Private Health Information Statement - General treatment policy

Saver Options

Health Insurance Fund of Australia Limited

Monthly Premium

$80.10 #

(before any rebate or insurer discount)

Covers two adults & dependants (3 or more people, only 2 of whom are adults)

Available in Northern Territory

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 policy covers children and other dependants up to and including the age of 20, students up to and including the age of 30, as well as persons with a disability who qualify as a child or other dependant or student in these age ranges.

General Treatment Cover

HIF has partnered with a network of providers to make a selected range of services more affordable. By choosing an HIF Choice Network provider you’ll receive low or no out-of-pocket costs. See www.hif.com.au/choice-network

This policy includes General treatment (Extras) cover for

General treatment legend
Note, for items marked with an asterisk *: Optical benefit paid on frames and prescription optical items. The limits detailed below are subject to a combined overall person limit of $350 ($700 per couple and family membership) for complementary therapies, chiro, dietetics, healthy lifestyle, pharmacy, osteo, physio and podiatry consultations. Our Complementary Therapies sub-limit $100 per person ($200 per couple or family membership) includes acupuncture, myotherapy, remedial massage and traditional Chinese medicine. Treatment must be provided by a practitioner registered with HIF in the speciality for which the charge is raised. Benefits are not payable on medicines.
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental2$750 per person
(combined limit for general dental & other services)
Periodic oral examination - $54.35
Scale & clean - $110.35
Fluoride treatment - $33.20
Optical*2$150 per personSingle vision lenses & frames - 100% of charge
Multi-focal lenses & frames - 100% of charge
Non PBS pharmaceuticals2$350 per person
(combined limit for non pbs pharmaceuticals, physiotherapy, chiropractic, podiatry, acupuncture, remedial massage, chinese medicine, dietetics/dietary advice, health management / healthy lifestyle, osteopathy & other services - Sub-limits apply)
Per eligible prescription - $80.00
Physiotherapy*2Initial visit - $32.00
Subsequent visit - $32.00
Chiropractic*2Initial visit - $26.00
Subsequent visit - $26.00
Podiatry*2Initial visit - $32.00
Subsequent visit - $23.00
Acupuncture*2Initial visit - $20.00
Subsequent visit - $20.00
Remedial massage*2Initial visit - $20.00
Subsequent visit - $20.00
Chinese medicine*2Initial visit - $20.00
Subsequent visit - $20.00
Dietetics/dietary advice*2Initial visit - $36.00
Subsequent visit - $18.00
Health management / Healthy lifestyle*2Health management - $50.00
Osteopathy*2Initial visit - $26.00
Subsequent visit - $26.00
A 12 month waiting period applies to dental items: 322-324, 331, 595, and 596. Pharmacy benefit paid after deduction of the PBS co-payment at 100% up to $80 per script. A $20 benefit (1 per person, per calendar year) will be paid on eligible claims for flu vaccinations from a registered pharmacy only. Like most Extras health covers, there are annual limits (a limit on how much we will pay toward your claims) for most services under Saver Options. However, your benefit limits will be refreshed every year on January 1.

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

General treatment legend
Blood glucose monitorsMajor dentalOther treatments - check with your insurer
EndodonticOrthodontic
Hearing aidsPsychology

Other features of this general treatment cover

Saver Options is our value-packed Extras cover for young singles, couples and families. It’s ideal for young people who want affordable cover for common services, including general dental, optical, chiro, physio, osteo, remedial massage, acupuncture, healthy lifestyle, pharmacy and ambulance services

For further information about this policy see

https://www.hif.com.au/saveroptions-factsheet

Ambulance cover

In Northern Territory this policy provides:

Emergency: Unlimited with a waiting period of 1 day.

Non-emergency: Unlimited transport with a waiting period of 30 days.

Call-out fees: will be paid for each attendance, including emergency treatment without transport to hospital.

Other features of this ambulance cover

There is no limit to the number of emergency ambulance services you use. If you’re taken to a hospital’s emergency department for urgent treatment, we’ll cover 100% of the charge. If it’s a non-emergency ambulance service, you only make a $50 co-payment per trip. Not covered: Inter-hospital transportation except for inter-hospital transfers relating to an emergency or new illness where approved on a case by case basis by HIF. Transportation from a hospital to your home, nursing home or other hospital. Transportation for ongoing medical treatment. Off road, sea or air ambulance (plane, helicopter or boat).

For further information about this policy see

https://www.hif.com.au/ambulance

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.