(before any rebate or insurer discount)
Covers two adults & dependants (3 or more people, only 2 of whom are adults)
Available in Western Australia
# 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 21, students up to and including the age of 31, as well as persons with a disability who qualify as a child or other dependant or student in these age ranges.
Membership of this insurer is restricted to Cover for the ADF community - serving, ex-serving ADF, employees of contractors to ADF and families.
This health insurer does not operate a preferred provider scheme.
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
|---|---|---|---|
| General dental | 2 | $500 per person (combined limit for general dental & major dental) | Periodic oral examination - $28.00 Scale & clean - $50.00 Fluoride treatment - $15.60 |
| Major dental | 12 | Surgical tooth extraction - $102.00 | |
| Optical | 6 | $170 per person | Single vision lenses & frames - 100% of charge Multi-focal lenses & frames - 100% of charge |
| Non PBS pharmaceuticals | 2 | $200 per person | Per eligible prescription - $50.00 |
| Physiotherapy | 2 | $300 per person | Initial visit - $37.00 Subsequent visit - $27.00 |
| Chiropractic | 2 | $300 per person up to $600 per policy (combined limit for chiropractic, osteopathy & other services) | Initial visit - $30.00 Subsequent visit - $22.00 |
| Acupuncture | 2 | $200 per person up to $400 per policy (combined limit for acupuncture, remedial massage, chinese medicine & exercise physiology) | Initial visit - $18.00 Subsequent visit - $18.00 |
| Remedial massage | 2 | Initial visit - $18.00 Subsequent visit - $18.00 | |
| Chinese medicine | 2 | Initial visit - $18.00 Subsequent visit - $18.00 | |
| Exercise physiology | 2 | Initial visit - $18.00 Subsequent visit - $18.00 | |
| Osteopathy | 2 | Combined limit - see Chiropractic | Initial visit - $30.00 Subsequent visit - $22.00 |
| Members can access special offers from any of Navy Health’s preferred optical providers: OPSM, Laubman & Pank, Specsavers, Teachers Eye Care, Eyebenefit and Q Optical Network (QON). General treatment benefit year runs from 1 July to 30 June. | |||
| Blood glucose monitors | Orthodontic | Other treatments - check with your insurer |
| Endodontic | Podiatry | |
| Hearing aids | Psychology |
Telehealth services available for Physiotherapy.
In Western Australia this policy provides:
Emergency: Unlimited with a waiting period of 2 months.
Non-emergency: Unlimited transport with a waiting period of 2 months, or 2 months for pre-existing conditions.
Call-out fees: will be paid for each attendance, including emergency treatment without transport to hospital.
We cover 100% of the cost of ambulance services within Australia, provided it is provided by a state based run Ambulance service, by either air/sea or land. We do not provide benefits for privately run patient transport services.
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.