(before any rebate or insurer discount)
Covers two adults & dependants, including non-student dependants (3 or more people, only 2 of whom are adults)
Available in South 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.
This policy covers children, students up to and including the age of 30 and non-students up to and including the age of 30, as well as persons with a disability who qualify as a child, student or non-student in these age ranges.
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 mth waiting period applies to surgical tooth extraction. Exercise physiology benefit is $25 per individual consultations and $15 per group consultation. | |||
|---|---|---|---|
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
| General dental* | 2 | No annual limit (Sub-limits apply) | Periodic oral examination - $25.80 Scale & clean - $46.60 Fluoride treatment - $19.80 Surgical tooth extraction - $62.90 |
| Major dental | 12 | $2,000 per person (combined limit for major dental & orthodontic - Sub-limits apply) | Full crown veneered - $680.00 |
| Endodontic | 12 | $400 per person | Filling of one root canal - $100.00 |
| Orthodontic | 12 | Combined limit - see Major dental | Braces for upper & lower teeth, including removal plus fitting of retainer - $400.00 |
| Optical | 6 | $250 per person (Sub-limits apply) | Single vision lenses & frames - $138.50 Multi-focal lenses & frames - $203.50 |
| Non PBS pharmaceuticals | 2 | $600 per person | Per eligible prescription - $40.70 |
| Physiotherapy | 2 | $700 per person | Initial visit - $42.20 Subsequent visit - $30.60 |
| Chiropractic | 2 | $400 per person (combined limit for chiropractic, acupuncture, remedial massage, chinese medicine, exercise physiology & osteopathy - Sub-limits apply) | Initial visit - $42.20 Subsequent visit - $25.60 |
| Podiatry | 2 | $400 per person (combined limit for podiatry, dietetics/dietary advice, eye therapy (orthoptics), occupational therapy, orthotics (podiatric orthoses) & speech therapy - Sub-limits apply) | Initial visit - $34.40 Subsequent visit - $26.00 |
| Psychology | 0 | $400 per person | Initial visit - $131.96 Subsequent visit - $109.28 |
| Acupuncture | 2 | Combined limit - see Chiropractic | Initial visit - $34.40 Subsequent visit - $21.00 |
| Remedial massage | 2 | Combined limit - see Chiropractic | Initial visit - $25.00 Subsequent visit - $25.00 |
| Hearing aids | 36 | $800 per person (combined limit for hearing aids, blood glucose monitors & other services - Sub-limits apply) | Hearing aid - $800.00 |
| Blood glucose monitors | 24 | Per monitor - $180.00 | |
| Chinese medicine | 2 | Combined limit - see Chiropractic | Initial visit - $25.00 Subsequent visit - $25.00 |
| Dietetics/dietary advice | 2 | Combined limit - see Podiatry | Initial visit - $46.10 Subsequent visit - $22.80 |
| Exercise physiology* | 2 | Combined limit - see Chiropractic | Initial visit - $25.00 Subsequent visit - $15.00 |
| Eye therapy (orthoptics) | 2 | Combined limit - see Podiatry | Initial visit - $24.50 Subsequent visit - $20.40 |
| Occupational therapy | 2 | Combined limit - see Podiatry | Initial visit - $61.20 Subsequent visit - $26.00 |
| Orthotics (podiatric orthoses) | 2 | Combined limit - see Podiatry | Orthotics supply & fit - 80% of charge |
| Osteopathy | 2 | Combined limit - see Chiropractic | Initial visit - $42.20 Subsequent visit - $25.60 |
| Speech therapy | 2 | Combined limit - see Podiatry | Initial visit - $76.30 Subsequent visit - $40.30 |
| Health appliances and external prostheses 2mth waiting period, Breathing appliances 12 mth waiting period, fixed benefits, sublimits and benefit replacement periods apply shared combined annual limit with Hearing aids and Blood glucose monitors. School accidents, for pre-school, primary and secondary school students only, 2 mth waiting period, fixed benefit, annual limit $800. Counselling (no waiting period) shares an annual limit with Psychology. Please contact Medibank for more information | |||
| Other treatments - check with your insurer |
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.