Private Health Information Statement - General treatment policy

Comprehensive Extras

Monthly Premium

$201.85 #

(before any rebate or insurer discount)

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

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 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

By using Peoplecare's 'preferred providers' you may have lower out of pocket costs on Dental and Optical treatments and have access to more 'no gap' treatments. A list of 'preferred providers' is available from Peoplecare. See https://peoplecare.com.au/Members/Providers/Other-health-providers.

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 dental2No annual limit
(Sub-limits apply)
Periodic oral examination - $31.00
Scale & clean - $60.00
Fluoride treatment - $26.00
Surgical tooth extraction - $120.00
Major dental12$2,650 per person
(Sub-limits apply)
Full crown veneered - $750.00
Endodontic2No annual limitFilling of one root canal - $110.00
Orthodontic12$2,100 per person
$2,100 lifetime limit
Braces for upper & lower teeth, including removal plus fitting of retainer - $2,100.00
Optical6$300 per personSingle vision lenses & frames - $300.00
Multi-focal lenses & frames - $300.00
Non PBS pharmaceuticals2$500 per person up to $1,000 per policy
(combined limit for non pbs pharmaceuticals & vaccinations - Sub-limits apply)
Per eligible prescription - $65.00
Physiotherapy2$550 per person up to $1,100 per policy
(combined limit for physiotherapy, exercise physiology, eye therapy (orthoptics), occupational therapy & other services - Sub-limits apply)
Initial visit - $50.00
Subsequent visit - $30.00
Chiropractic2$550 per person up to $1,100 per policy
(combined limit for chiropractic & osteopathy - Sub-limits apply)
Initial visit - $45.00
Subsequent visit - $25.00
Podiatry2$435 per person up to $870 per policy
(combined limit for podiatry, acupuncture, remedial massage & dietetics/dietary advice - Sub-limits apply)
Initial visit - $35.00
Subsequent visit - $25.00
Psychology2$500 per person up to $650 per policy
(Sub-limits apply)
Initial visit - $120.00
Subsequent visit - $60.00
Acupuncture2Combined limit - see PodiatryInitial visit - $35.00
Subsequent visit - $25.00
Remedial massage2Combined limit - see PodiatryInitial visit - $35.00
Subsequent visit - $25.00
Hearing aids24$1,500 per person
1 appliance(s) every 5 years
Hearing aid - 80% of charge
Blood glucose monitors2$200 per person
1 appliance(s) every 3 years
(combined limit for blood glucose monitors & other services - Sub-limits apply)
Per monitor - $200.00
Ante-natal/Post-natal classes2$150 per personInitial visit - 80% of charge
Subsequent visit - 80% of charge
Dietetics/dietary advice2Combined limit - see PodiatryInitial visit - $35.00
Subsequent visit - $25.00
Exercise physiology2Combined limit - see PhysiotherapyInitial visit - $40.00
Subsequent visit - $30.00
Eye therapy (orthoptics)2Combined limit - see PhysiotherapyInitial visit - $40.00
Subsequent visit - $30.00
Health management / Healthy lifestyle6$150 per person up to $300 per policyHealth management - 100% of charge
Home nursing2$1,000 per personInitial visit - $45.00
Subsequent visit - $45.00
Occupational therapy2Combined limit - see PhysiotherapyInitial visit - $60.00
Subsequent visit - $35.00
Orthotics (podiatric orthoses)2$250 per person up to $500 per policy
1 appliance(s) every 2 years
(Sub-limits apply)
Orthotics supply & fit - 80% of charge
Osteopathy2Combined limit - see ChiropracticInitial visit - $45.00
Subsequent visit - $25.00
Speech therapy2$800 per personInitial visit - 80% of charge
Subsequent visit - 80% of charge
Vaccinations2Combined limit - see Non PBS pharmaceuticalsPer service - $65.00

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

General treatment legend
Other treatments - check with your insurer

For further information about this policy see

https://www.peoplecare.com.au/siteassets/documents/CD/oms/comprehensive-extras.pdf

Ambulance cover

In South Australia this policy provides:

Emergency: Unlimited with a waiting period of 1 day.

Non-emergency: Unlimited transport with a waiting period of 1 day.

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

Other features of this ambulance cover

Unlimited Ambulance covers you Australia wide for land, sea and air transport.

For further information about this policy see

https://www.peoplecare.com.au/health-insurance/hospital-cover/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.