Private Health Information Statement - General treatment policy

GMHBA Mid Extras Set Benefits

Monthly Premium

$111.90 #

(before any rebate or insurer discount)

Covers 2 adults (and no-one else)

Available in Tasmania

# 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.
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental2$1,500 per person
(combined limit for general dental, major dental, endodontic, orthodontic & other services - Sub-limits apply)
$2,400 lifetime limit for Orthodontic
Periodic oral examination - $36.65
Scale & clean - $68.25
Fluoride treatment - $21.45
Major dental12Surgical tooth extraction - $118.60
Full crown veneered - $520.00
Endodontic12Filling of one root canal - $86.19
Orthodontic12Braces for upper & lower teeth, including removal plus fitting of retainer - $400.00
Optical6$200 per personSingle vision lenses & frames - 80% of charge
Multi-focal lenses & frames - 80% of charge
Non PBS pharmaceuticals*2$250 per person up to $450 per policy
(combined limit for non pbs pharmaceuticals & vaccinations - Sub-limits apply)
Per eligible prescription - $24.00
Physiotherapy2$400 per person up to $800 per policy
(combined limit for physiotherapy & other services - Sub-limits apply)
Initial visit - $38.00
Subsequent visit - $29.00
Chiropractic2$300 per person up to $600 per policy
(combined limit for chiropractic, osteopathy & other services - Sub-limits apply)
Initial visit - $26.00
Subsequent visit - $20.00
Podiatry2$250 per person
(combined limit for podiatry & other services - Sub-limits apply)
Initial visit - $35.00
Subsequent visit - $35.00
Psychology2$350 per person up to $600 per policy
(Sub-limits apply)
Initial visit - $41.00
Subsequent visit - $31.00
Acupuncture2$300 per person up to $600 per policy
(combined limit for acupuncture & remedial massage)
Initial visit - $26.00
Subsequent visit - $20.00
Remedial massage2Initial visit - $26.00
Subsequent visit - $20.00
Hearing aids12$1,200 per person
1 appliance(s) every 3 years
(Sub-limits apply)
Hearing aid - $744.00
Blood glucose monitors12$150 per policy
1 appliance(s) every 3 years
Per monitor - $150.00
Audiology2$400 per personInitial visit - $35.00
Subsequent visit - $27.00
Dietetics/dietary advice2$400 per personInitial visit - $56.00
Subsequent visit - $41.00
Eye therapy (orthoptics)2$400 per person
(combined limit for eye therapy (orthoptics) & speech therapy)
Initial visit - $30.00
Subsequent visit - $23.00
Occupational therapy2$400 per person up to $800 per policyInitial visit - $36.00
Subsequent visit - $27.00
Orthotics (podiatric orthoses)12$200 per person up to $400 per policyOrthotics supply & fit - $90.00
Osteopathy2Combined limit - see ChiropracticInitial visit - $26.00
Subsequent visit - $20.00
Speech therapy2Combined limit - see Eye therapy (orthoptics)Initial visit - $30.00
Subsequent visit - $23.00
Vaccinations2Combined limit - see Non PBS pharmaceuticalsPer service - $24.00

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

An annual sub-limit up to $400 p/p per calendar year applies for preventative dental. Rates discounted for direct debit. Ambulance subscription benefits available in selected states & territories. Please contact GMHBA for further detail.

Ambulance cover

Ambulance cover is provided by the State government for residents of Tasmania. This may include cover whilst interstate, except for South Australia and Queensland where no cover applies. In other states please check with Ambulance Tasmania - https://www.health.tas.gov.au/ambulance/fees_and_accounts.

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.