Private Health Information Statement - General treatment policy

GMHBA Basic Extras

Monthly Premium

$78.40 #

(before any rebate or insurer discount)

Covers 2 adults (and no-one else)

Available in Tasmania

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.
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental2$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 dental12Surgical tooth extraction - $83.30
Full crown veneered - $225.00
Endodontic12Filling of one root canal - $60.50
Orthodontic12Braces for upper & lower teeth, including removal plus fitting of retainer - $300.00
Optical6$170 per personSingle 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
Physiotherapy2$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 therapy2$350 per person up to $600 per policyInitial visit - $31.00
Subsequent visit - $21.00
Vaccinations2Combined limit - see Non PBS pharmaceuticalsPer service - $40.00

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

General treatment legend
AcupunctureHearing aidsRemedial massage
Blood glucose monitorsPodiatryOther treatments - check with your insurer
ChiropracticPsychology

Other features of this general treatment cover

An annual sub-limit up to $200 per person per calendar year applies for preventative dental. Rates discounted for premiums paid by direct debit.

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.