Affordable day to day health support
Genuine value cover, that provides support across a broad range of services, with no exclusions or barriers based on existing conditions.
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Optical 50% up to $250
Optometrist eye examinations, prescription glasses and contact lenses (where there has been a change in vision). The effective date for the claim is the date of the prescribing eye examination, not the date of purchase or supply of the prescription glasses or contact lenses.
Waiting period: 6 months
Benefit maximum: 50% up to $250
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Medical, Specialists and Tests 50% up to $750
Prescription medicines and laboratory tests ($10 per item limit), GP visits, Specialist consultations and diagnostic tests including: X-rays, Ultrasound (not obstetric), mammograms, prostate checks, and skin checks (not mole mapping). Ambulance fees. Flu vaccinations (all other vaccinations excluded).
Waiting period: 3 months
Benefit maximum: 50% up to $750
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Complementary Medical 50% up to $400
Physiotherapy, chiropractic, osteopathy, podiatry, acupuncture, naturopathy, homeopathy, psychology, psychotherapy, counselling, drug and alcohol therapy, dietitian and nutritionist consultations, lymphoedema therapy, allergy testing and chelation therapy, audiology, occupational therapy, speech-language therapy, infertility/sterilisation.
Waiting period: 3 months
Benefit maximum: 50% up to $400
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Hospital Treatment 50% up to $700 ($500 maximum applies for excess reimbursement)
A contribution towards the cost of private hospital treatment. Includes surgeon’s fee, anaesthetist’s fee and private hospital charges.
Excess reimbursement. Excludes oral surgery.
Waiting period: 3 months
Benefit maximum: 50% up to $700 ($500 maximum applies for excess reimbursement)
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Major Diagnostic Imaging 50% up to $600
A contribution towards the cost of CT scans, MRI scans and Angiograms.
Waiting period: 6 months
Benefit maximum: 50% up to $600
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Medical Appliance 50% up to $400
Specified items prescribed by a GP, Specialist or Hospital. Includes: hearing aids, prosthesis (not related to surgery), toric and irlen lenses, aids for the control of diabetes or lung disease, Epipens, CPAP Machine/Mask, compression stockings/sleeves, specially made footwear, baby monitor or any equipment for the disabled.
Waiting period: 3 months
Benefit maximum: 50% up to $400
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Orthodontic Treatment 30% up to $750 per child ($1500 maximum for the duration of the subscriber’s membership)
A contribution towards the cost of orthodontic consultations and treatment for Insured Children.
Waiting period: 12 months
Benefit maximum: 30% up to $750 per child ($1500 maximum for the duration of the subscriber’s membership)
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Sick Leave Without Pay $50 per week plus $5 per insured child up to $60 per week, for a maximum of 26 weeks.
Where the Subscriber is required to take sick leave without pay due to illness.
Waiting period: 12 months
Benefit maximum: $50 per week plus $5 per insured child up to $60 per week, for a maximum of 26 weeks.
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Birth Grant $200
A lump sum payment for each live child born to a Subscriber or their partner; or for each child adopted by a Subscriber or their partner.
Waiting period: 12 months
Benefit maximum: $200
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Bereavement Grant $1,000
A lump sum payment on the death of an Insured Adult or Child (including still birth).
Waiting period: 3 months
Benefit maximum: $1,000
— I want to update my plan
If you need more cover, we make it easy to upgrade to more benefits with our Primary Care Extra Upgrade Form. Or if your family status has changed, it is easy to add your partner or children (up to 21 yrs old) to your health plan with our Additional Members Form.
But make sure you choose the right plan for your needs by using our Compare Our Plans page.
Primary Care documents
We have grouped together the most commonly requested documents and the latest version of the policy document.