(before any rebate or insurer discount)
Covers only one person
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 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 | $1,000 per policy (combined limit for general dental, major dental & endodontic - Sub-limits apply) | Periodic oral examination - $24.20 Scale & clean - $46.40 Fluoride treatment - $18.50 Surgical tooth extraction - $81.00 |
| Major dental | 12 | Full crown veneered - $432.00 | |
| Endodontic | 3 | Filling of one root canal - $88.20 | |
| Optical | 12 | $135 per policy | Single vision lenses & frames - $135.00 Multi-focal lenses & frames - $135.00 |
| Non PBS pharmaceuticals | 2 | $250 per policy | Per eligible prescription - $25.00 |
| Physiotherapy | 2 | $200 per policy | Initial visit - $27.00 Subsequent visit - $22.00 |
| Eye therapy (orthoptics) | 2 | $200 per policy (combined limit for eye therapy (orthoptics), occupational therapy & speech therapy) | Initial visit - $24.00 Subsequent visit - $18.00 |
| Occupational therapy | 2 | Initial visit - $24.00 Subsequent visit - $18.00 | |
| Speech therapy | 2 | Initial visit - $24.00 Subsequent visit - $18.00 | |
| A benefit is paid for state ambulance subscriptions when paid voluntarily but not as a state tax or levy. Benefit is $22 for single memberships and $44 for family memberships. Pharmacy benefit is 15% of the cost of private scripts up to $25.00. | |||
| Acupuncture | Hearing aids | Psychology |
| Blood glucose monitors | Orthodontic | Remedial massage |
| Chiropractic | Podiatry | 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.