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Australian Unity Health Limited

Balanced Extras (BCE)

$122.50 / 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, including non-student dependants (2 or more people, only one of whom is an adult).

Children (0 - 17), non-classified* dependant (18 - 22), students (23 - 30) and non-students (23 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: A period during which we cover single dependants regardless of student status.

Policy ID: AUF/I43/TKGU1Y

Source: Private Health Information Statement (PHIS)

Extras Cover

Using a preferred provider means you may have lower out of pocket costs, plus discounts on some optical purchases. A preferred providers list is available from Australian Unity

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

$300 per person up to $600 per policy

combined limit for acupuncture, dietetics/dietary advice & remedial massage

  • Initial visit: 50% of charge
  • Subsequent visit: 50% of charge
Audiology 2

$300 per person up to $600 per policy

combined limit for audiology, eye therapy (orthoptics), occupational therapy, psychology & speech therapy

  • Initial visit: 50% of charge
  • Subsequent visit: 50% of charge
Blood glucose monitors* 12

$200 per person up to $400 per policy

  • Per monitor: 50% of charge
Chiropractic* 2

$400 per person up to $800 per policy

combined limit for chiropractic, exercise physiology, osteopathy & physiotherapy

  • Initial visit: 50% of charge
  • Subsequent visit: 50% of charge
Dietetics/dietary advice 2

$300 per person up to $600 per policy

combined limit for acupuncture, dietetics/dietary advice & remedial massage

  • Initial visit: 50% of charge
  • Subsequent visit: 50% of charge
Endodontic* 12

Dental limits increase 1 Jan yearly with continuous extras cover with Australian Unity: $800-$1,200 per-person, $1,600-$2,400 per-family

combined limit for endodontic, general dental & major dental

  • Filling of one root canal: 50% of charge
Exercise physiology 2

$400 per person up to $800 per policy

combined limit for chiropractic, exercise physiology, osteopathy & physiotherapy

  • Initial visit: 50% of charge
  • Subsequent visit: 50% of charge
Eye therapy (orthoptics) 2

$300 per person up to $600 per policy

combined limit for audiology, eye therapy (orthoptics), occupational therapy, psychology & speech therapy

  • Initial visit: 50% of charge
  • Subsequent visit: 50% of charge
General dental* 2

Dental limits increase 1 Jan yearly with continuous extras cover with Australian Unity: $800-$1,200 per-person, $1,600-$2,400 per-family

combined limit for endodontic, general dental & major dental

  • Fluoride treatment: 50% of charge
  • Scale & clean: 50% of charge
  • Surgical tooth extraction: 50% of charge
  • Periodic oral examination: 50% of charge
Health management / Healthy lifestyle 6

$200 per person

  • Health management: 50% of charge
Hearing aids* 12

Hearing-Aids limits increase 1 Jan yearly with continuous extras cover with Australian Unity: $400-$800 per-person, $800-$1,600 per-family refer factsheet

  • Hearing aid: 50% of charge
Major dental* 12

Dental limits increase 1 Jan yearly with continuous extras cover with Australian Unity: $800-$1,200 per-person, $1,600-$2,400 per-family

combined limit for endodontic, general dental & major dental

  • Full crown veneered: 50% of charge
Non PBS pharmaceuticals 2

$300 per person up to $600 per policy

combined limit for non pbs pharmaceuticals & vaccinations

  • Per eligible prescription: 50% of charge
Occupational therapy 2

$300 per person up to $600 per policy

combined limit for audiology, eye therapy (orthoptics), occupational therapy, psychology & speech therapy

  • Initial visit: 50% of charge
  • Subsequent visit: 50% of charge
Optical 6

$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 up to $1,200 per policy

$1,800 lifetime limit

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

$300 per person up to $600 per policy

combined limit for orthotics (podiatric orthoses) & podiatry

  • Orthotics supply & fit: 50% of charge
Osteopathy 2

$400 per person up to $800 per policy

combined limit for chiropractic, exercise physiology, osteopathy & physiotherapy

  • Initial visit: 50% of charge
  • Subsequent visit: 50% of charge
Physiotherapy 2

