(before any rebate or insurer discount)
Covers only one person
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.
At Members' Choice extras providers you may get more for your cover. This includes 100% back on a dental check up, scale and clean each year and great optical deals. See https://www.medibank.com.au/health-insurance/find-provider/#/.
| Note, for items marked with an asterisk *: A 12 month waiting period applies to surgical tooth extraction. Exercise physiology benefit is $16.00 for individual consultations and $10.00 for group consultations. Counselling (no waiting period) shares an annual limit with Psychology. Vaccinations - non-PBS listed flu vaccinations only. | |||
|---|---|---|---|
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
| General dental* | 2 | $400 per policy | Periodic oral examination - $35.70 Scale & clean - $52.90 Fluoride treatment - $12.80 Surgical tooth extraction - $122.20 |
| Major dental | 12 | $350 per policy (combined limit for major dental & endodontic) | Full crown veneered - $500.00 |
| Endodontic | 12 | Filling of one root canal - $117.50 | |
| Optical | 6 | $150 per policy (combined limit for optical & eye therapy (orthoptics)) | Single vision lenses & frames - 100% of charge Multi-focal lenses & frames - 100% of charge |
| Non PBS pharmaceuticals | 2 | $200 per policy (combined limit for non pbs pharmaceuticals, psychology & vaccinations) | Per eligible prescription - $21.00 |
| Physiotherapy | 2 | $300 per policy (combined limit for physiotherapy, chiropractic, acupuncture, chinese medicine, exercise physiology & osteopathy) | Initial visit - $39.30 Subsequent visit - $31.60 |
| Chiropractic | 2 | Initial visit - $35.30 Subsequent visit - $24.00 | |
| Psychology* | 0 | Combined limit - see Non PBS pharmaceuticals | Initial visit - $110.89 Subsequent visit - $96.42 |
| Acupuncture | 2 | Combined limit - see Physiotherapy | Initial visit - $26.80 Subsequent visit - $25.40 |
| Remedial massage | 2 | $150 per policy | Initial visit - $41.20 Subsequent visit - $31.20 |
| Chinese medicine | 2 | Combined limit - see Physiotherapy | Initial visit - $16.00 Subsequent visit - $16.00 |
| Exercise physiology* | 2 | Combined limit - see Physiotherapy | Initial visit - $16.00 Subsequent visit - $10.00 |
| Eye therapy (orthoptics) | 2 | Combined limit - see Optical | Initial visit - $37.50 Subsequent visit - $27.50 |
| Osteopathy | 2 | Combined limit - see Physiotherapy | Initial visit - $35.30 Subsequent visit - $24.00 |
| Vaccinations* | 2 | Combined limit - see Non PBS pharmaceuticals | Per service - 100% of charge |
| Blood glucose monitors | Orthodontic | Other treatments - check with your insurer |
| Hearing aids | Podiatry |
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.
Cover for an ambulance when you require immediate professional attention and you need to be transported to hospital or other approved facility and your medical condition is such that you cannot be transported any other way, or where an ambulance is called but transport is not needed. Cover for air ambulance where pre-approval has been obtained from Medibank. In all cases the ambulance provider must be Medibank approved. Please contact Medibank for further details.
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.