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Cover requirements
Mid Extras
From
$000*
Includes 4% direct debit discount
Mid-level cover with 100% back up to yearly limits on optical, and 100% back on selected dental services through our No Gap Dental Network (where available).
Cover includes non-student dependants aged 23 and over.
-
No Gap Dental NetworkCovers selected services such as scale and clean, fluoride treatment and mouthguards.
Benefits claimed as No Gap Dental do not count towards the yearly limit. Please note: No Gap Dental providers are not available in all states and territories. Covers selected services such as scale and clean, fluoride treatment and mouthguards. -
General DentalCovers most fillings and simple extractions
$500 limit combined with Preventive Dental -
Preventative DentalCovers selected services such as scale and clean, fluoride treatment and mouthguards.
$500 limit combined with General Dental -
OpticalFor prescription glasses, contact lenses or repairs provided by a recognised optometrist in private practice. Excludes non-prescription sunglasses and contact lenses, and optical consultations.
$200 limit -
PhysiotherapyIncludes sports physiotherapy and hydrotherapy
$300 limit combined with Exercise Physiology -
Chiropractic and Osteopathy
$150 combined limit -
Remedial Massage
$200 limit combined with Acupuncture and Myotherapy -
PodiatryExcludes podiatric surgery
$200 limit combined with Orthotics, Braces, Splints and Garments -
Psychology
$200 limit -
Emergency AmbulanceWhere the transport is coded and invoiced as emergency transport by a recognised State Ambulance authority
Benefits are not payable if ambulance service is already covered by a State-based scheme or your ambulance subscription.
Where an Extras cover is taken with Hospital cover, benefits are payable under the Hospital cover only, except where the Extras product offers additional benefits not included on Hospital.
Unlimited
-
No Gap Dental NetworkCovers selected services such as scale and clean, fluoride treatment and mouthguards.
Benefits claimed as No Gap Dental do not count towards the yearly limit. Please note: No Gap Dental providers are not available in all states and territories. Covers selected services such as scale and clean, fluoride treatment and mouthguards. -
General DentalCovers most fillings and simple extractions
$500 limit combined with Preventive Dental -
Preventative DentalCovers selected services such as scale and clean, fluoride treatment and mouthguards.
$500 limit combined with General Dental -
Root Canal, Gum Disease Treatments & Surgical Extractions
$500 limit combined with Crowns, Bridges and Dentures -
Crowns, Bridges & DenturesA full denture replacement is limited to once every three years.
$500 limit combined with Root Canal, Gum Disease Treatments and Surgical Extractions
-
OpticalFor prescription glasses, contact lenses or repairs provided by a recognised optometrist in private practice. Excludes non-prescription sunglasses and contact lenses, and optical consultations.
$200 limit
-
PhysiotherapyIncludes sports physiotherapy and hydrotherapy
$300 limit combined with Exercise Physiology -
Exercise PhysiologyIncludes hydrotherapy
$300 limit combined with Physiotherapy -
Chiropractic and Osteopathy
$150 combined limit -
Acupuncture
$200 limit combined with Remedial Massage and Myotherapy -
Remedial Massage
$200 limit combined with Acupuncture and Myotherapy -
Myotherapy
$200 limit combined with Acupuncture and Remedial Massage -
PodiatryExcludes podiatric surgery
$200 limit combined with Orthotics, Braces, Splints and Garments -
Orthotics, Braces, Splints and GarmentsOrthotics must be recommended by a podiatrist or medical practitioner and supplied by an approved provider in a private practice.
Garments must be recommended by a medical practitioner or allied health professional and supplied by an approved provider in private practice.
$200 limit combined with Podiatry
-
Psychology
$200 limit -
Travel VaccinationsFor approved travel vaccines, supplied and administered in Australia prior to departure and for the purpose of overseas travel
$150 limit
-
Emergency AmbulanceWhere the transport is coded and invoiced as emergency transport by a recognised State Ambulance authority
Benefits are not payable if ambulance service is already covered by a State-based scheme or your ambulance subscription.
Where an Extras cover is taken with Hospital cover, benefits are payable under the Hospital cover only, except where the Extras product offers additional benefits not included on Hospital.
