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Defence Health Limited

Flex Extras

Restricted Insurer

$56.00 / month

(Before Rebate, Discount & Loading)

Available in NSW & ACT

You may be entitled to an Australian Government Rebate on the above premium. Your premium may also include an insurer discount. Check with your insurer for details.

This policy covers: Dependants only (2 or more people, none of whom is an adult).

Children (0 - 17), non-classified* dependant (18 - 20), students (21 - 30) and non-students (21 to 30), as well as persons with a disability who qualify as a child, non-classified* dependant, student and non-student in these age ranges. *Non-classified dependant: We continue to keep kids covered, no questions asked, until they turn 21.

Restricted insurer: Membership of this insurer is restricted to current or former members of the ADF and the Defence community and their families.

Policy ID: AHB/I8/NLTO0D

Source: Private Health Information Statement (PHIS)

Extras Cover

Visit a network dentist for quality dental care at special member prices. Plus, network optical providers offer no-gap glasses and discounts on other optical purchases up to the optical limit. See https://www.defencehealth.com.au/Health-Insurance/Find-Providers-and-Hospitals.

This policy includes General treatment (Extras) cover for
Treatment & waiting period (months)
Benefit limits per 12 months unless otherwise stated
Examples of maximum benefits
Acupuncture 2

$200 per person

combined limit for acupuncture, remedial massage & other services

  • Initial visit: $76
  • Subsequent visit: $62
Chiropractic 2

$250 per person

combined limit for chiropractic & osteopathy

  • Initial visit: $66
  • Subsequent visit: $43
Endodontic 12

$600 per person

combined limit for endodontic, general dental & major dental

  • Filling of one root canal: $117.4
Exercise physiology 2

$350 per person

combined limit for exercise physiology & physiotherapy

  • Initial visit: $77
  • Subsequent visit: $54
General dental 2

$600 per person

combined limit for endodontic, general dental & major dental

  • Fluoride treatment: $20.6
  • Scale & clean: $70.8
  • Periodic oral examination: $37.6
Major dental 12

$600 per person

combined limit for endodontic, general dental & major dental

  • Surgical tooth extraction: $124.7
  • Full crown veneered: $600
Non PBS pharmaceuticals 2

$100 per person

combined limit for non pbs pharmaceuticals & vaccinations

  • Per eligible prescription: $60
Optical 2

$200 per person

  • Multi-focal lenses & frames: 100% of charge
  • Single vision lenses & frames: 100% of charge
Osteopathy 2

$250 per person

combined limit for chiropractic & osteopathy

  • Initial visit: $80
  • Subsequent visit: $65
Physiotherapy 2

$350 per person

combined limit for exercise physiology & physiotherapy

  • Initial visit: $97
  • Subsequent visit: $79
Psychology 2

$200 per person

  • Initial visit: $200
  • Subsequent visit: $165
Remedial massage 2

$200 per person

combined limit for acupuncture, remedial massage & other services

  • Initial visit: $60
  • Subsequent visit: $52
Vaccinations 2

$100 per person

combined limit for non pbs pharmaceuticals & vaccinations

  • Per service: $60
Acupuncture

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$200 per person}

{combined limit for acupuncture, remedial massage & other services}

Examples of maximum benefits

{Initial visit: $76}

{Subsequent visit: $62}

Chiropractic

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$250 per person}

{combined limit for chiropractic & osteopathy}

Examples of maximum benefits

{Initial visit: $66}

{Subsequent visit: $43}

Endodontic

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$600 per person}

{combined limit for endodontic, general dental & major dental}

Examples of maximum benefits

{Filling of one root canal: $117.4}

Exercise physiology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per person}

