(before any rebate or insurer discount)
Covers only one person
Available in NSW & ACT
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.
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 month waiting period applies to surgical tooth extraction. A 2 month waiting period applies for periodontics in major dental. | |||
|---|---|---|---|
| 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 - $16.00 Scale & clean - $28.00 Fluoride treatment - $15.00 Surgical tooth extraction - $48.00 |
| Major dental* | 12 | $750 per policy | Full crown veneered - $428.00 |
| Endodontic | 2 | Combined limit - see General dental | Filling of one root canal - $60.00 |
| Orthodontic | 12 | $350 per policy $1,800 lifetime limit | Braces for upper & lower teeth, including removal plus fitting of retainer - 100% of charge |
| Optical | 6 | $170 per policy | Single vision lenses & frames - 100% of charge Multi-focal lenses & frames - 100% of charge |
| Non PBS pharmaceuticals | 2 | $300 per policy | Per eligible prescription - $30.00 |
| Physiotherapy | 2 | $400 per policy | Initial visit - $20.00 Subsequent visit - $14.00 |
| Chiropractic | 2 | $250 per policy (combined limit for chiropractic & osteopathy) | Initial visit - $20.00 Subsequent visit - $14.50 |
| Podiatry | 2 | $200 per policy (combined limit for podiatry & orthotics (podiatric orthoses)) | Initial visit - $20.00 Subsequent visit - $15.00 |
| Psychology | 0 | $200 per policy | Initial visit - $101.33 Subsequent visit - $88.11 |
| Eye therapy (orthoptics) | 2 | $200 per policy | Initial visit - $20.00 Subsequent visit - $12.00 |
| Occupational therapy | 2 | $200 per policy | Initial visit - $12.00 Subsequent visit - $12.00 |
| Orthotics (podiatric orthoses) | 2 | Combined limit - see Podiatry | Orthotics supply & fit - 100% of charge |
| Osteopathy | 2 | Combined limit - see Chiropractic | Initial visit - $20.00 Subsequent visit - $14.50 |
| Speech therapy | 2 | $200 per policy | Initial visit - $20.00 Subsequent visit - $12.00 |
| Acupuncture | Hearing aids | Other treatments - check with your insurer |
| Blood glucose monitors | Remedial massage |
Counselling (no waiting period) shares an annual limit with Psychology. Please contact Medibank for more information.
In NSW & ACT 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.