Unlimited -
Ambulance AttendanceFor Ambulance attendances where you are not taken to hospital
Benefits are not payable if ambulance service is already covered by a State-based scheme or your ambulance subscription.
Where an Extras cover is taken with Hospital cover, benefits are payable under the Hospital cover only, except where the Extras product offers additional benefits not included on Hospital.
2 attendances per person
Active Extras
From
$5775*
Includes 4% direct debit discount
Mid level cover with a wide range of services, including 100% back up to yearly limits on optical, and 100% back on selected dental through our No Gap Dental Network (where available)
Cover includes non-student dependants aged 23 and over.
-
No Gap Dental NetworkCovers selected services such as scale and clean, fluoride treatment and mouthguards.
Benefits claimed as No Gap Dental do not count towards the yearly limit .Please note: No Gap Dental providers are not available in all states and territories. Covers selected services such as scale and clean, fluoride treatment and mouthguards. -
General DentalCovers most fillings and simple extractions
$700 limit combined with Preventive Dental -
Preventative DentalCovers selected services such as scale and clean, fluoride treatment and mouthguards.
$700 limit combined with General Dental -
Root Canal, Gum Disease Treatments & Surgical Extractions
$700 limit combined with Crowns, Bridges and Dentures -
Crowns, Bridges & DenturesA full denture replacement is limited to once every three years.
$700 limit combined with Root Canal, Gum Disease Treatments and Surgical Extractions -
Orthodontics
$400 limit in the first year -
OpticalFor prescription glasses, contact lenses or repairs provided by a recognised optometrist in private practice. Excludes non-prescription sunglasses and contact lenses, and optical consultations.
$250 limit -
PhysiotherapyIncludes sports physiotherapy and hydrotherapy
$400 limit combined with Exercise Physiology -
Chiropractic and Osteopathy
$250 combined limit -
Acupuncture
$250 limit combined with Remedial Massage and Myotherapy -
Remedial Massage
$250 limit combined with Acupuncture and Myotherapy -
PodiatryExcludes podiatric surgery
$300 limit combined with Orthotics, Braces, Splints and Garments -
Psychology
$300 limit -
PharmacyFor non-prescription PBS pharmaceuticals only, after you pay a sum equal to the current Pharmaceutical Benefits Scheme (PBS) contribution. Excludes vitamins, minerals and Supplements
$400 limit -
Blood glucose and Blood pressure monitorsBenefit for each item is payable every 2 calendar years
$400 limit combined with Asthma Pumps and Peak Flow Meters, C-PAP/B-PAP Devices and TENS Machines, Wheelchairs and Crutches, Non-Surgical Prostheses. -
Hearing aidsIncludes hearing aid appliance, replacement and repairs. Benefit for each item is payable every 3 years (does not apply to repairs)
$1,200 limit -
Emergency AmbulanceWhere the transport is coded and invoiced as emergency transport by a recognised State Ambulance authority.
Benefits are not payable if ambulance service is already covered by a State-based scheme or your ambulance subscription.
Where an Extras cover is taken with Hospital cover, benefits are payable under the Hospital cover only, except where the Extras product offers additional benefits not included on Hospital.
Unlimited
-
No Gap Dental NetworkCovers selected services such as scale and clean, fluoride treatment and mouthguards.
Benefits claimed as No Gap Dental do not count towards the yearly limit .Please note: No Gap Dental providers are not available in all states and territories. Covers selected services such as scale and clean, fluoride treatment and mouthguards. -
General DentalCovers most fillings and simple extractions
$700 limit combined with Preventive Dental -
Preventative DentalCovers selected services such as scale and clean, fluoride treatment and mouthguards.
$700 limit combined with General Dental -
Root Canal, Gum Disease Treatments & Surgical Extractions
$700 limit combined with Crowns, Bridges and Dentures -
Crowns, Bridges & DenturesA full denture replacement is limited to once every three years.
$700 limit combined with Root Canal, Gum Disease Treatments and Surgical Extractions -
Orthodontics
$400 limit in the first year
-
OpticalFor prescription glasses, contact lenses or repairs provided by a recognised optometrist in private practice. Excludes non-prescription sunglasses and contact lenses, and optical consultations.
