Private Health Information Statement - General treatment policy

Super Extras

Monthly Premium

$129.60 #

(before any rebate or insurer discount)

Covers 2 adults (and no-one else)

Available in Western Australia

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

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/#/.

This policy includes General treatment (Extras) cover for

General treatment legend
Note, for items marked with an asterisk *: * A 12 month waiting period applies to surgical tooth extraction. A 2 month waiting period applies for periodontics in major dental.
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental*2No annual limitPeriodic oral examination - $18.00
Scale & clean - $36.00
Fluoride treatment - $13.00
Surgical tooth extraction - $65.00
Major dental*12$1,500 per personFull crown veneered - $375.00
Endodontic2Combined limit - see General dentalFilling of one root canal - $84.00
Orthodontic12$1,000 per person, $2,400 lifetime limitBraces for upper & lower teeth, including removal plus fitting of retainer - 100% of charge
Optical6$220 per personSingle vision lenses & frames - 100% of charge
Multi-focal lenses & frames - 100% of charge
Non PBS pharmaceuticals2No annual limitPer eligible prescription - $50.00
Physiotherapy2No annual limitInitial visit - $22.80
Subsequent visit - $22.80
Chiropractic2$350 per person
(combined limit for chiropractic & osteopathy)
Initial visit - $30.00
Subsequent visit - $20.40
Podiatry2$350 per person
(combined limit for podiatry & orthotics (podiatric orthoses))
Initial visit - $24.00
Subsequent visit - $20.00
Psychology0$500 per personInitial visit - $115.29
Subsequent visit - $100.25
Hearing aids36$1,050 per person
1 appliance(s) every 5 years
Hearing aid - 100% of charge
Blood glucose monitors12$240 per person
1 appliance(s) every 3 years
Per monitor - 100% of charge
Dietetics/dietary advice2$350 per personInitial visit - $35.00
Subsequent visit - $19.00
Eye therapy (orthoptics)2$500 per personInitial visit - $42.00
Subsequent visit - $22.00
Home nursing2$500 per personInitial visit - $16.00
Subsequent visit - $16.00
Occupational therapy2$500 per personInitial visit - $65.00
Subsequent visit - $24.00
Orthotics (podiatric orthoses)2Combined limit - see PodiatryOrthotics supply & fit - 85% of charge
Osteopathy2Combined limit - see ChiropracticInitial visit - $30.00
Subsequent visit - $20.40
Speech therapy2$500 per personInitial visit - $55.00
Subsequent visit - $30.00
Breathing appliances 12 mth waiting period, $140 per annum, 1 per membership every 3 years. School accident benefit 2 mth waiting period, $800 per annum. Health appliances and external prostheses 2 mth waiting period, $850 per annum, various benefits and replacement periods apply. Blood glucose monitors also includes Blood pressure monitors. Counselling (no waiting period) shares an annual limit with Psychology. Please contact Medibank for more information.

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

General treatment legend
AcupunctureRemedial massageOther treatments - check with your insurer

Ambulance cover

In Western 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.

Other features of this ambulance cover

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.

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.