic12Braces for upper & lower teeth, including removal plus fitting of retainer - 80% of charge
Optical*6$200 per person
(Sub-limits apply)
Single vision lenses & frames - $200.00
Multi-focal lenses & frames - $200.00
Non PBS pharmaceuticals*2$500 per personPer eligible prescription - 100% of charge
Physiotherapy2$1,200 per person
(combined limit for physiotherapy, ante-natal/post-natal classes, eye therapy (orthoptics), occupational therapy, speech therapy & other services - Sub-limits apply)
Initial visit - $30.00
Subsequent visit - $30.00
Chiropractic2$1,200 per person
(combined limit for chiropractic, psychology, acupuncture, remedial massage, chinese medicine, dietetics/dietary advice, exercise physiology, osteopathy & other services - Sub-limits apply)
Initial visit - $30.00
Subsequent visit - $30.00
Podiatry2$500 per person
(Sub-limits apply)
Initial visit - $30.00
Subsequent visit - $30.00
Psychology2Combined limit - see ChiropracticInitial visit - $40.00
Subsequent visit - $40.00
Acupuncture2Combined limit - see ChiropracticInitial visit - $30.00
Subsequent visit - $30.00
Remedial massage2Combined limit - see ChiropracticInitial visit - $30.00
Subsequent visit - $30.00
Hearing aids*12$800 per person
1 appliance(s) every 5 years
(Sub-limits apply)
Hearing aid - 100% of charge
Blood glucose monitors12$500 per person
(combined limit for blood glucose monitors, orthotics (podiatric orthoses) & other services)
Per monitor - 80% of charge
Audiology2$200 per person
(Sub-limits apply)
Initial visit - $30.00
Subsequent visit - $30.00
Ante-natal/Post-natal classes2Combined limit - see PhysiotherapyInitial visit - $30.00
Subsequent visit - $30.00
Chinese medicine2Combined limit - see ChiropracticInitial visit - $30.00
Subsequent visit - $30.00
Dietetics/dietary advice2Combined limit - see ChiropracticInitial visit - $30.00
Subsequent visit - $30.00
Exercise physiology2Combined limit - see ChiropracticInitial visit - $30.00
Subsequent visit - $30.00
Eye therapy (orthoptics)2Combined limit - see PhysiotherapyInitial visit - $50.00
Subsequent visit - $50.00
Occupational therapy2Combined limit - see PhysiotherapyInitial visit - $50.00
Subsequent visit - $50.00
Orthotics (podiatric orthoses)12Combined limit - see Blood glucose monitorsOrthotics supply & fit - 60% of charge
Osteopathy2Combined limit - see ChiropracticInitial visit - $30.00
Subsequent visit - $30.00
Speech therapy2Combined limit - see PhysiotherapyInitial visit - $50.00
Subsequent visit - $50.00
This cover also provides benefits towards non-Medicare rebated mammograms and Health programs for Quit smoking or Stress management.

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

General treatment legend
Other treatments - check with your insurer

Other features of this general treatment cover

GU Health specialises in corporate health cover, providing superior health plans with executive benefits. Enjoy generous benefits on a range of services including general dental, physiotherapy, chiropractic and remedial massage and money back on travel and accommodation and school health care. Travel and accommodation: Covers a patient and attendant for essential medical travel, to the nearest hospital or medical centre for round trips exceeding 200 kms.

For further information about this policy see

https://www.guhealth.com.au/

Ambulance cover

Ambulance cover is provided by the State government in Tasmania (https://www.health.tas.gov.au/ambulance/fees_and_accounts) and Queensland (https://www.ambulance.qld.gov.au/). In other states concession card holders may have free cover and there are subscription services in several states (https://privatehealth.gov.au/health_insurance/what_is_covered/ambulance.htm).

For further information about this policy see

https://www.guhealth.com.au/forms-and-publications/fact-sheets

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.