Private Health Information Statement - General treatment policy

Singles Extras

Monthly Premium

$21.09 #

(before any rebate or insurer discount)

Covers only one person

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.

General Treatment Cover

This policy must be purchased with a hospital policy.

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$400 per policyPeriodic oral examination - $24.20
Scale & clean - $46.40
Fluoride treatment - $18.50
Surgical tooth extraction - $81.00
Optical12$130 per policySingle vision lenses & frames - $130.00
Multi-focal lenses & frames - $130.00
Non PBS pharmaceuticals2$150 per policyPer eligible prescription - $25.00
Physiotherapy2$250 per policy
(combined limit for physiotherapy, chiropractic & osteopathy)
Initial visit - $27.00
Subsequent visit - $22.00
Chiropractic2Initial visit - $26.00
Subsequent visit - $19.00
Osteopathy2Initial visit - $25.00
Subsequent visit - $17.00
General dental benefits are for selected items only. 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.

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

General treatment legend
AcupunctureMajor dentalRemedial massage
Blood glucose monitorsOrthodonticOther treatments - check with your insurer
EndodonticPodiatry
Hearing aidsPsychology

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.