(before any rebate or insurer discount)
Covers one adult & dependants (2 or more people, only one of whom is an adult)
Available in All States
# 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 up to and including the age of 17 and students up to and including the age of 24, as well as persons with a disability who qualify as a child or student in this age range.
This health insurer does not operate a preferred provider scheme.
| Note, for items marked with an asterisk *: No Gap Dental is available on eligible preventative dental services if you have served the two-month waiting period and use a smile.com.au dentist. A fixed benefit is paid on included dental services when using a non-smile.com.au dentist. The annual limit for Physiotherapy is shared with Chiropractic, Exercise Physiology and Osteopathy. The annual limit for Acupuncture is shared with Remedial Massage. | |||
|---|---|---|---|
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
| General dental* | 2 | $500 per person | Periodic oral examination - 55% of charge Scale & clean - 55% of charge Fluoride treatment - 55% of charge |
| Optical | 6 | $150 per person up to $450 per policy | Single vision lenses & frames - 100% of charge Multi-focal lenses & frames - 100% of charge |
| Physiotherapy* | 2 | $300 per person up to $900 per policy (combined limit for physiotherapy, chiropractic, exercise physiology, osteopathy & other services) | Initial visit - 55% of charge Subsequent visit - 55% of charge |
| Chiropractic* | 2 | Initial visit - 55% of charge Subsequent visit - 55% of charge | |
| Psychology | 2 | $150 per person | Initial visit - 55% of charge Subsequent visit - 55% of charge |
| Acupuncture* | 2 | $100 per person up to $300 per policy (combined limit for acupuncture & remedial massage) | Initial visit - 55% of charge Subsequent visit - 55% of charge |
| Remedial massage* | 2 | Initial visit - 55% of charge Subsequent visit - 55% of charge | |
| Dietetics/dietary advice | 2 | $100 per person | Initial visit - 55% of charge Subsequent visit - 55% of charge |
| Exercise physiology | 2 | Combined limit - see Physiotherapy | Initial visit - 55% of charge Subsequent visit - 55% of charge |
| Health management / Healthy lifestyle | 2 | $150 per person | Health management - 55% of charge |
| Osteopathy* | 2 | Combined limit - see Physiotherapy | Initial visit - 55% of charge Subsequent visit - 55% of charge |
| Blood glucose monitors | Major dental | Podiatry |
| Endodontic | Non PBS pharmaceuticals | Other treatments - check with your insurer |
| Hearing aids | Orthodontic |
A Family Limit of 3 times the annual per person limit applies to Optical, Physiotherapy, Chiropractic, Osteopathy, Acupuncture and Remedial Massage services.
Ambulance cover is provided by the State government in Tasmania (https://www.health.tas.gov.au/ambulance/fees_and_accounts) and Queensland (https://www.ambulance.qld.gov.au/). In other states concession card holders may have free cover and there are subscription services in several states (https://privatehealth.gov.au/health_insurance/what_is_covered/ambulance.htm).
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.