Working with The Doctors' Health Fund to offer bursaries to medical students.

Essential Extras - better mid-range cover

Effective 1 April 2008

Waiting periods 
  • 12 months for major dental services, aids and appliances
  • 24 months for hearing aids
  • 2 months for all other services
Limits
  • Limits per person per calendar year, except where otherwise indicated

ITEM

LIMITS

BENEFITS PAID

General dental services

$600

100% paid for ten general check up items up to two times per year. Fixed benefits paid for all other items.

Major dental services

 

 

- Periodontic

Periodontic services are included in the general dental limit

 

 

Fixed benefits paid per item

- Orthodontics

Orthodontic services are included in the general dental limit, up to $125 per year of membership with a lifetime limit of $1,250

Optical category limit

$500 limit over 2 years

 

- Frames

 

$220

- Single vision lenses

 

$200 

- Bi-focal lenses

 

$250 

- Multi-focal lenses

 

$320 

- Contact lenses

 

$500 

- Repairs

 

$50 

Non-PBS pharmaceuticals, mammograms, ThinPrep tests, bone density tests

$300

Tests, one each per year

After the current PBS cost, benefits paid are 85% of the remaining cost of a non-PBS script. $60 per test.

Physiotherapy, Psychology, Occupational therapy, Speech therapy, Orthoptics, Podiatry, Dietetics, pre-natal Midwifery services

$900

$100 per visit for psychology, all other therapies $30 per visit with calendar year sublimits per therapy type of $500

Aids & appliances including hearing aids

$500 every 2 years

One set of hearing aids every 3 calendar years

50% of the cost of the item, except hearing aids

Single hearing aid $200

Two hearing aids $400

Hearing aid repairs $50