(before any rebate or insurer discount)
Covers one adult & dependants (2 or more people, only one of whom is an adult)
Available in Northern Territory
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.
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.
This health insurer does not operate a preferred provider scheme.
| 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. | |||
|---|---|---|---|
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
| General dental | 2 | $1,000 per person (combined limit for general dental, major dental, endodontic, orthodontic & other services - Sub-limits apply) $1,050 lifetime limit for Orthodontic | Periodic oral examination - $39.20 Scale & clean - $84.00 Fluoride treatment - $31.50 |
| Major dental | 12 | Surgical tooth extraction - $83.30 Full crown veneered - $225.00 | |
| Endodontic | 12 | Filling of one root canal - $60.50 | |
| Orthodontic | 12 | Braces for upper & lower teeth, including removal plus fitting of retainer - $300.00 | |
| Optical | 6 | $170 per person | Single vision lenses & frames - 80% of charge Multi-focal lenses & frames - 80% of charge |
| Non PBS pharmaceuticals* | 2 | $250 per person up to $400 per policy (combined limit for non pbs pharmaceuticals & vaccinations - Sub-limits apply) | Per eligible prescription - $40.00 |
| Physiotherapy | 2 | $350 per person up to $600 per policy (combined limit for physiotherapy & other services - Sub-limits apply) | Initial visit - $31.00 Subsequent visit - $21.00 |
| Occupational therapy | 2 | $350 per person up to $600 per policy | Initial visit - $31.00 Subsequent visit - $21.00 |
| Vaccinations | 2 | Combined limit - see Non PBS pharmaceuticals | Per service - $40.00 |
| Acupuncture | Hearing aids | Remedial massage |
| Blood glucose monitors | Podiatry | Other treatments - check with your insurer |
| Chiropractic | Psychology |
An annual sub-limit up to $200 per person per calendar year applies for preventative dental. Rates discounted for premiums paid by direct debit.
Pensioner Concession Card and Commonwealth Seniors Health Card holders are entitled to free ambulance transport services. St John's ambulance offers a subscription service for ambulance cover in the Northern Territory (https://www.stjohnnt.org.au/ambulance/ambulance-cover.php). Cover is included whilst interstate for less than 21 days.
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.