(before any rebate or insurer discount)
Covers only one person
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 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 | 2 | $1,200 per policy (combined limit for general dental, major dental, endodontic & other services - Sub-limits apply) | Periodic oral examination - $30.50 Scale & clean - $57.60 Fluoride treatment - $23.20 Surgical tooth extraction - $104.30 |
| Major dental | 12 | Full crown veneered - $556.80 | |
| Endodontic | 2 | Filling of one root canal - $109.80 | |
| Orthodontic | 12 | $300 per policy $2,000 lifetime limit 1 appliance(s) every 3 years | Braces for upper & lower teeth, including removal plus fitting of retainer - $900.00 |
| Optical | 6 | $200 per policy | Single vision lenses & frames - $200.00 Multi-focal lenses & frames - $200.00 |
| Non PBS pharmaceuticals | 2 | $350 per policy (combined limit for non pbs pharmaceuticals & vaccinations) | Per eligible prescription - $35.00 |
| Physiotherapy | 2 | $350 per policy | Initial visit - $30.00 Subsequent visit - $30.00 |
| Chiropractic | 2 | $450 per policy (combined limit for chiropractic, acupuncture, remedial massage, osteopathy & other services) | Initial visit - $26.00 Subsequent visit - $26.00 |
| Podiatry | 2 | $300 per policy (combined limit for podiatry & orthotics (podiatric orthoses)) | Initial visit - $25.00 Subsequent visit - $25.00 |
| Psychology | 2 | $300 per policy | Initial visit - $50.00 Subsequent visit - $50.00 |
| Acupuncture | 2 | Combined limit - see Chiropractic | Initial visit - $26.00 Subsequent visit - $26.00 |
| Remedial massage | 2 | Combined limit - see Chiropractic | Initial visit - $26.00 Subsequent visit - $26.00 |
| Hearing aids | 12 | $650 per policy 1 appliance(s) every 5 years | Hearing aid - $650.00 |
| Blood glucose monitors | 12 | $250 per policy 1 appliance(s) every 3 years (combined limit for blood glucose monitors & other services - Sub-limits apply) | Per monitor - 80% of charge |
| Audiology | 2 | $300 per policy | Initial visit - $30.00 Subsequent visit - $30.00 |
| Dietetics/dietary advice | 2 | $300 per policy | Initial visit - $30.00 Subsequent visit - $30.00 |
| Eye therapy (orthoptics) | 2 | $350 per policy (combined limit for eye therapy (orthoptics), occupational therapy & speech therapy) | Initial visit - $30.00 Subsequent visit - $30.00 |
| Health management / Healthy lifestyle | 2 | $70 per policy | Health management - $70.00 |
| Home nursing | 2 | $250 per policy | Initial visit - $25.00 Subsequent visit - $25.00 |
| Occupational therapy | 2 | Combined limit - see Eye therapy (orthoptics) | Initial visit - $30.00 Subsequent visit - $30.00 |
| Orthotics (podiatric orthoses) | 2 | Combined limit - see Podiatry | Orthotics supply & fit - $70.00 |
| Osteopathy | 2 | Combined limit - see Chiropractic | Initial visit - $26.00 Subsequent visit - $26.00 |
| Speech therapy | 2 | Combined limit - see Eye therapy (orthoptics) | Initial visit - $30.00 Subsequent visit - $30.00 |
| Vaccinations | 2 | Combined limit - see Non PBS pharmaceuticals | Per service - 70% of charge |
| A benefit is paid for state ambulance subscriptions when paid voluntarily but not as a state tax or levy. Benefit is 100% of the cost. Benefits are also payable for myotherapy, blood pressure monitors, CPAP machines, air compressors, TENS machines, lymphoedema garments, non-surgically implanted prostheses, nebulisers and health screenings. The orthotic benefit shown is a guide only and benefits will differ according to the orthotic prescribed. Vaccines are limited to travel and allergy vaccines and must be Latrobe approved. | |||
| Other treatments - check with your insurer |
Orthodontic and major dental benefits increase with years of membership.
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).
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.