Max 2 check ups, 2 scale and clean, and 1 fluoride treatment per person, per year
| Service | Benefits |
|---|---|
| Examinations | $32 - $73 |
| Single film x-rays | $31 |
| Removal of plaque / calculus | $36 - $64 |
| Application of fluoride | $28 |
Year 1 $800 limit
| Service | Benefits |
|---|---|
| Direct fillings (1-2 surfaces) | $85 - $105 |
| Direct fillings (3 or more surfaces) | $128 - $177 |
| Simple extractions | $95 - $143 |
| Indirect fillings | $298 - $671 |
| Surgical extractions | $165 - $260 |
| Treatment of tissue surrounding teeth | $23 - $374 |
| Treatment of root canals | $27 - $248 |
| Placing of crowns and bridges | $244 - $1,000 |
| Dentures and/or components (partial and complete) - Limits renew every 3 years | $25 - $1,100 |
$700 LIMIT for ORTHODONTISTS ($350 LIMIT if general dentist)
Lifetime limit $2,100 or $1,050 for services by dentists, other than orthodontists
| Service | Benefits |
|---|---|
| Orthodontics - orthodontist / other dentists | Up to $700/$350 |
| General Dental | 2 months |
| Major Dental | 12 months |
| Orthodontic | 12 months |
$250 limit
| Service | Benefits |
|---|---|
| Spectacle frames | 100% of fee up to annual limit |
| Spectacle lenses - pair (excludes add-ons such as high index material, coatings and tinting) | 100% of fee up to annual limit |
| Contact lenses - pair | 100% of fee up to annual limit |
| Optical | 2 months |
Year 1 $350 limit
| Service | Benefits |
|---|---|
| Physiotherapy – initial / subsequent (group / class consultations covered under Health Management Program) | $58 / $49 |
| Exercise physiology (group / class consultations covered under Health Management Program) | $33 |
Year 1 $350 limit
| Service | Benefits |
|---|---|
| Occupational therapy | $62 |
| Psychology (after Medicare Mental Health Treatment Plan used up) includes group consultations | $26/$85 |
| Psychology (when member does not have any unused Medicare Mental Health Treatment Plan in the calendar year) includes group consultations | $18/$49 |
| HCF-approved counselling & accredited mental health social worker includes group consultations | $15/$41 |
| HCF-approved Online Cognitive Behavioural Therapy courses | $35 - $59 |
Year 1 $250 limit
| Service | Benefits |
|---|---|
| Chiropractic - initial / subsequent | $40 / $33 |
| Osteopathy - initial / subsequent | $48 / $38 |
Year 1 $250 limit
Sub-limit $250 per therapy service
| Service | Benefits |
|---|---|
| Remedial massage and myotherapy - initial / subsequent | $36 / $31 |
| Acupuncture and Chinese herbal medicine consultation - initial / subsequent | $36 / $31 |
Year 1 $200 limit
| Service | Benefits |
|---|---|
| Dietetics - initial / subsequent | $45 |
| Audiology - initial / subsequent | $60 |
| Speech pathology - initial / subsequent | $60 |
| Podiatry (including 1 pair of foot orthotics per person per year) | $35 / $30 |
| Orthotist/Prosthetist and Pedorthist | $20-$100 |
| Therapies (excluding foot orthotics) | 2 months |
Max $200 per policy
| Service | Benefits |
|---|---|
| Travel and Accommodation (200km round trip) | $40 |
$180 limit
| Service | Benefits |
|---|---|
| HCF approved pharmacy (After PBS equivalent co-payment subtracted) | Up to $50 per script |
Max $150 per policy
| Service | Benefits |
|---|---|
| Artificial aids (HCF approved e.g. low vision aids) | $45 - $150 |
$600 - $1,600 limit
| Service | Benefits |
|---|---|
| Hearing aids | $600 (benefits accrue and renew every three years) |
$150 per person max $300 per policy
| Service | Benefits |
|---|---|
| Health Management Programs (HCF approved e.g. exercise classes) | Up to $150 per person |
$150 per eligible child
| Service | Benefits |
|---|---|
| School Accident Benefit | Up to $150 per eligible child |
| Travel and Accommodation | 2 months |
| Vaccines and Immunisations | 2 months |
| Artificial aids | 12 months |
| Hearing aids | 12 months |
| Health Management Programs | 2 months |
| School Accident Benefit | 2 – 12 months |
| Foot orthotics | 12 months |
Extras cover helps reduce out-of-pocket expenses that come with managing or improving your health. Depending on which extras cover you choose, you can claim on a range of services like dental, optical, physio, weight management programs and more. Waiting periods apply and vary according to the type of service.
