Private Health Information Statement - General treatment policy

Boost Complete 60% Extras

Monthly Premium

$133.00 #

(before any rebate or insurer discount)

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

Available in Victoria

# 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, students up to and including the age of 31 and non-students up to and including the age of 31, as well as persons with a disability who qualify as a child, student or non-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$1,000 per person up to $2,000 per policy
(combined limit for general dental, major dental & endodontic)
Periodic oral examination - 60% of charge
Scale & clean - 60% of charge
Fluoride treatment - 60% of charge
Surgical tooth extraction - 60% of charge
Major dental12Full crown veneered - 60% of charge
Endodontic2Filling of one root canal - 60% of charge
Orthodontic12$500 per person
$1,500 lifetime limit
1 appliance(s) every 3 years
Braces for upper & lower teeth, including removal plus fitting of retainer - $1,500.00
Optical2$200 per personSingle vision lenses & frames - $200.00
Multi-focal lenses & frames - $200.00
Non PBS pharmaceuticals2$300 per person up to $600 per policy
(combined limit for non pbs pharmaceuticals & vaccinations)
Per eligible prescription - 60% of charge
Physiotherapy2$350 per person up to $700 per policy
(combined limit for physiotherapy, chiropractic, exercise physiology & osteopathy)
Initial visit - 60% of charge
Subsequent visit - 60% of charge
Chiropractic2Initial visit - 60% of charge
Subsequent visit - 60% of charge
Podiatry2$300 per person up to $600 per policy
(combined limit for podiatry & orthotics (podiatric orthoses))
Initial visit - 60% of charge
Subsequent visit - 60% of charge
Psychology2$300 per personInitial visit - 60% of charge
Subsequent visit - 60% of charge
Acupuncture2$200 per person up to $400 per policy
(combined limit for acupuncture, remedial massage & other services)
Initial visit - 60% of charge
Subsequent visit - 60% of charge
Remedial massage2Initial visit - 60% of charge
Subsequent visit - 60% of charge
Hearing aids12$500 per person
1 appliance(s) every 5 years
Hearing aid - 60% of charge
Blood glucose monitors12$300 per person up to $600 per policy
1 appliance(s) every 2 years
(combined limit for blood glucose monitors & other services)
Per monitor - 60% of charge
Audiology2$200 per person up to $400 per policy
(combined limit for audiology, eye therapy (orthoptics), occupational therapy & speech therapy)
Initial visit - 60% of charge
Subsequent visit - 60% of charge
Dietetics/dietary advice2$200 per person up to $400 per policyInitial visit - 60% of charge
Subsequent visit - 60% of charge
Exercise physiology0Combined limit - see PhysiotherapyInitial visit - 60% of charge
Subsequent visit - 60% of charge
Eye therapy (orthoptics)2Combined limit - see AudiologyInitial visit - 60% of charge
Subsequent visit - 60% of charge
Health management / Healthy lifestyle12$100 per person up to $300 per policyHealth management - 60% of charge
Occupational therapy2Combined limit - see AudiologyInitial visit - 60% of charge
Subsequent visit - 60% of charge
Orthotics (podiatric orthoses)2Combined limit - see PodiatryOrthotics supply & fit - 60% of charge
Osteopathy2Combined limit - see PhysiotherapyInitial visit - 60% of charge
Subsequent visit - 60% of charge
Speech therapy2Combined limit - see AudiologyInitial visit - 60% of charge
Subsequent visit - 60% of charge
Vaccinations2Combined limit - see Non PBS pharmaceuticalsPer service - 60% of charge
Periodic Oral Examination - 100% for 1 service, 60% for additional services. Scale and clean - 100% for 1 service, 60% for additional services. Fluoride Treatment - 100% for 2 services, limit 2 services per person per year. A benefit is also payable for myotherapy, Health Appliances & Aids, such as crutches, knee brace, splint, cam boot, CPAP or TENS machine, non surgically implanted prosthesis, health screenings and a 60% rebate on full ambulance subscriptions when paid voluntarily but not as a state tax or levy. Vaccinations are for travel vaccines and must be approved by Latrobe.

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

General treatment legend
Other treatments - check with your insurer

Ambulance cover

In Victoria this policy provides:

Emergency: Unlimited with a waiting period of 1 day.

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

For further information about this policy see

https://www.latrobehealth.com.au/health-cover/emergency-ambulance-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.