(before any rebate or insurer discount)
Covers only one person
Available in South Australia
# 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. Orthodontics has a $400 opening balance then a top up of $200 per year up to a $1200 lifetime limit. Exercise physiology benefit is $16.00 for individual consultations and $10.00 for group consultations. Vaccinations: non-PBS listed flu vaccinations only. Health management: Benefit shown is the benefit paid for an approved weight management course. Different benefit amounts apply to other services under health support benefit. More information can be found at the bottom of the table below. | |||
|---|---|---|---|
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
| General dental* | 2 | $800 per policy | Periodic oral examination - $22.50 Scale & clean - $44.00 Fluoride treatment - $13.30 Surgical tooth extraction - $93.00 |
| Major dental | 12 | $500 per policy (combined limit for major dental & endodontic) | Full crown veneered - $500.00 |
| Endodontic | 12 | Filling of one root canal - $116.00 | |
| Orthodontic* | 12 | $400 per policy $1,200 lifetime limit | Braces for upper & lower teeth, including removal plus fitting of retainer - 100% of charge |
| Optical | 6 | $200 per policy | 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 & vaccinations) | Per eligible prescription - $21.00 |
| Physiotherapy | 2 | $300 per policy | Initial visit - $35.20 Subsequent visit - $30.00 |
| Chiropractic | 2 | $200 per policy (combined limit for chiropractic & osteopathy) | Initial visit - $37.10 Subsequent visit - $25.30 |
| Podiatry | 2 | $200 per policy (combined limit for podiatry & orthotics (podiatric orthoses)) | Initial visit - $32.90 Subsequent visit - $25.50 |
| Psychology | 0 | $400 per policy | Initial visit - $118.37 Subsequent visit - $102.93 |
| Acupuncture | 2 | $200 per policy (combined limit for acupuncture, remedial massage, chinese medicine & exercise physiology) | Initial visit - $30.40 Subsequent visit - $24.50 |
| Remedial massage | 2 | Initial visit - $35.30 Subsequent visit - $25.50 | |
| Hearing aids | 36 | $400 per policy 1 appliance(s) every 5 years | Hearing aid - 100% of charge |
| Blood glucose monitors | 24 | $150 per policy 1 appliance(s) every 3 years | Per monitor - 100% of charge |
| Chinese medicine | 2 | Combined limit - see Acupuncture | Initial visit - $16.00 Subsequent visit - $16.00 |
| Dietetics/dietary advice | 2 | $200 per policy | Initial visit - $45.80 Subsequent visit - $22.50 |
| Exercise physiology* | 2 | Combined limit - see Acupuncture | Initial visit - $16.00 Subsequent visit - $10.00 |
| Eye therapy (orthoptics) | 2 | $200 per policy | Initial visit - $37.50 Subsequent visit - $27.50 |
| Health management / Healthy lifestyle* | 2 | $150 per policy | Health management - $67.00 |
| Occupational therapy | 2 | $200 per policy | Initial visit - $43.60 Subsequent visit - $27.90 |
| Orthotics (podiatric orthoses) | 2 | Combined limit - see Podiatry | Orthotics supply & fit - 60% of charge |
| Osteopathy | 2 | Combined limit - see Chiropractic | Initial visit - $37.10 Subsequent visit - $25.30 |
| Speech therapy | 2 | $200 per policy | Initial visit - $59.90 Subsequent visit - $35.50 |
| Vaccinations* | 2 | Combined limit - see Non PBS pharmaceuticals | Per service - 100% of charge |
| Health appliances and external prostheses: $200 annual limit, 2-month waiting period, fixed benefits and various benefit replacement periods apply. Breathing appliances: 12-month waiting period apply. Blood pressure monitors: Has a shared annual limit with blood glucose monitors, a 24-month waiting period and a benefit replacement period of 1 appliance per 36 months apply. Counselling: No waiting period and shares an annual limit with Psychology. Health management: Quit smoking course - $70, Nicotine replacement therapy - $20, Exercise class $11, Gym membership - $100, Personal training session - $15, Weight management class - $10, Weight management course - $67. Must be approved by a health practitioner. Contact Medibank for more information about these other services. | |||
| Other treatments - check with your insurer |
One of Medibank's top extras covers with generous annual limits that apply to each person covered on the membership. Health Screening tests: This service covers tests such as mole mapping (skin checks), bone density tests, MRI’s and retinal scans. A 2-month waiting period applies and pays a fixed benefit.
In South Australia 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.