(before any rebate or insurer discount)
Covers 2 adults (and no-one else)
Available in Northern Territory
# 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 | $1,000 per person (combined limit for general dental & endodontic) | Periodic oral examination - $42.00 Scale & clean - $75.00 Fluoride treatment - $27.00 Surgical tooth extraction - $140.00 |
| Major dental | 12 | $875 per person | Full crown veneered - $680.00 |
| Endodontic | 2 | Combined limit - see General dental | Filling of one root canal - $145.00 |
| Orthodontic | 12 | $750 per person $2,400 lifetime limit | Braces for upper & lower teeth, including removal plus fitting of retainer - $750.00 |
| Optical | 6 | $250 per person | Single vision lenses & frames - $250.00 Multi-focal lenses & frames - $250.00 |
| Non PBS pharmaceuticals | 2 | $340 per person up to $680 per policy (combined limit for non pbs pharmaceuticals & vaccinations) | Per eligible prescription - $50.00 |
| Physiotherapy | 2 | $550 per person up to $1,100 per policy (combined limit for physiotherapy, chiropractic, exercise physiology, osteopathy & other services) | Initial visit - $50.00 Subsequent visit - $50.00 |
| Chiropractic | 2 | Initial visit - $45.00 Subsequent visit - $45.00 | |
| Podiatry | 2 | $400 per person up to $800 per policy (combined limit for podiatry & orthotics (podiatric orthoses)) | Initial visit - $45.00 Subsequent visit - $45.00 |
| Psychology | 2 | $450 per person up to $900 per policy | Initial visit - $90.00 Subsequent visit - $90.00 |
| Acupuncture | 2 | $400 per person up to $800 per policy (combined limit for acupuncture, remedial massage, chinese medicine, dietetics/dietary advice & other services) | Initial visit - $45.00 Subsequent visit - $45.00 |
| Remedial massage | 2 | Initial visit - $45.00 Subsequent visit - $45.00 | |
| Hearing aids | 12 | $500 total all appliances every 2 years per membership | Hearing aid - 65% of charge |
| Blood glucose monitors | 12 | Per monitor - 65% of charge | |
| Audiology | 2 | $400 per person up to $800 per policy | Initial visit - $40.00 Subsequent visit - $40.00 |
| Chinese medicine | 2 | Combined limit - see Acupuncture | Initial visit - $45.00 Subsequent visit - $45.00 |
| Dietetics/dietary advice | 2 | Combined limit - see Acupuncture | Initial visit - $45.00 Subsequent visit - $45.00 |
| Exercise physiology | 2 | Combined limit - see Physiotherapy | Initial visit - $45.00 Subsequent visit - $45.00 |
| Health management / Healthy lifestyle | 2 | $225 per person up to $450 per policy (combined limit for health management / healthy lifestyle & other services) | Health management - $40.00 |
| Orthotics (podiatric orthoses) | 2 | Combined limit - see Podiatry | Orthotics supply & fit - 65% of charge |
| Osteopathy | 2 | Combined limit - see Physiotherapy | Initial visit - $45.00 Subsequent visit - $45.00 |
| Vaccinations | 2 | Combined limit - see Non PBS pharmaceuticals | Per service - $50.00 |
| Periodic Oral Examination - 2 free up to $60 and $42 for additional services. Scale and clean - 2 free up to $120 and $75 for additional services. Fluoride Treatment - 2 free up to $36 and $27 for additional services. A benefit is also payable for myotherapy, health appliances & aids such as CPAP or TENS machine, crutches, knee braces, splints, cam boot, nebuliser, asthma and peak flow meters, wheelchair hire, QUIT course, nicotine replacement, travel for medical outpatient visits and a 100% rebate on full ambulance subscriptions when paid voluntarily but not as a state tax or levy. Vaccinations must be Latrobe approved, HPV and travel vaccines are included. When this extras cover is coupled with a hospital cover a benefit bonus will also accumulate. | |||
| Other treatments - check with your insurer |
In Northern Territory 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.
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.