(before any rebate or insurer discount)
Covers one adult & dependants (2 or more people, only one of whom is an adult)
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.
This policy covers children and other dependants up to and including the age of 20, students up to and including the age of 30, as well as persons with a disability who qualify as a child or other dependant or student in these age ranges.
Available to employees of a company that has an agreement with Medibank
This policy can only be purchased with certain hospital policies.
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 *: Surgical tooth extraction is subject to a 12 months waiting period. There is a $1,600 opening balance for orthodontic benefits with a top up to $500 per year up to a $3,500 lifetime limit. Counselling (no waiting period) shares an annual limit with psychology. Benefit replacement periods apply to Blood glucose monitors (36 months) and Hearing aids (60 months). | |||
|---|---|---|---|
| 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 - 90% of charge Scale & clean - 90% of charge Fluoride treatment - 90% of charge Surgical tooth extraction - 90% of charge |
| Major dental | 12 | $1,800 per person (combined limit for major dental & endodontic) | Full crown veneered - 90% of charge |
| Endodontic | 12 | Filling of one root canal - 90% of charge | |
| Orthodontic* | 12 | $1,600 per person $3,500 lifetime limit | Braces for upper & lower teeth, including removal plus fitting of retainer - 100% of charge |
| Optical | 6 | $350 per person | Single vision lenses & frames - 100% of charge Multi-focal lenses & frames - 100% of charge |
| Non PBS pharmaceuticals | 2 | $600 per person | Per eligible prescription - 90% of charge |
| Physiotherapy | 2 | $1,000 per person (combined limit for physiotherapy, chiropractic & osteopathy) | Initial visit - 90% of charge Subsequent visit - 90% of charge |
| Chiropractic | 2 | Initial visit - 90% of charge Subsequent visit - 90% of charge | |
| Podiatry | 2 | $800 per person (combined limit for podiatry, psychology, acupuncture, remedial massage, hearing aids, blood glucose monitors, audiology, ante-natal/post-natal classes, chinese medicine, dietetics/dietary advice, exercise physiology, eye therapy (orthoptics), occupational therapy, orthotics (podiatric orthoses) & speech therapy) | Initial visit - 90% of charge Subsequent visit - 90% of charge |
| Psychology* | 0 | Initial visit - 90% of charge Subsequent visit - 90% of charge | |
| Acupuncture | 2 | Initial visit - 90% of charge Subsequent visit - 90% of charge | |
| Remedial massage | 2 | Initial visit - 90% of charge Subsequent visit - 90% of charge | |
| Hearing aids* | 36 | Hearing aid - 90% of charge | |
| Blood glucose monitors* | 24 | Per monitor - 90% of charge | |
| Audiology | 2 | Initial visit - 90% of charge Subsequent visit - 90% of charge | |
| Ante-natal/Post-natal classes | 2 | Initial visit - 90% of charge Subsequent visit - 90% of charge | |
| Chinese medicine | 2 | Initial visit - 90% of charge Subsequent visit - 90% of charge | |
| Dietetics/dietary advice | 2 | Initial visit - 90% of charge Subsequent visit - 90% of charge | |
| Exercise physiology | 2 | Initial visit - 90% of charge Subsequent visit - 90% of charge | |
| Eye therapy (orthoptics) | 2 | Initial visit - 90% of charge Subsequent visit - 90% of charge | |
| Health management / Healthy lifestyle | 2 | $200 per person | Health management - 90% of charge |
| Occupational therapy | 2 | Combined limit - see Podiatry | Initial visit - 90% of charge Subsequent visit - 90% of charge |
| Orthotics (podiatric orthoses) | 2 | Combined limit - see Podiatry | Orthotics supply & fit - 90% of charge |
| Osteopathy | 2 | Combined limit - see Physiotherapy | Initial visit - 90% of charge Subsequent visit - 90% of charge |
| Speech therapy | 2 | Combined limit - see Podiatry | Initial visit - 90% of charge Subsequent visit - 90% of charge |
| The following services are also included in the $800 combined limit: Health appliances and external prostheses (2 month waiting period), Blood pressure monitors (24 month waiting period), Breathing appliances (12 month waiting period), Antenatal and postnatal services include birthing courses and lactation consultations with a registered midwife in private practice, Pregnancy compression garments, TENS machines and Australian Breastfeeding Association membership (2 month waiting period). Various benefit replacement periods apply. Laser eye surgery (36 month waiting period) - $750 annual limit. Health management/Health support benefits (2 month waiting period) include quit smoking course, nicotine replacement therapy, exercise class, gym membership, personal training session and weight management class and course. Must be approved by a health practitioner. Please contact Medibank for more information. | |||
| Other treatments - check with your insurer |
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.