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ahm health insurance

Lifestyle Extras

$113.60 / month

(Before Rebate, Discount & Loading)

Available in TAS

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 (2 or more people, only one of whom is an adult).

Children (0 - 17), non-classified* dependant (18 - 20) and students (21 - 30), as well as persons with a disability who qualify as a child, non-classified* dependant and student in these age ranges. *Non-classified dependant: ahm covers child dependants up to the age of 21.

Policy ID: AHM/I5/T0000P

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 up to $800 per policy

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

  • Initial visit: $26
  • Subsequent visit: $26
Chinese medicine 0

$400 per person up to $800 per policy

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

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

$350 per person up to $875 per policy

  • Initial visit: $42
  • Subsequent visit: $32
Dietetics/dietary advice 0

$400 per person up to $800 per policy

  • Initial visit: $45
  • Subsequent visit: $30
Endodontic 12

$600 per person up to $1,200 per policy

  • Filling of one root canal: $120.55
Exercise physiology 0

$400 per person up to $800 per policy

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

  • Initial visit: $26
  • Subsequent visit: $26
General dental 0

$500 per person up to $1,000 per policy

sub-limits apply

  • Fluoride treatment: $25.5
  • Scale & clean: $74.45
  • Surgical tooth extraction: $99
  • Periodic oral examination: $34.65
Health management / Healthy lifestyle 0

$250 per person up to $500 per policy

  • Health management: $15
Major dental 12

$750 per person up to $1,500 per policy

  • Full crown veneered: $510
Non PBS pharmaceuticals 0

$350 per person up to $700 per policy

  • Per eligible prescription: $50
Optical 0

$200 per person up to $400 per policy

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

$600 per person

$1,800 lifetime limit

  • Braces for upper & lower teeth, including removal plus fitting of retainer: 100% of charge
Osteopathy 0

$350 per person up to $875 per policy

  • Initial visit: $42
  • Subsequent visit: $32
Physiotherapy 0

$350 per person up to $875 per policy

  • Initial visit: $42
  • Subsequent visit: $32
Psychology 0

$250 per person up to $500 per policy

  • Initial visit: $71
  • Subsequent visit: $45
Remedial massage 0

$400 per person up to $800 per policy

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

  • Initial visit: $31
  • Subsequent visit: $31
Acupuncture

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$400 per person up to $800 per policy}

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

Examples of maximum benefits

{Initial visit: $26}

{Subsequent visit: $26}

Chinese medicine

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$400 per person up to $800 per policy}

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

Examples of maximum benefits

{Initial visit: $26}

{Subsequent visit: $26}

Chiropractic

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$350 per person up to $875 per policy}

Examples of maximum benefits

{Initial visit: $42}

{Subsequent visit: $32}

Dietetics/dietary advice

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$400 per person up to $800 per policy}

Examples of maximum benefits

{Initial visit: $45}

{Subsequent visit: $30}

Endodontic

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$600 per person up to $1,200 per policy}

Examples of maximum benefits

{Filling of one root canal: $120.55}

Exercise physiology

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$400 per person up to $800 per policy}

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

Examples of maximum benefits

{Initial visit: $26}

{Subsequent visit: $26}

General dental

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$500 per person up to $1,000 per policy}

{sub-limits apply}

Examples of maximum benefits

{Fluoride treatment: $25.5}

{Scale & clean: $74.45}

{Surgical tooth extraction: $99}

{Periodic oral examination: $34.65}

Health management / Healthy lifestyle

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$250 per person up to $500 per policy}

Examples of maximum benefits

{Health management: $15}

Major dental

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$750 per person up to $1,500 per policy}

Examples of maximum benefits

{Full crown veneered: $510}

Non PBS pharmaceuticals

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$350 per person up to $700 per policy}

Examples of maximum benefits

{Per eligible prescription: $50}

Optical

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$200 per person up to $400 per policy}

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

{$600 per person}

{$1,800 lifetime limit}

Examples of maximum benefits

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

Osteopathy

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$350 per person up to $875 per policy}

Examples of maximum benefits

{Initial visit: $42}

{Subsequent visit: $32}

Physiotherapy

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$350 per person up to $875 per policy}

Examples of maximum benefits

{Initial visit: $42}

{Subsequent visit: $32}

Psychology

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$250 per person up to $500 per policy}

Examples of maximum benefits

{Initial visit: $71}

{Subsequent visit: $45}

Remedial massage

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$400 per person up to $800 per policy}

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

Examples of maximum benefits

{Initial visit: $31}

{Subsequent visit: $31}

This cover also includes Hypnotherapy ($71 for initial consultations and $45 for subsequent consultations) and 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 and Exercise classes. 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
Ante-natal/Post-natal classes
Audiology
Blood glucose monitors
Eye therapy (orthoptics)
Hearing aids
Home nursing
Occupational therapy
Orthotics (podiatric orthoses)
Podiatry
Speech therapy
Vaccinations

Ambulance cover

Ambulance cover is provided by the State government for residents of Tasmania. This may include cover whilst interstate, except for South Australia and Queensland where no cover applies. In other states please check with Ambulance Tasmania - https://www.health.tas.gov.au/ambulance/fees_and_accounts.

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

Lifestyle Extras

$113.60 / month

(Before Rebate, Discount & Loading)

Available in TAS

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/I5/T0000P

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