(before any rebate or insurer discount)
Covers only one person
Available in South Australia
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 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 | $2,000 per policy (combined limit for general dental, major dental, endodontic, orthodontic & other services - Sub-limits apply) $2,900 lifetime limit for Orthodontic | Periodic oral examination - $56.00 Scale & clean - $120.00 Fluoride treatment - $45.00 |
| Major dental | 12 | Surgical tooth extraction - $101.15 Full crown veneered - $300.00 | |
| Endodontic | 12 | Filling of one root canal - $86.45 | |
| Orthodontic | 12 | Braces for upper & lower teeth, including removal plus fitting of retainer - $400.00 | |
| Optical | 6 | $250 per policy | Single vision lenses & frames - 100% of charge Multi-focal lenses & frames - 100% of charge |
| Non PBS pharmaceuticals* | 2 | $350 per policy (combined limit for non pbs pharmaceuticals & vaccinations - Sub-limits apply) | Per eligible prescription - 100% of charge |
| Physiotherapy | 2 | $500 per policy (combined limit for physiotherapy & other services - Sub-limits apply) | Initial visit - $36.00 Subsequent visit - $26.00 |
| Chiropractic | 2 | $350 per policy (combined limit for chiropractic, osteopathy & other services - Sub-limits apply) | Initial visit - $26.00 Subsequent visit - $21.00 |
| Podiatry | 2 | $350 per policy (combined limit for podiatry & other services - Sub-limits apply) | Initial visit - $43.00 Subsequent visit - $43.00 |
| Psychology | 2 | $500 per policy (Sub-limits apply) | Initial visit - $54.00 Subsequent visit - $25.00 |
| Acupuncture | 2 | $350 per policy (combined limit for acupuncture, remedial massage & other services - Sub-limits apply) | Initial visit - $25.00 Subsequent visit - $20.00 |
| Remedial massage | 2 | Initial visit - $20.00 Subsequent visit - $20.00 | |
| Hearing aids | 12 | $800 per policy 1 appliance(s) every 3 years (Sub-limits apply) | Hearing aid - 100% of charge |
| Blood glucose monitors | 12 | $200 per policy 1 appliance(s) every 3 years | Per monitor - 100% of charge |
| Audiology | 2 | $350 per policy | Initial visit - $25.00 Subsequent visit - $20.00 |
| Dietetics/dietary advice | 2 | $350 per policy | Initial visit - $60.00 Subsequent visit - $45.00 |
| Eye therapy (orthoptics) | 2 | $500 per policy (combined limit for eye therapy (orthoptics) & speech therapy) | Initial visit - $54.00 Subsequent visit - $25.00 |
| Occupational therapy | 2 | $500 per policy | Initial visit - $54.00 Subsequent visit - $25.00 |
| Orthotics (podiatric orthoses) | 12 | $115 per service up to $230 per policy | Orthotics supply & fit - 80% of charge |
| Osteopathy | 2 | Combined limit - see Chiropractic | Initial visit - $26.00 Subsequent visit - $21.00 |
| Speech therapy | 2 | Combined limit - see Eye therapy (orthoptics) | Initial visit - $54.00 Subsequent visit - $25.00 |
| Vaccinations | 2 | Combined limit - see Non PBS pharmaceuticals | Per service - 100% of charge |
| Benefits also available towards Home/Bush Nursing, please contact GMHBA for further information. | |||
| Other treatments - check with your insurer |
Annual sub-limit up to $300 per person per year applies for preventative dental.
South Australia has a subscription service to cover ambulance within the state, with an additional fee to cover interstate travel (http://www.saambulance.com.au/ProductsServices/AmbulanceCover.aspx).
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.