Private Health Information Statement - General treatment policy

Priority Optimal Extras

Monthly Premium

$104.25 #

(before any rebate or insurer discount)

Covers only one person

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.

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
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental2$1,000 per policy
(no limit on preventative dental)
(Sub-limits apply)
Periodic oral examination - $29.90
Scale & clean - $51.20
Fluoride treatment - $16.10
Major dental12$1,400 per policy
(combined limit for major dental & orthodontic - Sub-limits apply)
$2,400 lifetime limit for Orthodontic
Surgical tooth extraction - $50.60
Full crown veneered - $510.00
Endodontic12$400 per policyFilling of one root canal - $85.00
Orthodontic12Combined limit - see Major dentalBraces for upper & lower teeth, including removal plus fitting of retainer - $400.00
Optical6$250 per policy
(Sub-limits apply)
Single vision lenses & frames - $115.00
Multi-focal lenses & frames - $175.00
Non PBS pharmaceuticals2$600 per policyPer eligible prescription - $30.60
Physiotherapy2$700 per policyInitial visit - $32.90
Subsequent visit - $23.00
Chiropractic2$400 per policy
(combined limit for chiropractic, acupuncture & remedial massage - Sub-limits apply)
Initial visit - $32.90
Subsequent visit - $19.20
Podiatry2$400 per policy
(combined limit for podiatry & other services - Sub-limits apply)
Initial visit - $27.10
Subsequent visit - $19.50
Psychology2$400 per policyInitial visit - $131.96
Subsequent visit - $109.28
Acupuncture2Combined limit - see ChiropracticInitial visit - $27.10
Subsequent visit - $15.80
Remedial massage2Combined limit - see ChiropracticInitial visit - $20.00
Subsequent visit - $20.00
Hearing aids36$800 per policy
(combined limit for hearing aids, blood glucose monitors & other services - Sub-limits apply)
Hearing aid - $400.00
Blood glucose monitors24Per monitor - $150.00
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 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.

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.