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Bupa HI Pty Ltd

Top Extras 90

$217.10 / 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: Only one person.

Policy ID: BUP/I15/NBKG10

Source: Private Health Information Statement (PHIS)

Extras Cover

We have agreements with a network of dental practitioners, chiros, physios & podiatrists across Australia called Members First providers. By using them, you’ll receive at least 90% back, up to yearly limits. See http://www.bupa.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 2

$500 per policy

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

sub-limits apply

  • Initial visit: $38
  • Subsequent visit: $30
Ante-natal/Post-natal classes 2

$450 per policy

  • Initial visit: $20
  • Subsequent visit: $20
Blood glucose monitors* 12

$1,200 per policy

combined limit for blood glucose monitors, hearing aids, orthotics (podiatric orthoses) & other services

sub-limits apply

  • Per monitor: 85% of charge
Chinese medicine 2

$500 per policy

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

  • Initial visit: $32
  • Subsequent visit: $24
Chiropractic 2

$700 per policy

combined limit for chiropractic & osteopathy

  • Initial visit: $50.8
  • Subsequent visit: $35
Dietetics/dietary advice 2

$750 per policy

  • Initial visit: $57
  • Subsequent visit: $34
Endodontic 12

$1,200 per policy

combined limit for endodontic & major dental

  • Filling of one root canal: $255
Exercise physiology 2

$500 per policy

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

  • Initial visit: $32
  • Subsequent visit: $24
Eye therapy (orthoptics) 2

$750 per policy

  • Initial visit: $39
  • Subsequent visit: $28
General dental* 2

No annual limit

  • Fluoride treatment: $31.5
  • Scale & clean: $75.5
  • Surgical tooth extraction: $120
  • Periodic oral examination: $37.5
Health management / Healthy lifestyle 6

$200 per policy

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

$1,200 per policy

combined limit for blood glucose monitors, hearing aids, orthotics (podiatric orthoses) & other services

sub-limits apply

  • Hearing aid: 90% of charge
Home nursing* 2

$400 per policy

  • Initial visit: $40
  • Subsequent visit: $40
Major dental* 12

$1,200 per policy

combined limit for endodontic & major dental

  • Full crown veneered: $1200
Non PBS pharmaceuticals* 2

$750 per policy

  • Per eligible prescription: $45
Occupational therapy 2

$750 per policy

  • Initial visit: $78
  • Subsequent visit: $66.5
Optical 2

$280 per policy

  • Multi-focal lenses & frames: $280
  • Single vision lenses & frames: $262
Orthodontic 12

$1,400 per policy

$2,800 lifetime limit

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

$1,200 per policy

combined limit for blood glucose monitors, hearing aids, orthotics (podiatric orthoses) & other services

sub-limits apply

  • Orthotics supply & fit: 85% of charge
Osteopathy 2

$700 per policy

combined limit for chiropractic & osteopathy

  • Initial visit: $62.5
  • Subsequent visit: $43
Physiotherapy 2

$900 per policy

  • Initial visit: $56.5
  • Subsequent visit: $48
Podiatry 2

$750 per policy

  • Initial visit: $56
  • Subsequent visit: $41
Psychology 2

$750 per policy

  • Initial visit: $127.5
  • Subsequent visit: $119
Remedial massage 2

$500 per policy

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

sub-limits apply

  • Initial visit: $44
  • Subsequent visit: $35
Speech therapy 2

$750 per policy

  • Initial visit: $95
  • Subsequent visit: $66
Acupuncture

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per policy}

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

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $38}

{Subsequent visit: $30}

Ante-natal/Post-natal classes

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$450 per policy}

Examples of maximum benefits

{Initial visit: $20}

{Subsequent visit: $20}

Blood glucose monitors*

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,200 per policy}

{combined limit for blood glucose monitors, hearing aids, orthotics (podiatric orthoses) & other services}

{sub-limits apply}

Examples of maximum benefits

{Per monitor: 85% of charge}

Chinese medicine

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per policy}

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

Examples of maximum benefits

{Initial visit: $32}

{Subsequent visit: $24}

Chiropractic

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$700 per policy}

{combined limit for chiropractic & osteopathy}

Examples of maximum benefits

{Initial visit: $50.8}

{Subsequent visit: $35}

Dietetics/dietary advice

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$750 per policy}

Examples of maximum benefits

{Initial visit: $57}

{Subsequent visit: $34}

Endodontic

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,200 per policy}

{combined limit for endodontic & major dental}

Examples of maximum benefits

{Filling of one root canal: $255}

Exercise physiology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per policy}

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

Examples of maximum benefits

{Initial visit: $32}

{Subsequent visit: $24}

Eye therapy (orthoptics)

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$750 per policy}

Examples of maximum benefits

{Initial visit: $39}

{Subsequent visit: $28}

General dental*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{No annual limit}