$250 limit
-
PhysiotherapyIncludes sports physiotherapy and hydrotherapy
$400 limit combined with Exercise Physiology -
Exercise PhysiologyIncludes hydrotherapy
$400 limit combined with Physiotherapy -
Chiropractic and Osteopathy
$250 combined limit -
Acupuncture
$250 limit combined with Remedial Massage and Myotherapy -
Remedial Massage
$250 limit combined with Acupuncture and Myotherapy -
Myotherapy
$250 limit combined with Acupuncture and Remedial Massage -
PodiatryExcludes podiatric surgery
$300 limit combined with Orthotics, Braces, Splints and Garments -
Orthotics, Braces, Splints and GarmentsOrthotics must be recommended by a podiatrist or medical practitioner and supplied by an approved provider in a private practice.
Garments must be recommended by a medical practitioner or allied health professional and supplied by an approved provider in private practice.
$300 limit combined with Podiatry
-
Dietetics
$400 limit -
Audiology, Speech, Eye and Occupational Therapy
$300 combined limit -
Psychology
$300 limit -
PharmacyFor non-prescription PBS pharmaceuticals only, after you pay a sum equal to the current Pharmaceutical Benefits Scheme (PBS) contribution. Excludes vitamins, minerals and Supplements
$400 limit -
Travel VaccinationsFor approved travel vaccines, supplied and administered in Australia prior to departure and for the purpose of overseas travel
$200 limit
-
Asthma Pumps and Peak flow metersBenefit for each item is payable every 2 calendar years
$400 limit combined with Blood glucose and Blood pressure monitors, C-PAP/B-PAP Devices and TENS Machines, Wheelchairs and Crutches, Non-Surgical Prostheses. -
Blood glucose and Blood pressure monitorsBenefit for each item is payable every 2 calendar years
$400 limit combined with Asthma Pumps and Peak Flow Meters, C-PAP/B-PAP Devices and TENS Machines, Wheelchairs and Crutches, Non-Surgical Prostheses. -
C-PAP Devices and TENS Machines Includes C-PAP/B-PAPTENS Machines must be recommended by a physiotherapist or medical practitioner and supplied by an approved provider in private practice.
Benefit for each item is payable every 2 calendar years
$400 limit combined with Asthma Pumps and Peak Flow Meters, Blood glucose and Blood pressure monitors, Wheelchairs and Crutches, Non-Surgical Prostheses. -
Wheelchairs and CrutchesFor hire or purchase of wheelchairs or crutches used in prevention or support post injury
$400 limit combined with Asthma Pumps and Peak Flow Meters, Blood glucose and Blood pressure monitors, C-PAP/B-PAP Devices and TENS Machines, Non-Surgical Prostheses. -
Non-surgical ProsthesesBenefit for each item is payable every 2 calendar years (does not apply to wigs)
$400 limit combined with Asthma Pumps and Peak Flow Meters, Blood glucose and Blood pressure monitors, C-PAP/B-PAP Devices and TENS Machines, Wheelchairs and Crutches. -
Hearing aidsIncludes hearing aid appliance, replacement and repairs. Benefit for each item is payable every 3 years (does not apply to repairs)
$1,200 limit
-
Emergency AmbulanceWhere the transport is coded and invoiced as emergency transport by a recognised State Ambulance authority.
Benefits are not payable if ambulance service is already covered by a State-based scheme or your ambulance subscription.
Where an Extras cover is taken with Hospital cover, benefits are payable under the Hospital cover only, except where the Extras product offers additional benefits not included on Hospital.
Unlimited -
Ambulance AttendanceFor Ambulance attendances where you are not taken to hospital.
Benefits are not payable if ambulance service is already covered by a State-based scheme or your ambulance subscription.
Where an Extras cover is taken with Hospital cover, benefits are payable under the Hospital cover only, except where the Extras product offers additional benefits not included on Hospital.
2 attendances per person
Prime Extras
From
$7297*
Includes 4% direct debit discount
Comprehensive care for a wide range of extras including dental & orthodontics, physio, chiro, health aids and devices and emergency ambulance.
