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Bupa HI Pty Ltd

Standard Extras

$64.25 / month

(Before Rebate, Discount & Loading)

Available in NT

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 - 31), as well as persons with a disability who qualify as a child, non-classified* dependant and student in these age ranges. *Non-classified dependant: A non-classified dependent person will be treated as a Dependent Child for the purpose of cover and benefits. Details of study status are required for dependants from age 21.

Policy ID: BUP/I5/DBRN1D

Source: Private Health Information Statement (PHIS)

Extras Cover

We have agreements with a network of dental practitioners, chiros & physios across Australia called Members First providers. By using them, in most cases you’ll receive up to 60% 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

$350 per person up to $700 per policy

combined limit for acupuncture, chiropractic, osteopathy & physiotherapy

  • Initial visit: $22
  • Subsequent visit: $16
Chiropractic* 2

$350 per person up to $700 per policy

combined limit for acupuncture, chiropractic, osteopathy & physiotherapy

  • Initial visit: $26.25
  • Subsequent visit: $17
Endodontic 12

$500 per person

combined limit for endodontic, general dental & major dental

  • Filling of one root canal: $100
General dental* 2

$500 per person

combined limit for endodontic, general dental & major dental

  • Fluoride treatment: $13.5
  • Scale & clean: $41
  • Surgical tooth extraction: $65
  • Periodic oral examination: $19
Major dental* 12

$500 per person

combined limit for endodontic, general dental & major dental

  • Full crown veneered: $460
Optical 2

$150 per person

  • Multi-focal lenses & frames: $150
  • Single vision lenses & frames: $145
Osteopathy* 2

$350 per person up to $700 per policy

combined limit for acupuncture, chiropractic, osteopathy & physiotherapy

  • Initial visit: $32.5
  • Subsequent visit: $21
Physiotherapy 2

$350 per person up to $700 per policy

combined limit for acupuncture, chiropractic, osteopathy & physiotherapy

  • Initial visit: $27
  • Subsequent visit: $20.5
Acupuncture

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

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

{combined limit for acupuncture, chiropractic, osteopathy & physiotherapy}

Examples of maximum benefits

{Initial visit: $22}

{Subsequent visit: $16}

Chiropractic*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

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

{combined limit for acupuncture, chiropractic, osteopathy & physiotherapy}

Examples of maximum benefits

{Initial visit: $26.25}

{Subsequent visit: $17}

Endodontic

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$500 per person}

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

Examples of maximum benefits

{Filling of one root canal: $100}

General dental*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per person}

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

Examples of maximum benefits

{Fluoride treatment: $13.5}

{Scale & clean: $41}

{Surgical tooth extraction: $65}

{Periodic oral examination: $19}

Major dental*

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$500 per person}

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

Examples of maximum benefits

{Full crown veneered: $460}

Optical

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$150 per person}

Examples of maximum benefits

{Multi-focal lenses & frames: $150}

{Single vision lenses & frames: $145}

Osteopathy*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

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

{combined limit for acupuncture, chiropractic, osteopathy & physiotherapy}

Examples of maximum benefits

{Initial visit: $32.5}

{Subsequent visit: $21}

Physiotherapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

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

{combined limit for acupuncture, chiropractic, osteopathy & physiotherapy}

Examples of maximum benefits

{Initial visit: $27}

{Subsequent visit: $20.5}

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.

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

Other features of this general treatment cover: The longer you're with Bupa, the more you get back. For selected services, your yearly limit increases each calendar year, up to a set amount.

Ambulance cover

Pensioner Concession Card and Commonwealth Seniors Health Card holders are entitled to free ambulance transport services. St John's ambulance offers a subscription service for ambulance cover in the Northern Territory (https://www.stjohnnt.org.au/ambulance/ambulance-cover.php). Cover is included whilst interstate for less than 21 days.

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

Insurer Details

Bupa HI Pty Ltd

Standard Extras

$64.25 / month

(Before Rebate, Discount & Loading)

Available in NT

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/I5/DBRN1D

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