(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 20, students up to and including the age of 24, as well as persons with a disability who qualify as a child or other dependant or student in these age ranges.
This health insurer does not operate a preferred provider scheme.
| Note, for items marked with an asterisk *: 100% benefit available on preventative dental services– includes items 012, 013, 111, 114, 115, 121, 161. Claimable once per appointment, up to twice per person per calendar year up to General Dental limits. | |||
|---|---|---|---|
| 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 - 100% of charge Scale & clean - 100% of charge Fluoride treatment - 100% of charge |
| Non PBS pharmaceuticals | 2 | $200 per person (combined limit for non pbs pharmaceuticals & vaccinations) | Per eligible prescription - 50% of charge |
| Physiotherapy | 2 | $400 per person (combined limit for physiotherapy, chiropractic, acupuncture, remedial massage, exercise physiology & osteopathy - Sub-limits apply) | Initial visit - 50% of charge Subsequent visit - 50% of charge |
| Chiropractic | 2 | Initial visit - 50% of charge Subsequent visit - 50% of charge | |
| Acupuncture | 2 | Initial visit - 50% of charge | |
| Remedial massage | 2 | Initial visit - 50% of charge Subsequent visit - 50% of charge | |
| Exercise physiology | 2 | Initial visit - 50% of charge Subsequent visit - 50% of charge | |
| Osteopathy | 2 | Initial visit - 50% of charge Subsequent visit - 50% of charge | |
| Vaccinations | 2 | Combined limit - see Non PBS pharmaceuticals | Per service - 50% of charge |
| *$200 sublimit for Physiotherapy/ Myotherapy & Exercise Physiology; $200 sublimit for Chiropractic, Osteopathy & Remedial Massage; up to overall combined limit of $400. *Non PBS Pharmaceuticals benefit applies after PBS co-payment is applied. | |||
| Blood glucose monitors | Major dental | Podiatry |
| Endodontic | Optical | Psychology |
| Hearing aids | Orthodontic | Other treatments - check with your insurer |
In Western Australia this policy provides:
Emergency: with a waiting period of 1 day, limited to $1,000 per person per year.
Non-emergency: transport with a waiting period of 1 day, or 1 day for pre-existing conditions, limited to $1,000 per person per year.
Call-out fees: will be paid for each attendance, including emergency treatment without transport to hospital.
50% benefit for Emergency & Non-emergency Ambulance up to overall limit of $1000 per person per calendar year
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.