Private Health Information Statement - General treatment policy

GMHBA Top Extras No Dental

Monthly Premium

$54.05 #

(before any rebate or insurer discount)

Covers only one person

Available in Victoria

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

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 *: Non PBS Pharmaceuticals must be a private Schedule 4 or Schedule 8 and dispensed via a provider in private practice. PBS Contribution applies to Travel Vaccinations
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
Optical6$250 per policySingle vision lenses & frames - 100% of charge
Multi-focal lenses & frames - 100% of charge
Non PBS pharmaceuticals*2$350 per policy
(combined limit for non pbs pharmaceuticals & vaccinations - Sub-limits apply)
Per eligible prescription - 100% of charge
Physiotherapy2$500 per policy
(combined limit for physiotherapy & other services - Sub-limits apply)
Initial visit - $36.00
Subsequent visit - $26.00
Chiropractic2$350 per policy
(combined limit for chiropractic, osteopathy & other services - Sub-limits apply)
Initial visit - $26.00
Subsequent visit - $21.00
Podiatry2$350 per policy
(combined limit for podiatry & other services - Sub-limits apply)
Initial visit - $43.00
Subsequent visit - $43.00
Psychology2$500 per policy
(Sub-limits apply)
Initial visit - $54.00
Subsequent visit - $25.00
Acupuncture2$350 per policy
(combined limit for acupuncture & remedial massage)
Initial visit - $25.00
Subsequent visit - $20.00
Remedial massage2Initial visit - $20.00
Subsequent visit - $20.00
Hearing aids12$800 per policy
1 appliance(s) every 3 years
(Sub-limits apply)
Hearing aid - 100% of charge
Blood glucose monitors12$200 per policy
1 appliance(s) every 3 years
Per monitor - 100% of charge
Audiology2$350 per policyInitial visit - $25.00
Subsequent visit - $20.00
Dietetics/dietary advice2$350 per policyInitial visit - $60.00
Subsequent visit - $45.00
Eye therapy (orthoptics)2$500 per policy
(combined limit for eye therapy (orthoptics) & speech therapy)
Initial visit - $54.00
Subsequent visit - $25.00
Occupational therapy2$500 per policyInitial visit - $54.00
Subsequent visit - $25.00
Orthotics (podiatric orthoses)12$115 per service up to $230 per policyOrthotics supply & fit - 80% of charge
Osteopathy2Combined limit - see ChiropracticInitial visit - $26.00
Subsequent visit - $21.00
Speech therapy2Combined limit - see Eye therapy (orthoptics)Initial visit - $54.00
Subsequent visit - $25.00
Vaccinations*2Combined limit - see Non PBS pharmaceuticalsPer service - 100% of charge
Benefits also available towards Home/Bush Nursing, please contact GMHBA for further information.

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

General treatment legend
EndodonticMajor dentalOther treatments - check with your insurer
General dentalOrthodontic

Other features of this general treatment cover

Rates discounted for premiums paid by direct debit. This product excludes all dental benefits.

Ambulance cover

Pensioner Concession Card and Healthcare Card holders are entitled to free clinically necessary ambulance transport. If you are not eligible for a concession and want to be covered, you can purchase insurance from a private health insurer or take out a subscription with the state ambulance service (https://www.ambulance.vic.gov.au/membership).

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.