Private Health Information Statement - General treatment policy

Suncorp Health Insurance Mid Extras

Suncorp Health Insurance

Monthly Premium

$196.08 #

(before any rebate or insurer discount)

Covers 2 adults (and no-one else)

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.

General Treatment Cover

By using our FirstChoice providers, you may have lower out-of-pocket costs on many allied health services. A list of "preferred providers" is available from the health insurer. See https://health.suncorp.com.au/find-a-provider.

This policy includes General treatment (Extras) cover for

General treatment legend
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental2$700 per person
(no limit on preventative dental)
Periodic oral examination - 60% of charge
Scale & clean - 60% of charge
Fluoride treatment - 60% of charge
Major dental12$800 per person
(combined limit for major dental & endodontic)
Surgical tooth extraction - 60% of charge
Full crown veneered - 60% of charge
Endodontic12Filling of one root canal - 60% of charge
Orthodontic12$500 per person
$1,700 lifetime limit
Braces for upper & lower teeth, including removal plus fitting of retainer - 60% of charge
Optical6$250 per personSingle vision lenses & frames - 60% of charge
Multi-focal lenses & frames - 60% of charge
Non PBS pharmaceuticals2$300 per personPer eligible prescription - 60% of charge
Physiotherapy2$300 per personInitial visit - 60% of charge
Subsequent visit - 60% of charge
Chiropractic2$300 per person
(combined limit for chiropractic & osteopathy)
Initial visit - 60% of charge
Subsequent visit - 60% of charge
Podiatry2$350 per person
(combined limit for podiatry & orthotics (podiatric orthoses))
Initial visit - 60% of charge
Subsequent visit - 60% of charge
Psychology2$300 per personInitial visit - 60% of charge
Subsequent visit - 60% of charge
Acupuncture2$300 per person
(combined limit for acupuncture, remedial massage, chinese medicine & other services - Sub-limits apply)
Initial visit - 60% of charge
Subsequent visit - 60% of charge
Remedial massage2Initial visit - 60% of charge
Subsequent visit - 60% of charge
Blood glucose monitors12$300 per person
(combined limit for blood glucose monitors & other services)
Per monitor - 60% of charge
Chinese medicine2Combined limit - see AcupunctureInitial visit - 60% of charge
Subsequent visit - 60% of charge
Dietetics/dietary advice2$250 per personInitial visit - 60% of charge
Subsequent visit - 60% of charge
Health management / Healthy lifestyle6$150 per personHealth management - 60% of charge
Occupational therapy2$350 per person
(combined limit for occupational therapy & speech therapy)
Initial visit - 60% of charge
Subsequent visit - 60% of charge
Orthotics (podiatric orthoses)2Combined limit - see PodiatryOrthotics supply & fit - 60% of charge
Osteopathy2Combined limit - see ChiropracticInitial visit - 60% of charge
Subsequent visit - 60% of charge
Speech therapy2Combined limit - see Occupational therapyInitial visit - 60% of charge
Subsequent visit - 60% of charge
Preventative Tests - $200 limit per person per calendar year (waiting period 6 months): 60% back on preventative health tests e.g. thin prep, bone density testing, bowel screening (service limits apply). Top Health Aids - $300 limit per person per calendar year (waiting period 12 months): 60% back on health aids e.g. spacer, peak flow meter, nebuliser, blood glucose monitor, Irlen lens (service limits apply). Myotherapy - $300 combined limit with acupuncture, remedial massage and Chinese herbalism per person per calendar year. Healthy Lifestyle includes approved weight management, quit smoking and health management programs (gym, personal trainer) and more. Psychology has a sublimit of $150 for Digital Cognitive Behavioural Therapy (CBT). For Preventative dental service limits apply.

This policy does not include General treatment (Extras) cover for

General treatment legend
Hearing aidsOther treatments - check with your insurer

Other features of this general treatment cover

Extras services to help look after your overall health and wellbeing. Of course, you can see your choice of provider, but by choosing a FirstChoice provider, you may have less to pay towards the cost of your treatment. We’ve created the FirstChoice network to help you access quality healthcare and a better deal for you and your family. We’ve locked in lower costs with our FirstChoice providers, so you can enjoy competitive treatment fees when you visit the dentist or a discount the next time you claim for glasses.

For further information about this policy see

https://my.nib.com.au/product-collateral/118

Ambulance cover

In Western Australia 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.

Other features of this ambulance cover

All our health covers include unlimited emergency ambulance (1 day waiting period on all emergency ambulance). Emergency ambulance is when you need immediate transport by a State or Territory ambulance to get to a hospital or other facility for urgent medical treatment. No annual limits for emergency ambulance apply.

For further information about this policy see

https://my.nib.com.au/product-collateral/118

Disclaimer

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.

Covered

For information on what is covered under each category, see https://www.privatehealth.gov.au/categories

Restricted

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.

Not Covered

These categories are not covered by this policy.