Cover includes non-student dependants aged 23 and over.
-
No Gap Dental NetworkCovers selected services such as scale and clean, fluoride treatment and mouthguards.
Benefits claimed as No Gap Dental do not count towards the yearly limit .Please note: No Gap Dental providers are not available in all states and territories. Covers selected services such as scale and clean, fluoride treatment and mouthguards. -
General DentalCovers most fillings and simple extractions
$900 limit combined with Preventative Dental -
Preventative DentalCovers selected services such as scale and clean, fluoride treatment and mouthguards.
$900 limit combined with General Dental -
Root Canal, Gum Disease Treatments & Surgical Extractions
$900 limit combined with Crowns, Bridges and Dentures -
Crowns, Bridges & DenturesA full denture replacement is limited to once every three years.
$900 limit combined with Root Canal, Gum Disease Treatments and Surgical Extractions -
Orthodontics
$700 limit in the first year -
OpticalFor prescription glasses, contact lenses or repairs provided by a recognised optometrist in private practice. Excludes non-prescription sunglasses and contact lenses, and optical consultations.
$300 limit -
PhysiotherapyIncludes sports physiotherapy and hydrotherapy
$500 limit combined with Exercise Physiology -
Chiropractic and Osteopathy
$300 combined limit -
Ante-natal/Post-natal ClassesIncludes classes conducted by a private midwife not eligible under Medicare, or physiotherapist
$400 limit -
Remedial Massage
$300 limit combined with Acupuncture and Myotherapy -
PodiatryExcludes podiatric surgery
$400 limit combined with Orthotics, Braces, Splints and Garments -
Psychology
$400 limit -
Blood Glucose and Blood Pressure MonitorsBenefit for each item is payable every 2 calendar years
$500 limit combined with Asthma Pumps and Peak Flow Meters, C-PAP/B-PAP Devices and TENS Machines, Wheelchairs and Crutches, Non-Surgical Prostheses. -
Hearing AidsIncludes hearing aid appliance, replacement and repairs.
Benefit for each item is payable every 3 years (does not apply to repairs)
$1,500 limit -
PharmacyFor non-PBS prescription pharmaceuticals only, after you pay a sum equal to the current Pharmaceutical Benefits Scheme (PBS) contribution. Excludes vitamins, minerals and supplements.
$500 limit -
Emergency AmbulanceWhere the transport is coded and invoiced as emergency transport by a recognised State Ambulance authority.
Benefits are not payable if ambulance service is already covered by a State-based scheme or your ambulance subscription.
Where an Extras cover is taken with Hospital cover, benefits are payable under the Hospital cover only, except where the Extras product offers additional benefits not included on Hospital.
Unlimited
-
No Gap Dental NetworkCovers selected services such as scale and clean, fluoride treatment and mouthguards.
Benefits claimed as No Gap Dental do not count towards the yearly limit .Please note: No Gap Dental providers are not available in all states and territories. Covers selected services such as scale and clean, fluoride treatment and mouthguards. -
General DentalCovers most fillings and simple extractions
$900 limit combined with Preventative Dental -
Preventative DentalCovers selected services such as scale and clean, fluoride treatment and mouthguards.
$900 limit combined with General Dental -
Root Canal, Gum Disease Treatments & Surgical Extractions
$900 limit combined with Crowns, Bridges and Dentures -
Crowns, Bridges & DenturesA full denture replacement is limited to once every three years.
$900 limit combined with Root Canal, Gum Disease Treatments and Surgical Extractions -
Orthodontics
$700 limit in the first year
-
OpticalFor prescription glasses, contact lenses or repairs provided by a recognised optometrist in private practice. Excludes non-prescription sunglasses and contact lenses, and optical consultations.