Examples of maximum benefits

{Fluoride treatment: $31.5}

{Scale & clean: $75.5}

{Surgical tooth extraction: $120}

{Periodic oral examination: $37.5}

Health management / Healthy lifestyle

Waiting period:  6 months

Benefit limits per 12 months unless otherwise stated

{$200 per policy}

Examples of maximum benefits

{Health management: 50% of charge}

Hearing aids*

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,200 per policy}

{combined limit for blood glucose monitors, hearing aids, orthotics (podiatric orthoses) & other services}

{sub-limits apply}

Examples of maximum benefits

{Hearing aid: 90% of charge}

Home nursing*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per policy}

Examples of maximum benefits

{Initial visit: $40}

{Subsequent visit: $40}

Major dental*

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,200 per policy}

{combined limit for endodontic & major dental}

Examples of maximum benefits

{Full crown veneered: $1200}

Non PBS pharmaceuticals*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$750 per policy}

Examples of maximum benefits

{Per eligible prescription: $45}

Occupational therapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$750 per policy}

Examples of maximum benefits

{Initial visit: $78}

{Subsequent visit: $66.5}

Optical

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$280 per policy}

Examples of maximum benefits

{Multi-focal lenses & frames: $280}

{Single vision lenses & frames: $262}

Orthodontic

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,400 per policy}

{$2,800 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

{$1,200 per policy}

{combined limit for blood glucose monitors, hearing aids, orthotics (podiatric orthoses) & other services}

{sub-limits apply}

Examples of maximum benefits

{Orthotics supply & fit: 85% of charge}

Osteopathy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$700 per policy}

{combined limit for chiropractic & osteopathy}

Examples of maximum benefits

{Initial visit: $62.5}

{Subsequent visit: $43}

Physiotherapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$900 per policy}

Examples of maximum benefits

{Initial visit: $56.5}

{Subsequent visit: $48}

Podiatry

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$750 per policy}

Examples of maximum benefits

{Initial visit: $56}

{Subsequent visit: $41}

Psychology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$750 per policy}

Examples of maximum benefits

{Initial visit: $127.5}

{Subsequent visit: $119}

Remedial massage

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per policy}

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

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $44}

{Subsequent visit: $35}

Speech therapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$750 per policy}

Examples of maximum benefits

{Initial visit: $95}

{Subsequent visit: $66}

Online Doctors Appointments, 100% of charge up to the yearly service limit of 3 per person, benefits payable for Blua Online Doctor Appointments only, benefits are not payable for services included in the Medicare Benefit Schedule (MBS), refer to blua.bupa.com.au for more details. Travel 100% up to $100. Accommodation (per night) $40 up to $150. Where applicable, benefits will be paid under your Hospital cover (cannot claim benefits on both hospital and extras for the same trip). Eligibility criteria apply. Ante/Post-natal consultations and courses including lactation consultations, with a Bupa recognised provider in private practice. Mental health includes Psychology, Digital Mental Health, Social Work (psychological therapies), and Counselling (including Indigenous Counselling). Sub-limits apply for Digital Mental Health. Blood glucose monitors, hearing aids, orthotics, and other health aids, are payable under the Health Appliances category up to $1200 per year. Sub-limits and restrictions apply. Blood glucose monitors are payable once per year (sub-limit $600). Hearing aids are payable once every 3 years (sub-limit $850). To find out about other health appliances included and relevant sub-limits and restrictions, please contact us.

This policy does not include General treatment (Extras) cover for
Audiology
Vaccinations

Other features of this general treatment cover: We recognise your loyalty, by increasing your percentage back by 2% each year at Members First Providers, up to a maximum of 10%. At Non-Members First providers, the set benefit you receive will increase by 2% each year up to a maximum of 10%. For more details or to purchase this product contact Bupa.

Ambulance cover

In NSW & ACT this policy provides:

Emergency: With no waiting period, limited to 1 service per year.

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

Other features of this ambulance cover: You are covered for the costs associated with emergency ambulance transport services (via air or road), including on-the-spot emergency attendances where the service is provided by a Bupa recognised ambulance service capped at one trip for singles and two trips for couples memberships per calendar year. The following ambulance services are recognised by Bupa: ACT Ambulance Service, Ambulance Service of NSW, Ambulance Victoria, Queensland Ambulance Service, South Australia Ambulance Service, St John Ambulance NT, St John Ambulance WA, and Ambulance Tasmania. If you are eligible to claim from another source, a benefit won’t be paid by Bupa.

For further information about this policy see: http://www.bupa.com.au/health-insurance/cover/ambulance

Insurer Details

Bupa HI Pty Ltd

Top Extras 90

$217.10 / 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/BUP/I15/NBKG10

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