Bupa HI Pty Ltd

Simple Start - Basic Plus

Name: Simple Start - Basic Plus
Brand: Bupa HI Pty Ltd
Price: 321.1 AUD

$321.10 / month

(Before Rebate, Discount & Loading)

Available in VIC

134 135 Sponsor link

Go to site Sponsor link

You may be entitled to an Australian Government Rebate on the above premium. Your premium may also include a Lifetime Health Cover Loading, an Age-based Discount or an insurer discount. Check with your insurer for details.

This policy covers: Two adults (and no-one else).

Policy ID: BUP/J20/VIBV20

Source: Private Health Information Statement (PHIS)

Hospital Cover

This policy exempts you from the Medicare Levy Surcharge.
This policy provides accident cover - check with insurer for details.
This policy provides benefits for travel or accommodation outside of hospital - check with insurer for details.

Covered

Restricted Cover

Not Covered

This policy includes cover for

Dental surgery

Gynaecology

Hernia and appendix

Hospital psychiatric services

Joint reconstructions

Miscarriage and termination of pregnancy

Palliative care

Podiatric surgery (provided by a registered podiatric surgeon)

Rehabilitation

Tonsils, adenoids and grommets

This policy does not include cover for

Assisted reproductive services

Back, neck and spine

Blood

Bone, joint and muscle

Brain and nervous system

Breast surgery (medically necessary)

Cataracts

Chemotherapy, radiotherapy and immunotherapy for cancer

Diabetes management (excluding insulin pumps)

Dialysis for chronic kidney failure

Digestive system

Ear, nose and throat

Eye (not cataracts)

Gastrointestinal endoscopy

Heart and vascular system

Implantation of hearing devices

Insulin pumps

Joint replacements

Kidney and bladder

Lung and chest

Male reproductive system

Pain management

Pain management with device

Plastic and reconstructive surgery (medically necessary)

Pregnancy and birth

Skin

Sleep studies

Weight loss surgery

The benefits paid for hospital treatment will depend on the type of cover you purchase and whether your fund has an agreement in place with the hospital in which you are treated. See ‘Agreement Hospitals’ on privatehealth.gov.au for which hospitals have arrangements with your insurer – https://privatehealth.gov.au/dynamic/agreementhospitals.

Under this policy, you may have to pay out-of-pocket costs above what you get from Medicare or your private health insurer. Before you go to hospital, you should ask your doctors, hospital and health insurer about any out-of-pocket costs that may apply to you.

The following payments may also apply for hospital admissions

Excess: You will have to pay an excess of $500 per admission. This is limited to a maximum of $500 per person and $1000 per policy per year.

Co-payments: No co-payments

The following waiting periods for hospital admissions apply to new or upgrading members Waiting periods:

2 months for palliative care, rehabilitation and hospital psychiatric treatments, even if pre-existing
12 months for other pre-existing conditions
2 months for all other treatments

Gap Cover

This provider offers 'known gap' or 'no gap' cover for medical bills for this product. The Medical Costs Finder (https://www.health.gov.au/resources/apps-and-tools/medical-costs-finder) lets you find out more about the cost of specialist medical services.

Other features of this hospital cover

Cover for a limited set of hospital services to help protect you from the unexpected. For more details on the product contact Bupa.

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 100% back for a set number of selected services. 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

Chiropractic* 2

Limited to 3 services per person, per calendar year at Members First providers only

combined limit for chiropractic, physiotherapy & podiatry

Initial visit: $0
Subsequent visit: $0

General dental* 2

1 service(s) per calendar year including exam, scale and clean, fluoride and two bitewing x-rays at Members First providers only

Fluoride treatment: $0
Scale & clean: $0
Surgical tooth extraction: $0
Periodic oral examination: $0

Optical* 2

Bonus dollars can be used on Optical claims

Multi-focal lenses & frames: $0
Single vision lenses & frames: $0

Physiotherapy* 2

Limited to 3 services per person, per calendar year at Members First providers only

combined limit for chiropractic, physiotherapy & podiatry

Initial visit: $0
Subsequent visit: $0

Podiatry* 2

Limited to 3 services per person, per calendar year at Members First providers only

combined limit for chiropractic, physiotherapy & podiatry

Initial visit: $0
Subsequent visit: $0

Chiropractic*

Waiting period: 2 months

Benefit limits per 12 months unless otherwise stated

{Limited to 3 services per person, per calendar year at Members First providers only}

{combined limit for chiropractic, physiotherapy & podiatry}

Examples of maximum benefits

{Initial visit: $0}

{Subsequent visit: $0}

General dental*

Waiting period: 2 months

Benefit limits per 12 months unless otherwise stated

{1 service(s) per calendar year including exam, scale and clean, fluoride and two bitewing x-rays at Members First providers only}

Examples of maximum benefits

{Fluoride treatment: $0}

{Scale & clean: $0}

{Surgical tooth extraction: $0}

{Periodic oral examination: $0}

Optical*

Waiting period: 2 months

Benefit limits per 12 months unless otherwise stated

{Bonus dollars can be used on Optical claims}

Examples of maximum benefits

{Multi-focal lenses & frames: $0}

{Single vision lenses & frames: $0}

Physiotherapy*

Waiting period: 2 months

Benefit limits per 12 months unless otherwise stated

{Limited to 3 services per person, per calendar year at Members First providers only}

{combined limit for chiropractic, physiotherapy & podiatry}

Examples of maximum benefits

{Initial visit: $0}

{Subsequent visit: $0}

Podiatry*

Waiting period: 2 months

Benefit limits per 12 months unless otherwise stated

{Limited to 3 services per person, per calendar year at Members First providers only}

{combined limit for chiropractic, physiotherapy & podiatry}

Examples of maximum benefits

{Initial visit: $0}

{Subsequent visit: $0}

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

Acupuncture

Ante-natal/Post-natal classes

Audiology

Blood glucose monitors

Chinese medicine

Dietetics/dietary advice

Endodontic

Exercise physiology

Eye therapy (orthoptics)

Health management / Healthy lifestyle

Hearing aids

Home nursing

Major dental

Non PBS pharmaceuticals

Occupational therapy

Orthodontic

Orthotics (podiatric orthoses)

Osteopathy

Psychology

Remedial massage

Speech therapy

Vaccinations

Other features of this general treatment cover: Simple Start includes a $50 bonus to help with any out-of-pocket costs, plus 2 dietary phone consultations with a Bupa dietitian. Benefits only paid at Members First providers – visit bupa.com.au/find-a-provider.

Ambulance cover

In VIC this policy provides:

Emergency: With no waiting period, limited to 2 services 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

Simple Start - Basic Plus

$321.10 / month

(Before Rebate, Discount & Loading)

Available in VIC

134 135 Sponsor link

Go to site Sponsor link

Bupa HI Pty Ltd

http://www.bupa.com.au

134 135

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/J20/VIBV20

Simple Start - Basic Plus

Policy ID: BUP/J20/VIBV20

Hospital Cover

Extras Cover

Ambulance cover

Insurer Details

Bupa HI Pty Ltd

Policies change monthly, stay informed