(before any rebate or insurer discount)
Covers only one person
Available in Queensland
# 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 $1000 opening balance then a top up of $500 per year up to a $3000 lifetime limit. Exercise physiology benefit is $27.00 for individual consultations and $15.00 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 | No annual limit | Periodic oral examination - $34.90 Scale & clean - $66.80 Fluoride treatment - $19.40 Surgical tooth extraction - $150.10 |
| Major dental | 12 | $1,200 per policy (combined limit for major dental & endodontic) | Full crown veneered - $1,022.90 |
| Endodontic | 12 | Filling of one root canal - $201.00 | |
| Orthodontic* | 12 | $1,000 per policy $3,000 lifetime limit | Braces for upper & lower teeth, including removal plus fitting of retainer - 100% of charge |
| Optical | 6 | $250 per policy | Single vision lenses & frames - 100% of charge Multi-focal lenses & frames - 100% of charge |
| Non PBS pharmaceuticals | 2 | $600 per policy (combined limit for non pbs pharmaceuticals & vaccinations) | Per eligible prescription - $41.00 |
| Physiotherapy | 2 | $700 per policy | Initial visit - $59.70 Subsequent visit - $50.10 |
| Chiropractic | 2 | $500 per policy (combined limit for chiropractic & osteopathy) | Initial visit - $56.50 Subsequent visit - $40.60 |
| Podiatry | 2 | $500 per policy (combined limit for podiatry & orthotics (podiatric orthoses)) | Initial visit - $50.20 Subsequent visit - $40.40 |
| Psychology | 0 | $700 per policy | Initial visit - $135.35 Subsequent visit - $117.70 |
| Acupuncture | 2 | $400 per policy (combined limit for acupuncture, remedial massage, chinese medicine & exercise physiology) | Initial visit - $47.90 Subsequent visit - $38.00 |
| Remedial massage | 2 | Initial visit - $58.40 Subsequent visit - $39.40 | |
| Hearing aids | 36 | $1,200 per policy 1 appliance(s) every 5 years | Hearing aid - 100% of charge |
| Blood glucose monitors | 24 | $250 per policy 1 appliance(s) every 3 years | Per monitor - 100% of charge |
| Chinese medicine | 2 | Combined limit - see Acupuncture | Initial visit - $27.00 Subsequent visit - $27.00 |
| Dietetics/dietary advice | 2 | $500 per policy | Initial visit - $63.30 Subsequent visit - $39.60 |
| Exercise physiology* | 2 | Combined limit - see Acupuncture | Initial visit - $27.00 Subsequent visit - $15.00 |
| Eye therapy (orthoptics) | 2 | $500 per policy | Initial visit - $52.50 Subsequent visit - $42.50 |
| Health management / Healthy lifestyle* | 2 | $250 per policy | Health management - $100.00 |
| Occupational therapy | 2 | $500 per policy | Initial visit - $67.60 Subsequent visit - $45.40 |
| Orthotics (podiatric orthoses) | 2 | Combined limit - see Podiatry | Orthotics supply & fit - 90% of charge |
| Osteopathy | 2 | Combined limit - see Chiropractic | Initial visit - $56.50 Subsequent visit - $40.60 |
| Speech therapy | 2 | $500 per policy | Initial visit - $87.70 Subsequent visit - $44.40 |
| Vaccinations* | 2 | Combined limit - see Non PBS pharmaceuticals | Per service - 100% of charge |
| Health appliances and external prostheses: $500 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 - $105, Nicotine replacement therapy - $30, Exercise class $16, Gym membership - $150, Personal training session - $25, Weight management class - $15, Weight management course - $100. 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.
Ambulance cover is provided by the State government for Queensland residents (https://www.ambulance.qld.gov.au/). This includes cover whilst interstate.
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.