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Bupa HI Pty Ltd

Bronze Plus Young Singles Choice

$222.70 / 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 a Lifetime Health Cover Loading, an Age-based Discount or an insurer discount. Check with your insurer for details.

This policy covers: Only one person.

Policy ID: BUP/J3A/TBHF10

Source: Private Health Information Statement (PHIS)

Hospital Cover

  • This policy exempts you from the Medicare Levy Surcharge.
  • This policy does not provide accident cover.
  • 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
Blood
Bone, joint and muscle
Brain and nervous system
Breast surgery (medically necessary)
Chemotherapy, radiotherapy and immunotherapy for cancer
Dental surgery
Diabetes management (excluding insulin pumps)
Digestive system
Ear, nose and throat
Eye (not cataracts)
Gastrointestinal endoscopy
Gynaecology
Hernia and appendix
Hospital psychiatric services
Implantation of hearing devices
Insulin pumps
Joint reconstructions
Kidney and bladder
Lung and chest
Male reproductive system
Miscarriage and termination of pregnancy
Pain management
Pain management with device
Palliative care
Plastic and reconstructive surgery (medically necessary)
Podiatric surgery (provided by a registered podiatric surgeon)
Rehabilitation
Skin
Sleep studies
Tonsils, adenoids and grommets
This policy does not include cover for
Assisted reproductive services
Back, neck and spine
Cataracts
Dialysis for chronic kidney failure
Heart and vascular system
Joint replacements
Pregnancy and birth
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: No excess

Co-payments: Every time you go to hospital you will have to pay:

  • $50 per day for a shared room for overnight admissions - up to $250 per hospital stay
  • $50 per day for a private room for overnight admissions - up to $250 per hospital stay
  • $50 for day surgery (no overnight stay)
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, in most cases you’ll receive up to 60% back, up to your 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

  • Initial visit: $22
  • Subsequent visit: $18
Chinese medicine 2

$500 per policy

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

  • Initial visit: $17
  • Subsequent visit: $17
Chiropractic* 2

$500 per policy

combined limit for chiropractic, osteopathy & physiotherapy

  • Initial visit: $25
  • Subsequent visit: $17
Dietetics/dietary advice 2

$300 per policy

  • Initial visit: $24
  • Subsequent visit: $15
Endodontic 12

$850 per policy

combined limit for endodontic, general dental, major dental & orthodontic

  • Filling of one root canal: $105
Exercise physiology 2

$500 per policy

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

  • Initial visit: $17
  • Subsequent visit: $17
General dental* 2

$850 per policy

combined limit for endodontic, general dental, major dental & orthodontic

  • Fluoride treatment: $16
  • Scale & clean: $34.5
  • Surgical tooth extraction: $65
  • Periodic oral examination: $18
Health management / Healthy lifestyle 6

$75 per policy

  • Health management: 50% of charge
Major dental* 12

$850 per policy

combined limit for endodontic, general dental, major dental & orthodontic

  • Full crown veneered: $470
Non PBS pharmaceuticals* 2

$200 per policy

  • Per eligible prescription: $40
Optical 2

$150 per policy

  • Multi-focal lenses & frames: $150
  • Single vision lenses & frames: $145
Orthodontic* 0

$850 per policy

combined limit for endodontic, general dental, major dental & orthodontic

  • Braces for upper & lower teeth, including removal plus fitting of retainer: 100% of charge
Osteopathy 2

$500 per policy

combined limit for chiropractic, osteopathy & physiotherapy

  • Initial visit: $31
  • Subsequent visit: $21
Physiotherapy 2

$500 per policy

combined limit for chiropractic, osteopathy & physiotherapy

  • Initial visit: $28
  • Subsequent visit: $19
Podiatry* 2

$300 per policy

  • Initial visit: $21
  • Subsequent visit: $17
Psychology 2

$300 per policy

  • Initial visit: $77
  • Subsequent visit: $71.5
Remedial massage 2

$500 per policy

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

sub-limits apply

  • Initial visit: $22
  • Subsequent visit: $20.5
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}

Examples of maximum benefits

{Initial visit: $22}

{Subsequent visit: $18}

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: $17}

{Subsequent visit: $17}

Chiropractic*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per policy}

{combined limit for chiropractic, osteopathy & physiotherapy}

Examples of maximum benefits

{Initial visit: $25}

{Subsequent visit: $17}

Dietetics/dietary advice

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per policy}

Examples of maximum benefits

{Initial visit: $24}

{Subsequent visit: $15}

Endodontic

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$850 per policy}

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

Examples of maximum benefits

{Filling of one root canal: $105}

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: $17}

{Subsequent visit: $17}

General dental*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$850 per policy}

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

Examples of maximum benefits

{Fluoride treatment: $16}

{Scale & clean: $34.5}

{Surgical tooth extraction: $65}

{Periodic oral examination: $18}

Health management / Healthy lifestyle

Waiting period:  6 months

Benefit limits per 12 months unless otherwise stated

{$75 per policy}

Examples of maximum benefits

{Health management: 50% of charge}

Major dental*

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$850 per policy}

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

Examples of maximum benefits

{Full crown veneered: $470}

Non PBS pharmaceuticals*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$200 per policy}

Examples of maximum benefits

{Per eligible prescription: $40}

Optical

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$150 per policy}

Examples of maximum benefits

{Multi-focal lenses & frames: $150}

{Single vision lenses & frames: $145}

Orthodontic*

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$850 per policy}

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

Examples of maximum benefits

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

Osteopathy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per policy}

{combined limit for chiropractic, osteopathy & physiotherapy}

Examples of maximum benefits

{Initial visit: $31}

{Subsequent visit: $21}

Physiotherapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per policy}

{combined limit for chiropractic, osteopathy & physiotherapy}

Examples of maximum benefits

{Initial visit: $28}

{Subsequent visit: $19}

Podiatry*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per policy}

Examples of maximum benefits

{Initial visit: $21}

{Subsequent visit: $17}

Psychology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per policy}

Examples of maximum benefits

{Initial visit: $77}

{Subsequent visit: $71.5}

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: $22}

{Subsequent visit: $20.5}

Mental health includes Psychology, Digital Mental Health, Social Work (psychological therapies), and Counselling (including Indigenous Counselling). Sub-limits apply for Digital Mental Health.

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)
Speech therapy
Vaccinations

Other features of this general treatment cover: Enjoy a Top-up Bonus of $75-$150 every year to help pay out-of-pocket extras expenses payable on your cover.

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: You are covered for the uncapped 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. 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

Bronze Plus Young Singles Choice

$222.70 / 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/BUP/J3A/TBHF10

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