Private Health Information Statement - General treatment policy

Smart Choice Extras Cover

Monthly Premium

$194.50 #

(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 Victoria

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.

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 for surgical tooth extraction. Exercise physiology benefits are $20.00 for individual consultations and $10.00 for group consultations.
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental*2$800 per person
(combined limit for general dental & endodontic - Sub-limits apply)
Periodic oral examination - $28.90
Scale & clean - $33.80
Fluoride treatment - $17.20
Major dental12$300 per person up to $600 per policy
(combined limit for major dental, orthodontic, chiropractic, podiatry, psychology, acupuncture, remedial massage, hearing aids, blood glucose monitors, chinese medicine, dietetics/dietary advice, exercise physiology, eye therapy (orthoptics), occupational therapy, orthotics (podiatric orthoses), osteopathy, speech therapy & other services - Sub-limits apply)
Full crown veneered - $300.00
Endodontic12Combined limit - see General dentalFilling of one root canal - $64.10
Orthodontic12Combined limit - see Major dentalBraces for upper & lower teeth, including removal plus fitting of retainer - $300.00
Optical6$225 per person
(Sub-limits apply)
Single vision lenses & frames - $129.00
Multi-focal lenses & frames - $189.00
Non PBS pharmaceuticals2$300 per personPer eligible prescription - $21.90
Physiotherapy2$300 per personInitial visit - $43.00
Subsequent visit - $21.70
Chiropractic2Combined limit - see Major dentalInitial visit - $41.20
Subsequent visit - $18.60
Podiatry2Combined limit - see Major dentalInitial visit - $36.40
Subsequent visit - $17.70
Psychology0Combined limit - see Major dentalInitial visit - $102.00
Subsequent visit - $88.70
Acupuncture2Combined limit - see Major dentalInitial visit - $25.10
Subsequent visit - $15.80
Remedial massage2Combined limit - see Major dentalInitial visit - $30.00
Subsequent visit - $30.00
Hearing aids36Combined limit - see Major dentalHearing aid - $300.00
Blood glucose monitors24Combined limit - see Major dentalPer monitor - $150.00
Chinese medicine2Combined limit - see Major dentalInitial visit - $20.00
Subsequent visit - $20.00
Dietetics/dietary advice2Combined limit - see Major dentalInitial visit - $27.10
Subsequent visit - $15.80
Exercise physiology*2Combined limit - see Major dentalInitial visit - $20.00
Subsequent visit - $10.00
Eye therapy (orthoptics)2Combined limit - see Major dentalInitial visit - $14.80
Subsequent visit - $10.20
Occupational therapy2Combined limit - see Major dentalInitial visit - $30.50
Subsequent visit - $18.00
Orthotics (podiatric orthoses)2Combined limit - see Major dentalOrthotics supply & fit - 60% of charge
Osteopathy2Combined limit - see Major dentalInitial visit - $41.20
Subsequent visit - $18.60
Speech therapy2Combined limit - see Major dentalInitial visit - $49.10
Subsequent visit - $23.60
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 Major Dental. - 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
Other treatments - check with your insurer

Ambulance cover

In Victoria 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.