The most comprehensive ‘day-to-day’ plan
An exclusively unique plan for participating union members of NZEI, PPTA, PSA, TEU, TIASA & ISEA, and their family members to help reduce the costs of a wide range of healthcare treatments including dental, optical, physiotherapy, GP's and prescriptions, health screening, and other benefits.
All pre-existing conditions are covered and you can get excess reimbursement on approved Hospital Cover policies ($500 maximum applies)*. Plus, FREE access to our personalised wellbeing program.
With Primary Care Extra you can get up to
$2,000 of benefits
collectively for dental, optical, GP cost, specialist & test, mole mapping and complementary medical.
Plus many more benefits from just $5.86** per week
Get a quote-
Dental Treatment 50% up to $250
Includes dental examinations, x-rays, cleaning/polishing performed by a Dentist, Oral Surgeon or Dental Hygienist. Includes fillings and teeth extraction (excluding wisdom teeth) performed by a Dentist or Oral Surgeon. Includes periodontic and endodontic treatment.
Crowns, dental implants and dentures are not included. Veneers, gold fillings or other forms of cosmetic dentistry are not included. Orthodontic treatment is not included (refer Orthodontic Benefit).
Waiting period: 6 months
Benefit maximum: 50% up to $250
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Optical 50% up to $250
Optometrist eye examinations, prescription glasses and contact lenses.
Waiting period: 6 months
Benefit maximum: 50% up to $250
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Medical, Specialists and Tests 50% up to $1000
Prescription medicines and laboratory tests ($20 per item limit), GP visits, Specialist consultations and diagnostic tests including: X-rays, Ultrasound (not obstetric), mammograms, prostate checks, and skin checks. Mole Mapping is included. Ambulance fees. Travel/consultations and other vaccinations are included (subject to a Sub-limit of 50% reimbursement of actual costs incurred up to $100 per Calendar Year).
Waiting period: 3 months
Benefit maximum: 50% up to $1000
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Complementary Medical 50% up to $500
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 $500
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Hospital Treatment 50% up to $1000 ($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 $1000 ($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 $1000
A lump sum payment on the death of an Insured Adult or Child (including still birth).
Waiting period: 3 months
Benefit maximum: $1000
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A Personalised Wellbeing Program
Get ongoing health & wellbeing advice, tailored to your age and situation - such as articles, videos and tips - as well as ongoing challenges that you can take yourself, or with family & friends.
And whenever you take action to invest in your wellbeing - you can also earn points towards a range of exclusive 'wellbeing' discounts and rewards!
— I want to update my plan
If your circumstances change, we have you covered when it comes to our three Primary Cover Plans. We're here to give you and your family a better deal for better health.
So 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.
Add Family Members
Primary Care Extra documents
We have grouped together the most commonly requested documents and the latest version of the policy document.