If you have extras cover, we’ll pay up to a set amount for extras services (like dental or optical), depending on your annual limits. The amount we’ll pay also varies depending on your level of cover. You’ll need to pay the difference between what your extras provider charges and the benefits we pay: this is an extras gap.
Getting the most out of your extras cover means more money saved, and a boost to your family’s health and wellbeing. Preventive health checks are important at any age and our wide network of extras providers makes accessing care easy. Depending on your level of cover and which service you choose, you could get 100% back** through our no-gap providers.
Included means services and treatments are covered and you'll have less out-of-pocket expenses.
Max 2 check ups, 2 scale and clean, and 1 fluoride treatment per person, per year
| Service | Benefits |
|---|---|
| Examinations | $32 - $73 |
| Single film x-rays | $31 |
| Removal of plaque / calculus | $36 - $64 |
| Application of fluoride | $28 |
Year 1 $800 limit
| Service | Benefits |
|---|---|
| Direct fillings (1-2 surfaces) | $85 - $105 |
| Direct fillings (3 or more surfaces) | $128 - $177 |
| Simple extractions | $95 - $143 |
| Indirect fillings | $298 - $671 |
| Surgical extractions | $165 - $260 |
| Treatment of tissue surrounding teeth | $23 - $374 |
| Treatment of root canals | $27 - $248 |
| Placing of crowns and bridges | $244 - $1,000 |
| Dentures and/or components (partial and complete) - Limits renew every 3 years | $25 - $1,100 |
$700 LIMIT for ORTHODONTISTS ($350 LIMIT if general dentist)
Lifetime limit $2,100 or $1,050 for services by dentists, other than orthodontists
| Service | Benefits |
|---|---|
| Orthodontics - orthodontist / other dentists | Up to $700/$350 |
| General Dental | 2 months |
| Major Dental | 12 months |
| Orthodontic | 12 months |
$250 limit
| Service | Benefits |
|---|---|
| Spectacle frames | 100% of fee up to annual limit |
| Spectacle lenses - pair (excludes add-ons such as high index material, coatings and tinting) | 100% of fee up to annual limit |
| Contact lenses - pair | 100% of fee up to annual limit |
| Optical | 2 months |
Year 1 $350 limit
| Service | Benefits |
|---|---|
| Physiotherapy – initial / subsequent (group / class consultations covered under Health Management Program) | $58 / $49 |
| Exercise physiology (group / class consultations covered under Health Management Program) | $33 |
Year 1 $350 limit
| Service | Benefits |
|---|---|
| Occupational therapy | $62 |
| Psychology (after Medicare Mental Health Treatment Plan used up) includes group consultations | $26/$85 |
| Psychology (when member does not have any unused Medicare Mental Health Treatment Plan in the calendar year) includes group consultations | $18/$49 |
| HCF-approved counselling & accredited mental health social worker includes group consultations | $15/$41 |
| HCF-approved Online Cognitive Behavioural Therapy courses | $35 - $59 |
Year 1 $250 limit
| Service | Benefits |
|---|---|
| Chiropractic - initial / subsequent | $40 / $33 |
| Osteopathy - initial / subsequent | $48 / $38 |
Year 1 $250 limit
Sub-limit $250 per therapy service
| Service | Benefits |
|---|---|
| Remedial massage and myotherapy - initial / subsequent | $36 / $31 |
| Acupuncture and Chinese herbal medicine consultation - initial / subsequent | $36 / $31 |
Year 1 $200 limit
| Service | Benefits |
|---|---|
| Dietetics - initial / subsequent | $45 |
| Audiology - initial / subsequent | $60 |
| Speech pathology - initial / subsequent | $60 |
| Podiatry (including 1 pair of foot orthotics per person per year) | $35 / $30 |
