Private Health Information Statement - General treatment policy

GMHBA Basic Extras Set Benefits

Monthly Premium

$59.60 #

(before any rebate or insurer discount)

Covers one adult & dependants (2 or more people, only one of whom is an adult)

Available in Queensland

# 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 is a corporate policy which is only available to 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 *: 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 & other services - Sub-limits apply)
Periodic oral examination - $31.00
Scale & clean - $57.75
Fluoride treatment - $18.15
Optical6$150 per personSingle vision lenses & frames - 80% of charge
Multi-focal lenses & frames - 80% of charge
Non PBS pharmaceuticals*2$150 per person up to $350 per policy
(combined limit for non pbs pharmaceuticals & vaccinations - Sub-limits apply)
Per eligible prescription - $21.00
Physiotherapy2$300 per person up to $600 per policy
(combined limit for physiotherapy & other services - Sub-limits apply)
Initial visit - $33.00
Subsequent visit - $25.00
Occupational therapy2$300 per person up to $600 per policyInitial visit - $30.00
Subsequent visit - $23.00
Vaccinations2Combined limit - see Non PBS pharmaceuticalsPer service - $21.00

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

General treatment legend
AcupunctureHearing aidsPsychology
Blood glucose monitorsMajor dentalRemedial massage
ChiropracticOrthodonticOther treatments - check with your insurer
EndodonticPodiatry

Other features of this general treatment cover

Occupational Therapy, Myotherapy and Hydrotherapy. An annual sub-limit up to $300 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 Queensland residents (https://www.ambulance.qld.gov.au/). This includes cover whilst interstate.

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.