$300 limit
-
PhysiotherapyIncludes sports physiotherapy and hydrotherapy
$500 limit combined with Exercise Physiology -
Exercise PhysiologyIncludes hydrotherapy
$500 limit combined with Physiotherapy -
Chiropractic and Osteopathy
$300 combined limit -
Ante-natal/Post-natal ClassesIncludes classes conducted by a private midwife not eligible under Medicare, or physiotherapist
$400 limit -
Acupuncture
$300 limit combined with Remedial Massage and Myotherapy -
Remedial Massage
$300 limit combined with Acupuncture and Myotherapy -
Myotherapy
$300 limit combined with Acupuncture and Remedial Massage -
PodiatryExcludes podiatric surgery
$400 limit combined with Orthotics, Braces, Splints and Garments -
Orthotics, Braces, Splints and GarmentsOrthotics must be recommended by a podiatrist or medical practitioner and supplied by an approved provider in a private practice.
Garments must be recommended by a medical practitioner or allied health professional and supplied by an approved provider in private practice.
$400 limit combined with Podiatry
-
Dietetics
$500 limit -
Audiology, Speech, Eye and Occupational Therapy
$400 limit -
Psychology
$400 limit -
Asthma Pumps and Peak Flow MetersBenefit for each item is payable every 2 calendar years
$500 limit combined with Blood Glucose and Blood Pressure Monitors, C-PAP/B-PAP Devices and TENS Machines, Wheelchairs and Crutches, Non-Surgical Prostheses. -
Blood Glucose and Blood Pressure MonitorsBenefit for each item is payable every 2 calendar years
$500 limit combined with Asthma Pumps and Peak Flow Meters, C-PAP/B-PAP Devices and TENS Machines, Wheelchairs and Crutches, Non-Surgical Prostheses. -
C-PAP Devices and TENS Machines Includes C-PAP/B-PAPTENS Machines must be recommended by a physiotherapist or medical practitioner and supplied by an approved provider in private practice.
Benefit for each item is payable every 2 calendar years
$500 limit combined with Asthma Pumps and Peak Flow Meters, Blood Glucose and Blood Pressure Monitors, Wheelchairs and Crutches, Non-Surgical Prostheses. -
Wheelchairs and CrutchesFor hire or purchase of wheelchairs or crutches used in prevention or support post injury
$500 limit combined with Asthma Pumps and Peak Flow Meters, Blood Glucose and Blood pressure Monitors, C-PAP/B-PAP Devices and TENS Machines, Non-Surgical Prostheses. -
Non-Surgical ProthesesBenefit for each item is payable every 2 calendar years (does not apply to wigs)
$500 limit combined with Asthma Pumps and Peak Flow Meters, Blood glucose and Blood pressure monitors, C-PAP/B-PAP Devices and TENS Machines, Wheelchairs and Crutches. -
Hearing AidsIncludes hearing aid appliance, replacement and repairs.
Benefit for each item is payable every 3 years (does not apply to repairs)
$1,500 limit -
PharmacyFor non-PBS prescription pharmaceuticals only, after you pay a sum equal to the current Pharmaceutical Benefits Scheme (PBS) contribution. Excludes vitamins, minerals and supplements.
$500 limit -
Travel VaccinationsFor approved travel vaccines, supplied and administered in Australia prior to departure and for the purpose of overseas travel
$250 limit
-
Emergency AmbulanceWhere the transport is coded and invoiced as emergency transport by a recognised State Ambulance authority.
Benefits are not payable if ambulance service is already covered by a State-based scheme or your ambulance subscription.
Where an Extras cover is taken with Hospital cover, benefits are payable under the Hospital cover only, except where the Extras product offers additional benefits not included on Hospital.
Unlimited -
Ambulance AttendanceFor Ambulance attendances where you are not taken to hospital.
Benefits are not payable if ambulance service is already covered by a State-based scheme or your ambulance subscription.
Where an Extras cover is taken with Hospital cover, benefits are payable under the Hospital cover only, except where the Extras product offers additional benefits not included on Hospital.
2 attendances per person
*Assumes 4% discount for direct debit and 0% aged based discount. Any rebate listed above has been factored into the price. Price includes cover for non-student dependants aged 23 and over.Price excludes cover for non-student dependants aged 23 and over.
^ Waiting periods and yearly limits may apply.
The information on this page is a summary only. Please read the product Fact Sheet to understand the benefits, limits, restrictions, exclusions, waiting periods, pre-existing conditions and excesses that apply, and what it means to be 'Covered' including out-of-pocket costs.