Private Health Information Statement - General treatment policy

Active Life Extras

Monthly Premium

$45.63 #

(before any rebate or insurer discount)

Covers only one person

Available in Victoria

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
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental2$500 per policyPeriodic oral examination - $33.00
Scale & clean - $61.00
Fluoride treatment - $22.00
Surgical tooth extraction - $100.00
Major dental12$500 per policy
(combined limit for major dental & endodontic - Sub-limits apply)
Full crown veneered - $500.00
Endodontic12Filling of one root canal - $120.00
Optical6$220 per policySingle vision lenses & frames - $220.00
Multi-focal lenses & frames - $220.00
Physiotherapy2$400 per policy
(combined limit for physiotherapy & exercise physiology)
Initial visit - $39.00
Subsequent visit - $39.00
Chiropractic2$400 per policy
(combined limit for chiropractic, acupuncture, remedial massage, chinese medicine & osteopathy)
Initial visit - $28.00
Subsequent visit - $28.00
Acupuncture2Initial visit - $28.00
Subsequent visit - $28.00
Remedial massage2Initial visit - $28.00
Subsequent visit - $28.00
Chinese medicine2Initial visit - $28.00
Subsequent visit - $28.00
Exercise physiology2Combined limit - see PhysiotherapyInitial visit - $39.00
Subsequent visit - $39.00
Osteopathy2Combined limit - see ChiropracticInitial visit - $28.00
Subsequent visit - $28.00
Vaccinations2$175 per policyPer service - $35.00
Group physio/hydrotherapy session $18 per service. Flu vaccination 1 per calendar year $25 per service. Other eligible vaccines $35 per service.

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

General treatment legend
Blood glucose monitorsOrthodonticOther treatments - check with your insurer
Hearing aidsPodiatry
Non PBS pharmaceuticalsPsychology

For further information about this policy see

https://hciltd.com.au/extras-cover

Ambulance cover

Pensioner Concession Card and Healthcare Card holders are entitled to free clinically necessary ambulance transport. If you are not eligible for a concession and want to be covered, you can purchase insurance from a private health insurer or take out a subscription with the state ambulance service (https://www.ambulance.vic.gov.au/membership).

For further information about this policy see

https://hciltd.com.au/extras-cover

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.