Private Health Information Statement - General treatment policy

GMHBA SmartCare Starter Boost Extras with sub-limits

Monthly Premium

$57.14 #

(before any rebate or insurer discount)

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

Available in Western Australia

# 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.

General Treatment Cover

This policy can only be purchased with certain hospital policies.

This health insurer does not operate a preferred provider scheme.

This policy includes General treatment (Extras) cover for

General treatment legend
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental2$500 per person up to $250 per service
(combined limit for general dental, physiotherapy, chiropractic & osteopathy - Sub-limits apply)
Periodic oral examination - 100% of charge
Scale & clean - 100% of charge
Fluoride treatment - 100% of charge
Optical6$150 per personSingle vision lenses & frames - 100% of charge
Physiotherapy2Combined limit - see General dentalInitial visit - 60% of charge
Subsequent visit - 60% of charge
Chiropractic2Combined limit - see General dentalInitial visit - 60% of charge
Subsequent visit - 60% of charge
Osteopathy2Combined limit - see General dentalInitial visit - 60% of charge
Subsequent visit - 60% of charge
This product includes limit rollover on 1st January after 12-month tenure (excludes Optical).

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

General treatment legend
AcupunctureMajor dentalPsychology
Blood glucose monitorsNon PBS pharmaceuticalsRemedial massage
EndodonticOrthodonticOther treatments - check with your insurer
Hearing aidsPodiatry

Other features of this general treatment cover

Preventative dental pays at 100% of provider fee up to sub-limit or product limit. General dental pays at 60% of provider fee up to sub-limit or product limit.

Ambulance cover

Aged Pensioner concession holders are entitled to free ambulance transport services. If you are not eligible for a concession and want to be covered, you can purchase insurance from a private health fund or a subscription through the state ambulance service.

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.