| Orthotist/Prosthetist and Pedorthist | $20-$100 |
| Therapies (excluding foot orthotics) | 2 months |
Max $200 per policy
| Service | Benefits |
|---|---|
| Travel and Accommodation (200km round trip) | $40 |
$180 limit
| Service | Benefits |
|---|---|
| HCF approved pharmacy (After PBS equivalent co-payment subtracted) | Up to $50 per script |
Max $150 per policy
| Service | Benefits |
|---|---|
| Artificial aids (HCF approved e.g. low vision aids) | $45 - $150 |
$600 - $1,600 limit
| Service | Benefits |
|---|---|
| Hearing aids | $600 (benefits accrue and renew every three years) |
$150 per person max $300 per policy
| Service | Benefits |
|---|---|
| Health Management Programs (HCF approved e.g. exercise classes) | Up to $150 per person |
$150 per eligible child
| Service | Benefits |
|---|---|
| School Accident Benefit | Up to $150 per eligible child |
| Travel and Accommodation | 2 months |
| Vaccines and Immunisations | 2 months |
| Artificial aids | 12 months |
| Hearing aids | 12 months |
| Health Management Programs | 2 months |
| School Accident Benefit | 2 – 12 months |
| Foot orthotics | 12 months |
Extras cover helps reduce out-of-pocket expenses that come with managing or improving your health. Depending on which extras cover you choose, you can claim on a range of services like dental, optical, physio, weight management programs and more. Waiting periods apply and vary according to the type of service.
If you have extras cover, we’ll pay up to a set amount for extras services (like dental or optical), depending on your annual limits. The amount we’ll pay also varies depending on your level of cover. You’ll need to pay the difference between what your extras provider charges and the benefits we pay: this is an extras gap.
Getting the most out of your extras cover means more money saved, and a boost to your family’s health and wellbeing. Preventive health checks are important at any age and our wide network of extras providers makes accessing care easy. Depending on your level of cover and which service you choose, you could get 100% back** through our no-gap providers.
Restricted means hospital benefits are limited and you may have higher out-of-pocket expenses for these services and treatments.
Max 2 check ups, 2 scale and clean, and 1 fluoride treatment per person, per year
| Service | Benefits |
|---|---|
| Examinations | $32 - $73 |
| Single film x-rays | $31 |
| Removal of plaque / calculus | $36 - $64 |
| Application of fluoride | $28 |
Year 1 $800 limit
| Service | Benefits |
|---|---|
| Direct fillings (1-2 surfaces) | $85 - $105 |
| Direct fillings (3 or more surfaces) | $128 - $177 |
| Simple extractions | $95 - $143 |
| Indirect fillings | $298 - $671 |
| Surgical extractions | $165 - $260 |
| Treatment of tissue surrounding teeth | $23 - $374 |
| Treatment of root canals | $27 - $248 |
| Placing of crowns and bridges | $244 - $1,000 |
| Dentures and/or components (partial and complete) - Limits renew every 3 years | $25 - $1,100 |
$700 LIMIT for ORTHODONTISTS ($350 LIMIT if general dentist)
Lifetime limit $2,100 or $1,050 for services by dentists, other than orthodontists
| Service | Benefits |
|---|---|
| Orthodontics - orthodontist / other dentists | Up to $700/$350 |
| General Dental | 2 months |
| Major Dental | 12 months |
| Orthodontic | 12 months |
$250 limit
| Service | Benefits |
|---|---|
| Spectacle frames | 100% of fee up to annual limit |
| Spectacle lenses - pair (excludes add-ons such as high index material, coatings and tinting) | 100% of fee up to annual limit |
| Contact lenses - pair | 100% of fee up to annual limit |
| Optical | 2 months |
Year 1 $350 limit
| Service | Benefits |
