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ahm health insurance

Super Extras

$250.30 / month

(Before Rebate, Discount & Loading)

Available in WA

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: One adult & dependants, including non-student dependants (2 or more people, only one 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: ahm covers child dependants up to the age of 21.

Policy ID: AHM/I3/WCDP1Y

Source: Private Health Information Statement (PHIS)

Extras Cover

ahm Health Insurance does not operate a preferred provider scheme. Included Extras benefits apply to any recognised provider. See https://members.ahm.com.au/find-a-provider.

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 0

$400 per person

combined limit for acupuncture, chinese medicine, exercise physiology, remedial massage & other services

  • Initial visit: $28
  • Subsequent visit: $28
Ante-natal/Post-natal classes 0

No annual limit

  • Initial visit: $26
  • Subsequent visit: $26
Audiology 0

$300 per person

  • Initial visit: $32
  • Subsequent visit: $25
Chinese medicine 0

$400 per person

combined limit for acupuncture, chinese medicine, exercise physiology, remedial massage & other services

  • Initial visit: $28
  • Subsequent visit: $28
Chiropractic 0

$400 per person

  • Initial visit: $44
  • Subsequent visit: $34
Dietetics/dietary advice 0

$400 per person

  • Initial visit: $45
  • Subsequent visit: $32
Endodontic 12

$1,000 per person

  • Filling of one root canal: $142.45
Exercise physiology 0

$400 per person

combined limit for acupuncture, chinese medicine, exercise physiology, remedial massage & other services

  • Initial visit: $28
  • Subsequent visit: $28
Eye therapy (orthoptics) 0

$300 per person

  • Initial visit: $32
  • Subsequent visit: $25
General dental 0

No annual limit

sub-limits apply

  • Fluoride treatment: $26.5
  • Scale & clean: $78.5
  • Surgical tooth extraction: $126.25
  • Periodic oral examination: $39.75
Health management / Healthy lifestyle 0

$250 per person

  • Health management: $10
Hearing aids 12

$1,600 per person

sub-limits apply

  • Hearing aid: $800
Major dental 12

$1,100 per person

sub-limits apply

  • Full crown veneered: $685.95
Non PBS pharmaceuticals 0

$500 per person

  • Per eligible prescription: $60
Occupational therapy 0

$300 per person

  • Initial visit: $34
  • Subsequent visit: $30
Optical 0

$250 per person

  • Multi-focal lenses & frames: 100% of charge
  • Single vision lenses & frames: 100% of charge
Orthodontic 12

$900 per person

$2,900 lifetime limit

  • Braces for upper & lower teeth, including removal plus fitting of retainer: 100% of charge
Orthotics (podiatric orthoses) 12

$200 per person

  • Orthotics supply & fit: 100% of charge
Osteopathy 0

$400 per person

  • Initial visit: $44
  • Subsequent visit: $34
Physiotherapy 0

$600 per person

  • Initial visit: $44
  • Subsequent visit: $34
Podiatry 0

$300 per person

  • Initial visit: $38
  • Subsequent visit: $30
Psychology 0

$300 per person

  • Initial visit: $81
  • Subsequent visit: $46
Remedial massage 0

$400 per person

combined limit for acupuncture, chinese medicine, exercise physiology, remedial massage & other services

  • Initial visit: $33
  • Subsequent visit: $33
Speech therapy 0

$300 per person

  • Initial visit: $60
  • Subsequent visit: $30
Acupuncture

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for acupuncture, chinese medicine, exercise physiology, remedial massage & other services}

Examples of maximum benefits

{Initial visit: $28}

{Subsequent visit: $28}

Ante-natal/Post-natal classes

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{No annual limit}

Examples of maximum benefits

{Initial visit: $26}

{Subsequent visit: $26}

Audiology

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$300 per person}

Examples of maximum benefits

{Initial visit: $32}

{Subsequent visit: $25}

Chinese medicine

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for acupuncture, chinese medicine, exercise physiology, remedial massage & other services}

