(before any rebate or insurer discount)
Covers only one person
Available in Tasmania
# 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.
Employees/members of organisations with arrangements with this health fund
This health insurer does not operate a preferred provider scheme.
| Note, for items marked with an asterisk *: Our Orthodontic benefit accrues at $500 per policy year up to a lifetime limit of $2,500. Plus, 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 | No annual limit (no limit on preventative dental) | Periodic oral examination - $30.00 Scale & clean - $60.00 Fluoride treatment - $22.00 Surgical tooth extraction - $135.00 |
| Major dental | 12 | $1,125 per policy (combined limit for major dental & endodontic) | Full crown veneered - $750.00 |
| Endodontic | 12 | Filling of one root canal - $135.00 | |
| Orthodontic* | 12 | $500 per policy $2,500 lifetime limit | Braces for upper & lower teeth, including removal plus fitting of retainer - $2,500.00 |
| Optical | 2 | $250 per policy | Single vision lenses & frames - $250.00 Multi-focal lenses & frames - $250.00 |
| Non PBS pharmaceuticals | 2 | $400 per policy (combined limit for non pbs pharmaceuticals, vaccinations & other services) | Per eligible prescription - $50.00 |
| Physiotherapy | 2 | $900 per policy (combined limit for physiotherapy & exercise physiology) | Initial visit - $30.00 Subsequent visit - $30.00 |
| Chiropractic | 2 | $300 per policy (combined limit for chiropractic & osteopathy) | Initial visit - $30.00 Subsequent visit - $30.00 |
| Podiatry | 2 | $150 per policy | Initial visit - $35.00 Subsequent visit - $35.00 |
| Psychology | 2 | $150 per policy (combined limit for psychology & other services) | Initial visit - $50.00 Subsequent visit - $50.00 |
| Acupuncture | 2 | $150 per policy (combined limit for acupuncture & chinese medicine) | Initial visit - $25.00 Subsequent visit - $25.00 |
| Remedial massage | 2 | $150 per policy (combined limit for remedial massage & other services) | Initial visit - $25.00 Subsequent visit - $25.00 |
| Blood glucose monitors | 12 | $100 per policy | Per monitor - $100.00 |
| Audiology | 2 | $120 per policy (combined limit for audiology & other services) | Initial visit - $80.00 Subsequent visit - $80.00 |
| Ante-natal/Post-natal classes | 12 | $120 per policy | Initial visit - 100% of charge Subsequent visit - 100% of charge |
| Chinese medicine | 2 | Combined limit - see Acupuncture | Initial visit - $25.00 Subsequent visit - $25.00 |
| Dietetics/dietary advice | 2 | $150 per policy (combined limit for dietetics/dietary advice & other services) | 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 | $150 per policy | Initial visit - $25.00 Subsequent visit - $25.00 |
| Health management / Healthy lifestyle | 2 | $75 per policy | Health management - 100% of charge |
| Home nursing | 2 | $150 per policy | Initial visit - $48.00 Subsequent visit - $48.00 |
| Occupational therapy | 2 | $150 per policy | Initial visit - $40.00 Subsequent visit - $40.00 |
| Osteopathy | 2 | Combined limit - see Chiropractic | Initial visit - $30.00 Subsequent visit - $30.00 |
| Speech therapy | 2 | $300 per policy | Initial visit - $48.00 Subsequent visit - $36.00 |
| Vaccinations | 2 | Combined limit - see Non PBS pharmaceuticals | Per service - $50.00 |
| Hearing aids | Other treatments - check with your insurer |
Additional benefits included in this policy are Counselling, Health Aids & Appliances (e.g. Compression Garments/Devices & Blood Pressure Monitors), 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/athlete-vital-extras.pdf
Ambulance cover is provided by the State government for residents of Tasmania. This may include cover whilst interstate, except for South Australia and Queensland where no cover applies. In other states please check with Ambulance Tasmania - https://www.health.tas.gov.au/ambulance/fees_and_accounts.
Permanent Tasmania residents are covered for emergency pre-hospital ambulance treatment and transport in Tasmania, residents must purchase cover for non-emergency ambulance transport or emergency transport in another state. This product provides coverage for emergency and non-emergency 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/athlete-vital-extras.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.