Private Health Information Statement - General treatment policy

Dental

Monthly Premium

$65.50 #

(before any rebate or insurer discount)

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

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 policy covers children and other dependants up to and including the age of 20, students up to and including the age of 31, as well as persons with a disability who qualify as a child or other dependant or 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 - $30.50
Scale & clean - $57.60
Fluoride treatment - $23.20
Surgical tooth extraction - $104.30
Major dental12Full crown veneered - $556.80
Endodontic3Filling of one root canal - $109.80

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

General treatment legend
AcupunctureNon PBS pharmaceuticalsPodiatry
Blood glucose monitorsOpticalPsychology
ChiropracticOrthodonticRemedial massage
Hearing aidsPhysiotherapyOther treatments - check with your insurer

Other features of this general treatment cover

Major dental benefits increase with years of membership.

Ambulance cover

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.

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.