(before any rebate or insurer discount)
Covers only one person
Available in All States
Closed to new members
# 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.
Provides higher benefits for country South Australia and interstate members, who cannot access Health Partners' own network of providers. Services within the metropolitan area provide benefits the same as Top Extras. See https://www.healthpartners.com.au/members/providers/.
| Note, for items marked with an asterisk *: Healthier Living provides health management service and benefits, such as Bowel Cancer Screening Kits, Diabetes Membership, Gym and Fitness, Mole Check Body Scan, Weight Management & Post-Natal Lactation Consult - Benefits and limits vary. Loyalty bonuses apply to Occupational, Speech therapy and Aids & Appliances. T&Cs apply. | |||
|---|---|---|---|
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
| General dental | 2 | No annual limit (no limit on preventative dental) | Periodic oral examination - $32.65 Scale & clean - $66.30 Fluoride treatment - $20.40 Surgical tooth extraction - $142.80 |
| Major dental | 12 | $1,500 per policy | Full crown veneered - $816.00 |
| Endodontic | 12 | $1,000 per policy | Filling of one root canal - $137.70 |
| Orthodontic | 12 | $2,500 lifetime limit (Sub-limits apply) | Braces for upper & lower teeth, including removal plus fitting of retainer - 70% of charge |
| Optical | 2 | $300 per policy | Single vision lenses & frames - 55% of charge Multi-focal lenses & frames - 55% of charge |
| Non PBS pharmaceuticals | 2 | $600 per policy (combined limit for non pbs pharmaceuticals & vaccinations) | Per eligible prescription - $50.00 |
| Physiotherapy | 2 | $600 per policy | Initial visit - $30.00 Subsequent visit - $24.00 |
| Chiropractic | 2 | $500 per policy (combined limit for chiropractic, exercise physiology & osteopathy) | Initial visit - $42.00 Subsequent visit - $27.00 |
| Podiatry | 2 | $500 per policy | Initial visit - $33.00 Subsequent visit - $24.00 |
| Psychology | 2 | $400 per policy (combined limit for psychology & other services) | Initial visit - $75.00 Subsequent visit - $70.00 |
| Acupuncture | 2 | $500 per policy | Initial visit - $37.20 Subsequent visit - $27.60 |
| Remedial massage | 2 | $100 per policy | Initial visit - $20.00 Subsequent visit - $20.00 |
| Hearing aids* | 12 | $800 per policy 1 appliance(s) every 3 years | Hearing aid - 85% of charge |
| Blood glucose monitors* | 12 | $250 per policy 1 appliance(s) every 3 years (combined limit for blood glucose monitors & other services - Sub-limits apply) | Per monitor - 85% of charge |
| Chinese medicine | 2 | $160 per policy (combined limit for chinese medicine & other services) | Initial visit - $20.00 Subsequent visit - $20.00 |
| Dietetics/dietary advice | 2 | $450 per policy | Initial visit - $60.00 Subsequent visit - $35.00 |
| Exercise physiology | 2 | Combined limit - see Chiropractic | Initial visit - $28.00 Subsequent visit - $21.00 |
| Eye therapy (orthoptics) | 2 | $250 per policy | Initial visit - $25.00 |
| Health management / Healthy lifestyle* | 2 | $200 per policy | Health management - 100% of charge |
| Occupational therapy* | 2 | $350 per policy | Initial visit - $50.00 Subsequent visit - $40.00 |
| Orthotics (podiatric orthoses) | 2 | $300 per policy | Orthotics supply & fit - 70% of charge |
| Osteopathy | 2 | Combined limit - see Chiropractic | Initial visit - $42.00 Subsequent visit - $27.00 |
| Speech therapy* | 2 | $400 per policy | Initial visit - $75.00 Subsequent visit - $45.00 |
| Vaccinations* | 2 | Combined limit - see Non PBS pharmaceuticals | Per service - $50.00 |
| At Health Partners, we want to help you get the most out of your cover. That's why we have invested in our own Health Partners dental and optical services. When you use these services or our network of participating dentists, pharmacies and physiotherapists, higher benefits and limits may apply. Contact us for more information. | |||
| Other treatments - check with your insurer |
Shared benefits for Psychology and Hypnotherapy. Benefits available for Asthmatic Spray Appliances, Blood Pressure Machines, Low Vision Optical Magnification Aids, Circulation Boosters and Sleep Apnoea Machines. Natural Therapies provides benefits for Remedial Massage, Chinese Herbalism, Myofascial Release, Therapeutic Massage, Swedish Massage, Myotherapy and Nutritionist. Benefit $20 per consultation and total annual limit for all combined Natural Therapy services is $160 per person. T&C apply.
https://www.healthpartners.com.au/health-insurance/extras-cover
In All States this policy provides:
Emergency: with a waiting period of 2 months, limited to $20,000 per policy and 1 services per year.
Call-out fees: will be paid for each attendance, including emergency treatment without transport to hospital.
State schemes provide ambulance services for residents of Tasmania (https://www.health.tas.gov.au/ambulance/fees_and_accounts) and Queensland (https://www.ambulance.qld.gov.au/).
Ambulance is limited to 1 per person, per year up to $20,000; maximum 2 per policy. You will be covered for the cost of service required on medical grounds (excluding clinic-car type transport) that is deemed or classified as 'emergency' only (emergency classification determined by approved ambulance provider). Additionally, you will be covered for treatment where no transport is required. This will count towards your annual limit.
https://www.healthpartners.com.au/health-insurance/understanding-private-health-insurance/
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.