(before any rebate or insurer discount)
Covers 2 adults (and no-one else)
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 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 General Dental is shared with Preventative Dental and Major Dental. 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 | $700 per person (combined limit for general dental, major dental & endodontic) | Periodic oral examination - 65% of charge Scale & clean - 65% of charge Fluoride treatment - 65% of charge |
| Major dental | 12 | Surgical tooth extraction - 65% of charge Full crown veneered - 65% of charge | |
| Endodontic | 12 | Filling of one root canal - 65% of charge | |
| Optical | 6 | $200 per person up to $600 per policy | Single vision lenses & frames - 100% of charge Multi-focal lenses & frames - 100% of charge |
| Physiotherapy* | 2 | $400 per person up to $1,200 per policy (combined limit for physiotherapy, chiropractic, exercise physiology, osteopathy & other services) | Initial visit - 65% of charge Subsequent visit - 65% of charge |
| Chiropractic* | 2 | Initial visit - 65% of charge Subsequent visit - 65% of charge | |
| Psychology | 2 | $200 per person | Initial visit - 65% of charge Subsequent visit - 65% of charge |
| Acupuncture* | 2 | $200 per person up to $600 per policy (combined limit for acupuncture & remedial massage) | Initial visit - 65% of charge Subsequent visit - 65% of charge |
| Remedial massage* | 2 | Initial visit - 65% of charge Subsequent visit - 65% of charge | |
| Dietetics/dietary advice | 2 | $200 per person | Initial visit - 65% of charge Subsequent visit - 65% of charge |
| Exercise physiology | 2 | Combined limit - see Physiotherapy | Initial visit - 65% of charge Subsequent visit - 65% of charge |
| Health management / Healthy lifestyle | 2 | $200 per person | Health management - 65% of charge |
| Osteopathy* | 2 | Combined limit - see Physiotherapy | Initial visit - 65% of charge Subsequent visit - 65% of charge |
| Blood glucose monitors | Non PBS pharmaceuticals | Podiatry |
| Hearing aids | Orthodontic | Other treatments - check with your insurer |
A Family Limit of 3 times the annual per person limit applies to Optical, Physiotherapy, Chiropractic, Osteopathy, Exercise Physiology, 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.