Examples of maximum benefits

{Initial visit: $28}

{Subsequent visit: $28}

Chiropractic

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$400 per person}

Examples of maximum benefits

{Initial visit: $44}

{Subsequent visit: $34}

Dietetics/dietary advice

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$400 per person}

Examples of maximum benefits

{Initial visit: $45}

{Subsequent visit: $32}

Endodontic

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per person}

Examples of maximum benefits

{Filling of one root canal: $142.45}

Exercise physiology

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for acupuncture, chinese medicine, exercise physiology, remedial massage & other services}

Examples of maximum benefits

{Initial visit: $28}

{Subsequent visit: $28}

Eye therapy (orthoptics)

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$300 per person}

Examples of maximum benefits

{Initial visit: $32}

{Subsequent visit: $25}

General dental

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{No annual limit}

{sub-limits apply}

Examples of maximum benefits

{Fluoride treatment: $26.5}

{Scale & clean: $78.5}

{Surgical tooth extraction: $126.25}

{Periodic oral examination: $39.75}

Health management / Healthy lifestyle

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$250 per person}

Examples of maximum benefits

{Health management: $10}

Hearing aids

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,600 per person}

{sub-limits apply}

Examples of maximum benefits

{Hearing aid: $800}

Major dental

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,100 per person}

{sub-limits apply}

Examples of maximum benefits

{Full crown veneered: $685.95}

Non PBS pharmaceuticals

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$500 per person}

Examples of maximum benefits

{Per eligible prescription: $60}

Occupational therapy

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$300 per person}

Examples of maximum benefits

{Initial visit: $34}

{Subsequent visit: $30}

Optical

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$250 per person}

Examples of maximum benefits

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

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

Orthodontic

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$900 per person}

{$2,900 lifetime limit}

Examples of maximum benefits

{Braces for upper & lower teeth, including removal plus fitting of retainer: 100% of charge}

Orthotics (podiatric orthoses)

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$200 per person}

Examples of maximum benefits

{Orthotics supply & fit: 100% of charge}

Osteopathy

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$400 per person}

Examples of maximum benefits

{Initial visit: $44}

{Subsequent visit: $34}

Physiotherapy

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$600 per person}

Examples of maximum benefits

{Initial visit: $44}

{Subsequent visit: $34}

Podiatry

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$300 per person}

Examples of maximum benefits

{Initial visit: $38}

{Subsequent visit: $30}

Psychology

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$300 per person}

Examples of maximum benefits

{Initial visit: $81}

{Subsequent visit: $46}

Remedial massage

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for acupuncture, chinese medicine, exercise physiology, remedial massage & other services}

Examples of maximum benefits

{Initial visit: $33}

{Subsequent visit: $33}

Speech therapy

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$300 per person}

Examples of maximum benefits

{Initial visit: $60}

{Subsequent visit: $30}

This cover also includes Joint fluid replacement injections, Medical gases, Travel & Accommodation, Post operative and medical aids and Outpatient procedure room fees. Health Improvement Benefits including: Yoga, Pilates, Quit Smoking, Disease management association fees, Cancer Council UV products, Stress management courses, Preventative tests, scans and screenings, Health checks, Exercise classes and Swimming lessons. This product also includes unlimited emergency ambulance and Counselling services. Conditions and annual limits apply. Please refer to product guide for more details.

This policy does not include General treatment (Extras) cover for
Blood glucose monitors
Home nursing
Vaccinations

Ambulance cover

In WA this policy provides:

Emergency: Unlimited with a waiting period of 1 day.

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

Other features of this ambulance cover: Unlimited benefits for medically necessary ambulance trips to the nearest hospital that is able to provide the level of care you require. TAS and QLD have State schemes to cover ambulance services for residents of those States.

Insurer Details

ahm health insurance

Super Extras

$250.30 / month

(Before Rebate, Discount & Loading)

Available in WA

ahm health insurance

http://www.ahm.com.au

134 246

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/AHM/I3/WCDP1Y

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