(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 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, 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.
This health insurer does not operate a preferred provider scheme.
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
|---|---|---|---|
| General dental | 3 | No annual limit (combined limit for general dental & endodontic - Sub-limits apply) | Periodic oral examination - $29.12 Scale & clean - $56.00 Fluoride treatment - $25.00 Surgical tooth extraction - $102.10 |
| Major dental | 12 | $300 per person | Full crown veneered - $585.60 |
| Endodontic | 3 | Combined limit - see General dental | Filling of one root canal - $110.70 |
| Orthodontic | 12 | $300 per person $3,000 lifetime limit 1 appliance(s) every 3 years | Braces for upper & lower teeth, including removal plus fitting of retainer - $900.00 |
| Optical | 12 | $250 per person | Single vision lenses & frames - $250.00 Multi-focal lenses & frames - $250.00 |
| Non PBS pharmaceuticals | 2 | $400 per person | Per eligible prescription - $100.00 |
| Physiotherapy | 2 | $1,000 per person | Initial visit - $42.00 Subsequent visit - $37.00 |
| Chiropractic | 2 | $350 per person | Initial visit - $46.00 Subsequent visit - $29.00 |
| Podiatry | 2 | $600 per person (combined limit for podiatry & orthotics (podiatric orthoses)) | Initial visit - $30.00 Subsequent visit - $30.00 |
| Psychology | 2 | $450 per person | Initial visit - $80.00 Subsequent visit - $80.00 |
| Acupuncture | 2 | $1,000 per person | Initial visit - $40.00 Subsequent visit - $32.00 |
| Remedial massage | 2 | $350 per person | Initial visit - $36.00 Subsequent visit - $32.00 |
| Hearing aids | 12 | $1,000 per person 1 appliance(s) every 5 years | Hearing aid - $1,000.00 |
| Blood glucose monitors | 12 | $250 per person every 3 years. $500 total all appliances per membership every 3 years | Per monitor - 90% of charge |
| Audiology | 2 | $1,000 per person | Initial visit - $65.00 Subsequent visit - $65.00 |
| Dietetics/dietary advice | 2 | $1,000 per person | Initial visit - $45.00 Subsequent visit - $40.00 |
| Eye therapy (orthoptics) | 2 | $1,000 per person | Initial visit - $50.00 Subsequent visit - $40.00 |
| Health management / Healthy lifestyle | 2 | $75 per person 1 service(s) every 2 years | Health management - $75.00 |
| Home nursing | 2 | $1,000 per person | Initial visit - $45.00 Subsequent visit - $18.00 |
| Occupational therapy | 2 | $1,000 per person | Initial visit - $50.00 Subsequent visit - $50.00 |
| Orthotics (podiatric orthoses) | 2 | Combined limit - see Podiatry | Orthotics supply & fit - $100.00 |
| Osteopathy | 2 | $1,000 per person | Initial visit - $45.00 Subsequent visit - $30.00 |
| Speech therapy | 2 | $1,000 per person | Initial visit - $60.00 Subsequent visit - $60.00 |
| A benefit is paid for state ambulance subscriptions when paid voluntarily but not as a state tax or levy. The benefit is 100% of the cost. Benefits are also payable for CPAP machines, air compressors, nebulisers, TENS machines, lymphoedema garments, and non-surgically implanted prostheses. Major dental and orthodontic benefits increase with years of membership. The orthotic benefit shown is a guide only and benefits will differ according to the orthotic prescribed. | |||
| Other treatments - check with your insurer |
Pensioner Concession Card and Commonwealth Seniors Health Card holders are entitled to free ambulance transport services. St John's ambulance offers a subscription service for ambulance cover in the Northern Territory (https://www.stjohnnt.org.au/ambulance/ambulance-cover.php). Cover is included whilst interstate for less than 21 days.
https://www.latrobehealth.com.au/health-cover/emergency-ambulance-cover/
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.