(before any rebate or insurer discount)
Covers only one person
Available in Northern Territory
# 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 *: Under Preventative Dental, we pay up to 60% of the average fee charged Australia wide up to the maximum benefit for each eligible service. This applies to examinations, x-rays, scale and clean and fissure sealing. If your dentist charges above the maximum benefit, or in excess of the average fee, a gap or out of pocket may apply. Annual limits, fund rules and waiting periods apply. | |||
|---|---|---|---|
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
| General dental* | 2 | $750 per policy | Periodic oral examination - 60% of charge Scale & clean - 60% of charge Fluoride treatment - 60% of charge Surgical tooth extraction - 60% of charge |
| Major dental | 12 | $500 per policy (combined limit for major dental & endodontic - Sub-limits apply) | Full crown veneered - 60% of charge |
| Endodontic | 12 | Filling of one root canal - 60% of charge | |
| Optical | 6 | $200 per policy | Single vision lenses & frames - $200.00 Multi-focal lenses & frames - $200.00 |
| Non PBS pharmaceuticals | 2 | $300 per policy | Per eligible prescription - 60% of charge |
| Physiotherapy | 2 | $350 per policy (combined limit for physiotherapy, ante-natal/post-natal classes, exercise physiology & eye therapy (orthoptics) - Sub-limits apply) | Initial visit - $53.00 Subsequent visit - $47.00 |
| Chiropractic | 2 | $350 per policy (combined limit for chiropractic & osteopathy - Sub-limits apply) | Initial visit - $38.00 Subsequent visit - $27.00 |
| Podiatry | 2 | $200 per policy | Initial visit - $40.00 Subsequent visit - $33.00 |
| Psychology | 12 | Benefits payable towards counselling services - Initial consultation $60/subsequent consultation $45 included in $400 Psychology Limit. | Initial visit - $110.00 Subsequent visit - $75.00 |
| Acupuncture | 2 | $300 per policy (combined limit for acupuncture, remedial massage & chinese medicine - Sub-limits apply) | Initial visit - $32.00 Subsequent visit - $28.00 |
| Remedial massage | 2 | Initial visit - $32.00 Subsequent visit - $28.00 | |
| Audiology | 2 | $350 per policy 1 service(s) every 1 year (combined limit for audiology, dietetics/dietary advice, home nursing & occupational therapy - Sub-limits apply) | Initial visit - 60% of charge |
| Ante-natal/Post-natal classes | 2 | Combined limit - see Physiotherapy | Initial visit - 60% of charge Subsequent visit - 60% of charge |
| Chinese medicine | 2 | Combined limit - see Acupuncture | Initial visit - $32.00 Subsequent visit - $28.00 |
| Dietetics/dietary advice | 2 | Combined limit - see Audiology | Initial visit - $40.00 Subsequent visit - $30.00 |
| Exercise physiology | 2 | Combined limit - see Physiotherapy | Initial visit - 60% of charge Subsequent visit - 60% of charge |
| Eye therapy (orthoptics) | 2 | Combined limit - see Physiotherapy | Initial visit - $43.00 Subsequent visit - $33.00 |
| Home nursing | 2 | Combined limit - see Audiology | Initial visit - $50.00 Subsequent visit - $50.00 |
| Occupational therapy | 2 | Combined limit - see Audiology | Initial visit - $55.00 Subsequent visit - $40.00 |
| Osteopathy | 2 | Combined limit - see Chiropractic | Initial visit - $43.00 Subsequent visit - $40.00 |
| Blood glucose monitors | Orthodontic |
| Hearing aids | Other treatments - check with your insurer |
Approved health management programs when Wellbeing Extras is taken with hospital cover. Benefits payable at 60% of fee charged, up to maximum benefit. Diabetes Education & Nutrition benefits included in Dietetics sub-limit.
Pensioner Concession Card and Commonwealth Seniors Health Card holders are entitled to free ambulance transport services. St John's ambulance offers a subscription service for ambulance cover in the Northern Territory (https://www.stjohnnt.org.au/ambulance/ambulance-cover.php). Cover is included whilst interstate for less than 21 days.
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.