Private Health Information Statement - General treatment policy

Primary Extras

Monthly Premium

$71.06 #

(before any rebate or insurer discount)

Covers 2 adults (and no-one else)

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.

General Treatment Cover

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 dental3$1,000 per person up to $2,000 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 dental12Full crown veneered - $432.00
Endodontic3Filling of one root canal - $88.20
Optical12$135 per personSingle vision lenses & frames - $135.00
Multi-focal lenses & frames - $135.00
Non PBS pharmaceuticals2$250 per personPer eligible prescription - $25.00
Physiotherapy2$200 per personInitial visit - $27.00
Subsequent visit - $22.00
Eye therapy (orthoptics)2$200 per person
(combined limit for eye therapy (orthoptics), occupational therapy & speech therapy)
Initial visit - $24.00
Subsequent visit - $18.00
Occupational therapy2Initial visit - $24.00
Subsequent visit - $18.00
Speech therapy2Initial 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.

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

General treatment legend
AcupunctureHearing aidsPsychology
Blood glucose monitorsOrthodonticRemedial massage
ChiropracticPodiatryOther treatments - check with your insurer

Ambulance cover

South Australia has a subscription service to cover ambulance within the state, with an additional fee to cover interstate travel (http://www.saambulance.com.au/ProductsServices/AmbulanceCover.aspx).

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.