(before any rebate or insurer discount)
Covers 2 adults (and no-one else)
Available in South 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.
By using this health insurer's "preferred providers" you will have lower out-of-pocket costs on selected allied health services and have access to more "no gap" services. See https://www.queenslandcountry.health/provider-search/premier-provider-network/.
| Note, for items marked with an asterisk *: There is an overall combined benefit limit for ALL benefits payable under this product (including dental, optical, therapies, pharmaceuticals, and Healthy Living benefits) up to $2,200 per person and $4,400 per policy per Membership Year. Sub-limits apply. | |||
|---|---|---|---|
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
| General dental* | 2 | $400 per person up to $800 per policy | Periodic oral examination - $44.00 Scale & clean - $71.00 Fluoride treatment - $19.00 |
| Major dental* | 12 | $600 per person up to $1,200 per policy (combined limit for major dental & endodontic) | Surgical tooth extraction - $126.00 Full crown veneered - $560.00 |
| Endodontic* | 12 | Filling of one root canal - $119.00 | |
| Optical* | 2 | $245 per person up to $490 per policy | Single vision lenses & frames - $245.00 Multi-focal lenses & frames - $245.00 |
| Non PBS pharmaceuticals* | 2 | $400 per person up to $800 per policy (combined limit for non pbs pharmaceuticals & vaccinations) | Per eligible prescription - $55.00 |
| Physiotherapy* | 2 | $500 per person up to $1,000 per policy (Sub-limits apply) | Initial visit - $44.00 Subsequent visit - $37.00 |
| Chiropractic* | 2 | $500 per person up to $1,000 per policy (combined limit for chiropractic & remedial massage) | Initial visit - $44.00 Subsequent visit - $28.00 |
| Podiatry* | 2 | $400 per person up to $800 per policy (combined limit for podiatry & orthotics (podiatric orthoses) - Sub-limits apply) | Initial visit - $32.00 Subsequent visit - $32.00 |
| Remedial massage* | 2 | Combined limit - see Chiropractic | Initial visit - $33.00 Subsequent visit - $33.00 |
| Health management / Healthy lifestyle* | 2 | $125 per person up to $250 per policy | Health management - $125.00 |
| Orthotics (podiatric orthoses) | 2 | Combined limit - see Podiatry | Orthotics supply & fit - 100% of charge |
| Vaccinations* | 2 | Combined limit - see Non PBS pharmaceuticals | Per service - $55.00 |
| Acupuncture | Hearing aids | Psychology |
| Blood glucose monitors | Orthodontic | Other treatments - check with your insurer |
Health management (Healthy Living benefit) provides benefits towards the costs of metabolic dieticians or nutritionists consultations to assist with weight management, diabetes education consultations, quit smoking programs, skin checks for skin cancers (except where there is a Medicare benefit), bowel screening and bone density tests, a second yearly prostate specific antigen test not covered by Medicare, supermarket tours conducted by a dietitian or other allied health professional qualified to provide nutrition advice, and gym memberships/personal training sessions provided under an approved health management or chronic disease management program. Please contact the insurer for full details.
https://www.queenslandcountry.health/cover-options/select-extras/
South Australia has a subscription service to cover ambulance within the state, with an additional fee to cover interstate travel (http://www.saambulance.com.au/ProductsServices/AmbulanceCover.aspx).
https://www.queenslandcountry.health/cover-options/ambulance-cover/
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.