$400 per person up to $800 per policy

combined limit for chiropractic, exercise physiology, osteopathy & physiotherapy

  • Initial visit: 50% of charge
  • Subsequent visit: 50% of charge
Podiatry 2

$300 per person up to $600 per policy

combined limit for orthotics (podiatric orthoses) & podiatry

  • Initial visit: 50% of charge
  • Subsequent visit: 50% of charge
Psychology 2

$300 per person up to $600 per policy

combined limit for audiology, eye therapy (orthoptics), occupational therapy, psychology & speech therapy

  • Initial visit: 50% of charge
  • Subsequent visit: 50% of charge
Remedial massage 2

$300 per person up to $600 per policy

combined limit for acupuncture, dietetics/dietary advice & remedial massage

  • Initial visit: 50% of charge
  • Subsequent visit: 50% of charge
Speech therapy 2

$300 per person up to $600 per policy

combined limit for audiology, eye therapy (orthoptics), occupational therapy, psychology & speech therapy

  • Initial visit: 50% of charge
  • Subsequent visit: 50% of charge
Vaccinations* 0

$300 per person up to $600 per policy

combined limit for non pbs pharmaceuticals & vaccinations

  • Per service: 100% of charge
Acupuncture

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per person up to $600 per policy}

{combined limit for acupuncture, dietetics/dietary advice & remedial massage}

Examples of maximum benefits

{Initial visit: 50% of charge}

{Subsequent visit: 50% of charge}

Audiology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per person up to $600 per policy}

{combined limit for audiology, eye therapy (orthoptics), occupational therapy, psychology & speech therapy}

Examples of maximum benefits

{Initial visit: 50% of charge}

{Subsequent visit: 50% of charge}

Blood glucose monitors*

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

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

Examples of maximum benefits

{Per monitor: 50% of charge}

Chiropractic*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

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

{combined limit for chiropractic, exercise physiology, osteopathy & physiotherapy}

Examples of maximum benefits

{Initial visit: 50% of charge}

{Subsequent visit: 50% of charge}

Dietetics/dietary advice

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per person up to $600 per policy}

{combined limit for acupuncture, dietetics/dietary advice & remedial massage}

Examples of maximum benefits

{Initial visit: 50% of charge}

{Subsequent visit: 50% of charge}

Endodontic*

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{Dental limits increase 1 Jan yearly with continuous extras cover with Australian Unity: $800-$1,200 per-person, $1,600-$2,400 per-family}

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

Examples of maximum benefits

{Filling of one root canal: 50% of charge}

Exercise physiology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

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

{combined limit for chiropractic, exercise physiology, osteopathy & physiotherapy}

Examples of maximum benefits

{Initial visit: 50% of charge}

{Subsequent visit: 50% of charge}

Eye therapy (orthoptics)

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per person up to $600 per policy}

{combined limit for audiology, eye therapy (orthoptics), occupational therapy, psychology & speech therapy}

Examples of maximum benefits

{Initial visit: 50% of charge}

{Subsequent visit: 50% of charge}

General dental*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{Dental limits increase 1 Jan yearly with continuous extras cover with Australian Unity: $800-$1,200 per-person, $1,600-$2,400 per-family}

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

Examples of maximum benefits

{Fluoride treatment: 50% of charge}

{Scale & clean: 50% of charge}

{Surgical tooth extraction: 50% of charge}

{Periodic oral examination: 50% of charge}

Health management / Healthy lifestyle

Waiting period:  6 months

Benefit limits per 12 months unless otherwise stated

{$200 per person}

Examples of maximum benefits

{Health management: 50% of charge}

Hearing aids*

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{Hearing-Aids limits increase 1 Jan yearly with continuous extras cover with Australian Unity: $400-$800 per-person, $800-$1,600 per-family refer factsheet}

Examples of maximum benefits

{Hearing aid: 50% of charge}

Major dental*

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{Dental limits increase 1 Jan yearly with continuous extras cover with Australian Unity: $800-$1,200 per-person, $1,600-$2,400 per-family}

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

Examples of maximum benefits

{Full crown veneered: 50% of charge}

Non PBS pharmaceuticals

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per person up to $600 per policy}