{combined limit for exercise physiology & physiotherapy}

Examples of maximum benefits

{Initial visit: $77}

{Subsequent visit: $54}

General dental

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$600 per person}

{combined limit for endodontic, general dental & major dental}

Examples of maximum benefits

{Fluoride treatment: $20.6}

{Scale & clean: $70.8}

{Periodic oral examination: $37.6}

Major dental

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$600 per person}

{combined limit for endodontic, general dental & major dental}

Examples of maximum benefits

{Surgical tooth extraction: $124.7}

{Full crown veneered: $600}

Non PBS pharmaceuticals

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$100 per person}

{combined limit for non pbs pharmaceuticals & vaccinations}

Examples of maximum benefits

{Per eligible prescription: $60}

Optical

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$200 per person}

Examples of maximum benefits

{Multi-focal lenses & frames: 100% of charge}

{Single vision lenses & frames: 100% of charge}

Osteopathy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$250 per person}

{combined limit for chiropractic & osteopathy}

Examples of maximum benefits

{Initial visit: $80}

{Subsequent visit: $65}

Physiotherapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per person}

{combined limit for exercise physiology & physiotherapy}

Examples of maximum benefits

{Initial visit: $97}

{Subsequent visit: $79}

Psychology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$200 per person}

Examples of maximum benefits

{Initial visit: $200}

{Subsequent visit: $165}

Remedial massage

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$200 per person}

{combined limit for acupuncture, remedial massage & other services}

Examples of maximum benefits

{Initial visit: $60}

{Subsequent visit: $52}

Vaccinations

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$100 per person}

{combined limit for non pbs pharmaceuticals & vaccinations}

Examples of maximum benefits

{Per service: $60}

Myotherapy added to combined Remedial Massage and Acupuncture limit, initial consultation up to $68, subsequent consultation up to $58. Group Physiotherapy sessions up to $29 and Group Exercise Physiology sessions up to $18, both part of combined Physiotherapy and Exercise Physiology limit. Benefits covered for Online Cognitive Behavioural Therapy Courses, up to $50 per course combined with Psychology limit.

This policy does not include General treatment (Extras) cover for
Ante-natal/Post-natal classes
Audiology
Blood glucose monitors
Chinese medicine
Dietetics/dietary advice
Eye therapy (orthoptics)
Health management / Healthy lifestyle
Hearing aids
Home nursing
Occupational therapy
Orthodontic
Orthotics (podiatric orthoses)
Podiatry
Speech therapy

Other features of this general treatment cover: Myotherapy added to combined Remedial Massage and Acupuncture limit. Group Physiotherapy sessions and Group Exercise Physiology both under combined Physiotherapy and Exercise Physiology limit. Benefits covered for Online Cognitive Behavioural Therapy Courses are covered under Psychology limit.

For further information about this policy see: https://www.defencehealth.com.au/

Ambulance cover

In NSW & ACT this policy provides:

Emergency: Unlimited with a waiting period of 2 months.

Non-emergency: Unlimited transport with a waiting period of 2 months.

Call-out fees: Will be paid for each attendance, including emergency treatment without transport to hospital.

Other features of this ambulance cover: Comprehensive cover for ambulance services by state-appointed ambulance providers across Australia. This includes emergency services, non-emergency dispatch, mobile intensive care and air and sea ambulance services. Non-emergency services are those that are classed as clinically necessary; for example, you need to be monitored by a paramedic during transport. Patient transfer services and transport services by Patient Transport vehicles are not ambulance services and are not claimable.

For further information about this policy see: https://www.defencehealth.com.au/

Insurer Details

Defence Health Limited

Flex Extras

Restricted Insurer

$56.00 / month

(Before Rebate, Discount & Loading)

Available in NSW & ACT

Disclaimer: This document is not a Private Health Information Statement (PHIS), and it is not intended to replace that document. The details contained in the healthslips.com.au Policy Information was provided by the insurer to the Australian Government. It is intended as general information. It may not take into account your circumstances. For further information contact the insurer. Information used is Licensed from the Commonwealth of Australia under a Creative Commons 3.0 licence.Private Health Information Statement is available from the Private Health Insurance Ombudsman website at https://privatehealth.gov.au/dynamic/Premium/PHIS/AHB/I8/NLTO0D

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