|---|---|
| Physiotherapy – initial / subsequent (group / class consultations covered under Health Management Program) | $58 / $49 |
| Exercise physiology (group / class consultations covered under Health Management Program) | $33 |
Year 1 $350 limit
| Service | Benefits |
|---|---|
| Occupational therapy | $62 |
| Psychology (after Medicare Mental Health Treatment Plan used up) includes group consultations | $26/$85 |
| Psychology (when member does not have any unused Medicare Mental Health Treatment Plan in the calendar year) includes group consultations | $18/$49 |
| HCF-approved counselling & accredited mental health social worker includes group consultations | $15/$41 |
| HCF-approved Online Cognitive Behavioural Therapy courses | $35 - $59 |
Year 1 $250 limit
| Service | Benefits |
|---|---|
| Chiropractic - initial / subsequent | $40 / $33 |
| Osteopathy - initial / subsequent | $48 / $38 |
Year 1 $250 limit
Sub-limit $250 per therapy service
| Service | Benefits |
|---|---|
| Remedial massage and myotherapy - initial / subsequent | $36 / $31 |
| Acupuncture and Chinese herbal medicine consultation - initial / subsequent | $36 / $31 |
Year 1 $200 limit
| Service | Benefits |
|---|---|
| Dietetics - initial / subsequent | $45 |
| Audiology - initial / subsequent | $60 |
| Speech pathology - initial / subsequent | $60 |
| Podiatry (including 1 pair of foot orthotics per person per year) | $35 / $30 |
| Orthotist/Prosthetist and Pedorthist | $20-$100 |
| Therapies (excluding foot orthotics) | 2 months |
Max $200 per policy
| Service | Benefits |
|---|---|
| Travel and Accommodation (200km round trip) | $40 |
$180 limit
| Service | Benefits |
|---|---|
| HCF approved pharmacy (After PBS equivalent co-payment subtracted) | Up to $50 per script |
Max $150 per policy
| Service | Benefits |
|---|---|
| Artificial aids (HCF approved e.g. low vision aids) | $45 - $150 |
$600 - $1,600 limit
| Service | Benefits |
|---|---|
| Hearing aids | $600 (benefits accrue and renew every three years) |
$150 per person max $300 per policy
| Service | Benefits |
|---|---|
| Health Management Programs (HCF approved e.g. exercise classes) | Up to $150 per person |
$150 per eligible child
| Service | Benefits |
|---|---|
| School Accident Benefit | Up to $150 per eligible child |
| Travel and Accommodation | 2 months |
| Vaccines and Immunisations | 2 months |
| Artificial aids | 12 months |
| Hearing aids | 12 months |
| Health Management Programs | 2 months |
| School Accident Benefit | 2 – 12 months |
| Foot orthotics | 12 months |
Extras cover helps reduce out-of-pocket expenses that come with managing or improving your health. Depending on which extras cover you choose, you can claim on a range of services like dental, optical, physio, weight management programs and more. Waiting periods apply and vary according to the type of service.
If you have extras cover, we’ll pay up to a set amount for extras services (like dental or optical), depending on your annual limits. The amount we’ll pay also varies depending on your level of cover. You’ll need to pay the difference between what your extras provider charges and the benefits we pay: this is an extras gap.
Getting the most out of your extras cover means more money saved, and a boost to your family’s health and wellbeing. Preventive health checks are important at any age and our wide network of extras providers makes accessing care easy. Depending on your level of cover and which service you choose, you could get 100% back** through our no-gap providers.
Excluded means no hospital benefits are payable and you'll pay all out-of-pocket expenses for these services and treatments.