{combined limit for non pbs pharmaceuticals & vaccinations}

Examples of maximum benefits

{Per eligible prescription: 50% of charge}

Occupational therapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per person up to $600 per policy}

{combined limit for audiology, eye therapy (orthoptics), occupational therapy, psychology & speech therapy}

Examples of maximum benefits

{Initial visit: 50% of charge}

{Subsequent visit: 50% of charge}

Optical

Waiting period:  6 months

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 up to $1,200 per policy}

{$1,800 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

{$300 per person up to $600 per policy}

{combined limit for orthotics (podiatric orthoses) & podiatry}

Examples of maximum benefits

{Orthotics supply & fit: 50% of charge}

Osteopathy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

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

{combined limit for chiropractic, exercise physiology, osteopathy & physiotherapy}

Examples of maximum benefits

{Initial visit: 50% of charge}

{Subsequent visit: 50% of charge}

Physiotherapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

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

{combined limit for chiropractic, exercise physiology, osteopathy & physiotherapy}

Examples of maximum benefits

{Initial visit: 50% of charge}

{Subsequent visit: 50% of charge}

Podiatry

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per person up to $600 per policy}

{combined limit for orthotics (podiatric orthoses) & podiatry}

Examples of maximum benefits

{Initial visit: 50% of charge}

{Subsequent visit: 50% of charge}

Psychology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per person up to $600 per policy}

{combined limit for audiology, eye therapy (orthoptics), occupational therapy, psychology & speech therapy}

Examples of maximum benefits

{Initial visit: 50% of charge}

{Subsequent visit: 50% of charge}

Remedial massage

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per person up to $600 per policy}

{combined limit for acupuncture, dietetics/dietary advice & remedial massage}

Examples of maximum benefits

{Initial visit: 50% of charge}

{Subsequent visit: 50% of charge}

Speech therapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per person up to $600 per policy}

{combined limit for audiology, eye therapy (orthoptics), occupational therapy, psychology & speech therapy}

Examples of maximum benefits

{Initial visit: 50% of charge}

{Subsequent visit: 50% of charge}

Vaccinations*

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$300 per person up to $600 per policy}

{combined limit for non pbs pharmaceuticals & vaccinations}

Examples of maximum benefits

{Per service: 100% of charge}

Annual benefit limits apply per calendar year. Myotherapy - 50% per consultation, maximum $300 per person, $600 per family (combined limit - see Acupuncture), 2 month waiting period. Braces, Splints and Garments - up to 50% of the cost, maximum $300 per person, $600 per family (combined limit - see Podiatry), 12 month waiting period. Devices and aids: Asthma pumps, Peak flow meters, Blood pressure monitors, Tens machines, CPAP/BPAP devices, Non-surgical prosthesis - up to 50% of cost, maximum $200 per person, $400 per family (combined limit - see Blood glucose monitors), 12 month waiting period. Benefit for each item is payable every 2 calendar years (does not apply to wigs). Wheelchairs and crutches - up to 50% of cost, maximum $200 per person, $400 per family (combined limit - see Blood glucose monitors), 2 months waiting period. There are Preventative Health Services available on this cover. Please refer to the product Fact Sheet or contact Australian Unity for further details.

This policy does not include General treatment (Extras) cover for
Ante-natal/Post-natal classes
Chinese medicine
Home nursing

Other features of this general treatment cover: Please refer to the product Fact Sheet or contact Australian Unity for further details.

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: Some authorities provide certain ambulance services at no cost to eligible residents. Refer to your local ambulance provider for more information. Australian Unity won't pay a Benefit if you're eligible to claim from, or are covered by, another source. Australian Unity doesn't pay a benefit towards ambulance subscription services. If you’re not covered, this cover includes emergency ambulance to hospital, if transport is coded and invoiced as emergency transport by a state/territory ambulance service/authority. Call-out fees where you're not taken to hospital are unlimited for ambulance attendances per person per calendar year. This cover doesn't include non-emergency ambulance transportation

Insurer Details

Australian Unity Health Limited

Balanced Extras (BCE)

$122.50 / month

(Before Rebate, Discount & Loading)

Available in TAS

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/AUF/I43/TKGU1Y

Balanced Extras (BCE)

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