(before any rebate or insurer discount)
Covers only one person
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 Dental and have access to more "no gap" services. A list of "preferred providers" is available from the health insurer. See https://www.westfund.com.au/find-a-provider/.
| Note, for items marked with an asterisk *: Access our Provider of Choice network — dental providers nationwide who work with us to help lower or eliminate out-of-pocket costs on selected preventative treatments | |||
|---|---|---|---|
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
| General dental* | 2 | $1,600 per policy (combined limit for general dental, major dental & endodontic) | Periodic oral examination - $35.00 Scale & clean - $75.00 Fluoride treatment - $22.00 Surgical tooth extraction - $145.00 |
| Major dental | 12 | Full crown veneered - $850.00 | |
| Endodontic | 12 | Filling of one root canal - $140.00 | |
| Optical | 2 | $250 per policy | Single vision lenses & frames - $250.00 Multi-focal lenses & frames - $250.00 |
| Non PBS pharmaceuticals | 2 | $500 per policy (combined limit for non pbs pharmaceuticals, audiology, health management / healthy lifestyle, vaccinations & other services - Sub-limits apply) | Per eligible prescription - $50.00 |
| Physiotherapy | 2 | $600 per policy (combined limit for physiotherapy, chiropractic, exercise physiology & osteopathy) | Initial visit - $42.00 Subsequent visit - $42.00 |
| Chiropractic | 2 | Initial visit - $30.00 Subsequent visit - $30.00 | |
| Podiatry | 2 | $400 per policy (combined limit for podiatry, psychology, acupuncture, remedial massage, chinese medicine, dietetics/dietary advice, eye therapy (orthoptics), home nursing, occupational therapy, speech therapy & other services) | Initial visit - $45.00 Subsequent visit - $45.00 |
| Psychology | 2 | Initial visit - $50.00 Subsequent visit - $50.00 | |
| Acupuncture | 2 | Initial visit - $25.00 Subsequent visit - $25.00 | |
| Remedial massage | 2 | Initial visit - $25.00 Subsequent visit - $25.00 | |
| Hearing aids | 36 | $1,400 per policy 1 service(s) every 3 years (combined limit for hearing aids & other services) | Hearing aid - $1,400.00 |
| Blood glucose monitors | 12 | $100 per policy | Per monitor - $100.00 |
| Audiology | 2 | Combined limit - see Non PBS pharmaceuticals | Initial visit - $80.00 Subsequent visit - $80.00 |
| Chinese medicine | 2 | Combined limit - see Podiatry | Initial visit - $25.00 Subsequent visit - $25.00 |
| Dietetics/dietary advice | 2 | Combined limit - see Podiatry | Initial visit - $30.00 Subsequent visit - $30.00 |
| Exercise physiology | 2 | Combined limit - see Physiotherapy | Initial visit - $30.00 Subsequent visit - $30.00 |
| Eye therapy (orthoptics) | 2 | Combined limit - see Podiatry | Initial visit - $25.00 Subsequent visit - $25.00 |
| Health management / Healthy lifestyle | 2 | Combined limit - see Non PBS pharmaceuticals | Health management - $100.00 |
| Home nursing | 2 | Combined limit - see Podiatry | Initial visit - $48.00 Subsequent visit - $48.00 |
| Occupational therapy | 2 | Combined limit - see Podiatry | Initial visit - $40.00 Subsequent visit - $40.00 |
| Orthotics (podiatric orthoses) | 12 | $200 per policy (combined limit for orthotics (podiatric orthoses) & other services) | Orthotics supply & fit - $200.00 |
| Osteopathy | 2 | Combined limit - see Physiotherapy | Initial visit - $30.00 Subsequent visit - $30.00 |
| Speech therapy | 2 | Combined limit - see Podiatry | Initial visit - $48.00 Subsequent visit - $36.00 |
| Vaccinations | 2 | Combined limit - see Non PBS pharmaceuticals | Per service - $50.00 |
| Orthodontic | Other treatments - check with your insurer |
Additional benefits included in this policy are Health Aids & Appliances (e.g. Devices for Sleep Apnoea and Diagnosed Snoring, Respiratory Aids, Blood Pressure Monitors), Outpatient Travel, and Sunglasses purchased through a Westfund Care Centre or through Westfund’s online sunglasses store, The Collection. Please contact Westfund for details or visit www.westfund.com.au/help/ for additional claiming information.
https://www.westfund.com.au/dl/summaries/high-extras-over-50s.pdf
In South Australia this policy provides:
Emergency: Unlimited with a waiting period of 1 day.
Non-emergency: transport with a waiting period of 2 months, limited to $5,000 per person per year.
Call-out fees: will be paid for each attendance, including emergency treatment without transport to hospital.
Cover for the unexpected. Feel assured with Australia-wide ambulance cover for emergency and non-emergency transportation (up to available limits). This product provides coverage for transport by a Westfund recognised Ambulance service provider in Australia either by covering the cost of state government levies or by covering the ambulance account. Recognised Ambulance service providers include: NSW Ambulance, Ambulance Victoria, Queensland Ambulance Service, ACT Ambulance Service, SA Ambulance Service, Ambulance Tasmania, St John Ambulance NT, St John Ambulance WA, St John Ambulance Norfolk Island and NSW Government local service providers.
https://www.westfund.com.au/dl/summaries/high-extras-over-50s.pdf
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.