Private Health Information Statement - General treatment policy

Advantage Family Care Extras

Monthly Premium

$113.06 #

(before any rebate or insurer discount)

Covers two adults & dependants, including non-student dependants (3 or more people, only 2 of whom are adults)

Available in Victoria

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.

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 - $26.00
Scale & clean - $50.00
Fluoride treatment - $19.50
Surgical tooth extraction - $88.00
Major dental12Full crown veneered - $456.00
Endodontic3Filling of one root canal - $93.10
Orthodontic12$300 per person
$1,800 lifetime limit
1 appliance(s) every 3 years
Braces for upper & lower teeth, including removal plus fitting of retainer - $900.00
Optical12$135 per personSingle vision lenses & frames - $135.00
Multi-focal lenses & frames - $135.00
Non PBS pharmaceuticals2$300 per person up to $600 per policy
(combined limit for non pbs pharmaceuticals, physiotherapy, chiropractic, remedial massage, eye therapy (orthoptics), home nursing, occupational therapy, osteopathy, speech therapy & other services)
Per eligible prescription - $25.00
Physiotherapy2Initial visit - $27.00
Subsequent visit - $22.00
Chiropractic2Initial visit - $26.00
Subsequent visit - $19.00
Podiatry2$300 per person
(combined limit for podiatry & orthotics (podiatric orthoses))
Initial visit - $25.00
Subsequent visit - $25.00
Psychology2$300 per personInitial visit - $50.00
Subsequent visit - $50.00
Acupuncture2$300 per personInitial visit - $25.00
Subsequent visit - $17.00
Remedial massage2Combined limit - see Non PBS pharmaceuticalsInitial visit - $25.00
Subsequent visit - $17.00
Hearing aids12$500 per person
1 appliance(s) every 5 years
Hearing aid - $500.00
Blood glucose monitors12$200 per person up to $400 per policy
1 appliance(s) every 3 years
(combined limit for blood glucose monitors & other services)
Per monitor - 70% of charge
Audiology2$300 per personInitial visit - $25.00
Subsequent visit - $17.00
Dietetics/dietary advice2$300 per personInitial visit - $25.00
Subsequent visit - $17.00
Eye therapy (orthoptics)2Combined limit - see Non PBS pharmaceuticalsInitial visit - $25.00
Subsequent visit - $17.00
Health management / Healthy lifestyle21 service(s) every 2 yearsHealth management - $55.00
Home nursing2Combined limit - see Non PBS pharmaceuticalsInitial visit - $25.00
Subsequent visit - $17.00
Occupational therapy2Combined limit - see Non PBS pharmaceuticalsInitial visit - $25.00
Subsequent visit - $17.00
Orthotics (podiatric orthoses)2Combined limit - see PodiatryOrthotics supply & fit - $70.00
Osteopathy2Combined limit - see Non PBS pharmaceuticalsInitial visit - $25.00
Subsequent visit - $17.00
Speech therapy2Combined limit - see Non PBS pharmaceuticalsInitial visit - $25.00
Subsequent visit - $17.00
Benefits are also payable for pressure garments, non-surgically implanted prostheses, CPAP machines, air compressors, nebulisers and TENS machines. The orthotic benefit shown is a guide only and benefits will differ according to the orthotic prescribed. A benefit is paid for state ambulance subscriptions when paid voluntarily but not as a state tax or levy. Benefit is $44 for family memberships.

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

General treatment legend
Other treatments - check with your insurer

Ambulance cover

Pensioner Concession Card and Healthcare Card holders are entitled to free clinically necessary ambulance transport. If you are not eligible for a concession and want to be covered, you can purchase insurance from a private health insurer or take out a subscription with the state ambulance service (https://www.ambulance.vic.gov.au/membership).

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.