Max 2 check ups, 2 scale and clean, and 1 fluoride treatment per person, per year
| Service | Benefits |
|---|---|
| Examinations | $32 - $73 |
| Single film x-rays | $31 |
| Removal of plaque / calculus | $36 - $64 |
| Application of fluoride | $28 |
Year 1 $800 limit
| Service | Benefits |
|---|---|
| Direct fillings (1-2 surfaces) | $85 - $105 |
| Direct fillings (3 or more surfaces) | $128 - $177 |
| Simple extractions | $95 - $143 |
| Indirect fillings | $298 - $671 |
| Surgical extractions | $165 - $260 |
| Treatment of tissue surrounding teeth | $23 - $374 |
| Treatment of root canals | $27 - $248 |
| Placing of crowns and bridges | $244 - $1,000 |
| Dentures and/or components (partial and complete) - Limits renew every 3 years | $25 - $1,100 |
$700 LIMIT for ORTHODONTISTS ($350 LIMIT if general dentist)
Lifetime limit $2,100 or $1,050 for services by dentists, other than orthodontists
| Service | Benefits |
|---|---|
| Orthodontics - orthodontist / other dentists | Up to $700/$350 |
| General Dental | 2 months |
| Major Dental | 12 months |
| Orthodontic | 12 months |
$250 limit
| Service | Benefits |
|---|---|
| Spectacle frames | 100% of fee up to annual limit |
| Spectacle lenses - pair (excludes add-ons such as high index material, coatings and tinting) | 100% of fee up to annual limit |
| Contact lenses - pair | 100% of fee up to annual limit |
| Optical | 2 months |
Year 1 $350 limit
| Service | Benefits |
|---|---|
| Physiotherapy – initial / subsequent (group / class consultations covered under Health Management Program) | $58 / $49 |
| Exercise physiology (group / class consultations covered under Health Management Program) | $33 |
Year 1 $350 limit
| Service | Benefits |
|---|---|
| Occupational therapy | $62 |
| Psychology (after Medicare Mental Health Treatment Plan used up) includes group consultations | $26/$85 |
| Psychology (when member does not have any unused Medicare Mental Health Treatment Plan in the calendar year) includes group consultations | $18/$49 |
| HCF-approved counselling & accredited mental health social worker includes group consultations | $15/$41 |
| HCF-approved Online Cognitive Behavioural Therapy courses | $35 - $59 |
Year 1 $250 limit
| Service | Benefits |
|---|---|
| Chiropractic - initial / subsequent | $40 / $33 |
| Osteopathy - initial / subsequent | $48 / $38 |
Year 1 $250 limit
Sub-limit $250 per therapy service
| Service | Benefits |
|---|---|
| Remedial massage and myotherapy - initial / subsequent | $36 / $31 |
| Acupuncture and Chinese herbal medicine consultation - initial / subsequent | $36 / $31 |
Year 1 $200 limit
| Service | Benefits |
|---|---|
| Dietetics - initial / subsequent | $45 |
| Audiology - initial / subsequent | $60 |
| Speech pathology - initial / subsequent | $60 |
| Podiatry (including 1 pair of foot orthotics per person per year) | $35 / $30 |
| Orthotist/Prosthetist and Pedorthist | $20-$100 |
| Therapies (excluding foot orthotics) | 2 months |
Max $200 per policy
| Service | Benefits |
|---|---|
| Travel and Accommodation (200km round trip) | $40 |
$180 limit
| Service | Benefits |
|---|---|
| HCF approved pharmacy (After PBS equivalent co-payment subtracted) | Up to $50 per script |
Max $150 per policy
| Service | Benefits |
|---|---|
| Artificial aids (HCF approved e.g. low vision aids) | $45 - $150 |
$600 - $1,600 limit
| Service | Benefits |
|---|---|
| Hearing aids | $600 (benefits accrue and renew every three years) |
$150 per person max $300 per policy
| Service | Benefits |
|---|---|
| Health Management Programs (HCF approved e.g. exercise classes) | Up to $150 per person |
$150 per eligible child
| Service | Benefits |
|---|---|
| School Accident Benefit | Up to $150 per eligible child |
| Travel and Accommodation | 2 months |
| Vaccines and Immunisations | 2 months |
| Artificial aids | 12 months |
| Hearing aids | 12 months |
| Health Management Programs | 2 months |
| School Accident Benefit | 2 – 12 months |
| Foot orthotics | 12 months |
Extras cover helps reduce out-of-pocket expenses that come with managing or improving your health. Depending on which extras cover you choose, you can claim on a range of services like dental, optical, physio, weight management programs and more. Waiting periods apply and vary according to the type of service.
If you have extras cover, we’ll pay up to a set amount for extras services (like dental or optical), depending on your annual limits. The amount we’ll pay also varies depending on your level of cover. You’ll need to pay the difference between what your extras provider charges and the benefits we pay: this is an extras gap.
Getting the most out of your extras cover means more money saved, and a boost to your family’s health and wellbeing. Preventive health checks are important at any age and our wide network of extras providers makes accessing care easy. Depending on your level of cover and which service you choose, you could get 100% back** through our no-gap providers.
