Are you getting the benefit
Our Primary Care Extra Plan puts more money back in your pocket – up to $2000 a year – every time you see your GP, optician, physio, or a range of other health providers. Even some specialist visits are covered, along with screening tests.
It has all the benefits available in the Primary Care plan plus;
- Dental treatment
- Travel and other vaccinations
- Some increased benefit maximums
- Mole mapping
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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 (where there has been a change in vision).
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. Includes 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
Primary Care Extra documents
We have grouped together the most commonly requested documents and the latest version of the policy document.