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Bupa HI Pty Ltd

Basic Plus Active Saver

$114.85 / 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 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/J6/DCAA10

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: No excess

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

  • $100 per day for a shared room for overnight admissions - up to $500 per hospital stay
  • $100 per day for a private room for overnight admissions - up to $500 per hospital stay
  • $100 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 limited 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

$1,000 per policy

combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage

sub-limits apply

  • Initial visit: $22
  • Subsequent visit: $16
Chinese medicine* 2

$1,000 per policy

combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage

sub-limits apply

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

$1,000 per policy

combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage

sub-limits apply

  • Initial visit: $26.25
  • Subsequent visit: $17
Dietetics/dietary advice* 2

$1,000 per policy

combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage

sub-limits apply

  • Initial visit: $37
  • Subsequent visit: $19
Endodontic* 12

$1,000 per policy

combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage

sub-limits apply

  • Filling of one root canal: $84
Exercise physiology* 2

$1,000 per policy

combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage

sub-limits apply

  • Initial visit: $20
  • Subsequent visit: $16.5
General dental* 2

$1,000 per policy

combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage

sub-limits apply

  • Fluoride treatment: $13.5
  • Scale & clean: $41
  • Surgical tooth extraction: $65
  • Periodic oral examination: $19
Health management / Healthy lifestyle* 6

$1,000 per policy

combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage

sub-limits apply

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

$1,000 per policy

combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage

sub-limits apply

  • Full crown veneered: $300
Orthodontic* 12

$1,000 per policy

combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage

sub-limits apply

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

$1,000 per policy

combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage

sub-limits apply

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

$1,000 per policy

combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage

sub-limits apply

  • Initial visit: $27
  • Subsequent visit: $20.5
Podiatry* 2

$1,000 per policy

combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage

sub-limits apply

  • Initial visit: $23
  • Subsequent visit: $17
Psychology 2

$1,000 per policy

combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage

sub-limits apply

  • Initial visit: $86
  • Subsequent visit: $67
Remedial massage* 2

$1,000 per policy

combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage

sub-limits apply

  • Initial visit: $18.5
  • Subsequent visit: $18.5
Acupuncture*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per policy}

{combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $22}

{Subsequent visit: $16}

Chinese medicine*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per policy}

{combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $17}

{Subsequent visit: $17}

Chiropractic*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per policy}

{combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $26.25}

{Subsequent visit: $17}

Dietetics/dietary advice*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per policy}

{combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $37}

{Subsequent visit: $19}

Endodontic*

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per policy}

{combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage}

{sub-limits apply}

Examples of maximum benefits

{Filling of one root canal: $84}

Exercise physiology*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per policy}

{combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $20}

{Subsequent visit: $16.5}

General dental*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per policy}

{combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage}

{sub-limits apply}

Examples of maximum benefits

{Fluoride treatment: $13.5}

{Scale & clean: $41}

{Surgical tooth extraction: $65}

{Periodic oral examination: $19}

Health management / Healthy lifestyle*

Waiting period:  6 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per policy}

{combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage}

{sub-limits apply}

Examples of maximum benefits

{Health management: 50% of charge}

Major dental*

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per policy}

{combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage}

{sub-limits apply}

Examples of maximum benefits

{Full crown veneered: $300}

Orthodontic*

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per policy}

{combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage}

{sub-limits apply}

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

{$1,000 per policy}

{combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $32.5}

{Subsequent visit: $21}

Physiotherapy*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per policy}

{combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $27}

{Subsequent visit: $20.5}

Podiatry*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per policy}

{combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $23}

{Subsequent visit: $17}

Psychology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per policy}

{combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $86}

{Subsequent visit: $67}

Remedial massage*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per policy}

{combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $18.5}

{Subsequent visit: $18.5}

Counselling and Psychology share a combined limit under 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
Non PBS pharmaceuticals
Occupational therapy
Optical
Orthotics (podiatric orthoses)
Speech therapy
Vaccinations

Ambulance cover

In NT this policy provides:

Emergency: Unlimited with a waiting period of 1 day.

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 uncapped emergency ambulance transport services, 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

Basic Plus Active Saver

$114.85 / 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/J6/DCAA10

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