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

Total Extras - top cover with better benefits

Effective 1 April 2009  
 
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

No annual limits

100% paid for ten general check up items up to two times per year, so long as the charges are within the range of usual, customary and reasonable charges. Fixed benefits paid for all other items

Major dental services

 

 

- Inlays, onlays, facings

$700

 

 

 

Fixed benefits paid per item

- Endodontic/periodontic

$800

- Crowns & bridges

$1,000

- Dentures and prosthodontics

$800

- Orthodontics

Up to $250 per year of membership with a lifetime limit of $2500

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

$600

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.

One hearing aid

One set of hearing aids every 3 calendar years

$400

Two hearing aids

$800

Hearing aid repairs

 

$50

Audiology test

One visit per year

$40

Physiotherapy and remedial massage with specifically qualified practitioners

$600

$30 per visit

Psychology

$600

$100 per visit

Occupational therapy, Speech therapy, Orthoptics, Podiatry, Dietetics, Midwifery services

$1,000

$30 per visit with calendar year sublimits per therapy type of $600

Home nursing

$600

$30 per visit of up to 6 hrs

$60 per visit exceeding 6 hrs

Aids & appliances

$1,000
Benefits paid for replacement items 2 years after the first supply

75% of the cost of the item where use was ordered by a registered practitioner

 

Remedial massage cover

 

 
The Doctors’ Health Fund now recognises more remedial massage therapists, as we have added to our list of complying organisations, which include, but are not limited to :
 
ATMS (Australian Traditional Medicine Society)
AMT (Association of Massage Therapists)
AAMT (Australian Association of Massage Therapists)
ANTA ( Australian Naturopathic Practitioners’ Association)
IRMA (Institute of Registered Myotherapists of Australia
ARM (Association of Remedial Masseurs)