Apia Health Insurance

Apia Essential and Advanced Extras

Name: Apia Essential and Advanced Extras
Brand: Apia Health Insurance
Price: 84.64 AUD

$84.64 / month

(Before Rebate, Discount & Loading)

Available in TAS

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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: NIB/I39/TEAU10

Source: Private Health Information Statement (PHIS)

Extras Cover

By using our FirstChoice providers, you may have lower out-of-pocket costs on many allied health services. A list of "preferred providers" is available from the health insurer. See https://health.apia.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

$300 per policy

combined limit for chiropractic & osteopathy

Initial visit: 60% of charge
Subsequent visit: 60% of charge

Endodontic 12

$600 per policy

combined limit for endodontic & major dental

Filling of one root canal: 60% of charge

Eye therapy (orthoptics) 2

$200 per policy

Initial visit: 60% of charge
Subsequent visit: 60% of charge

General dental 2

$600 per policy

Fluoride treatment: 60% of charge
Scale & clean: 60% of charge
Periodic oral examination: 60% of charge

Health management / Healthy lifestyle 6

$250 per policy

Health management: 60% of charge

Hearing aids 36

$800 per policy

Hearing aid: 60% of charge

Major dental 12

$600 per policy

combined limit for endodontic & major dental

Surgical tooth extraction: 60% of charge
Full crown veneered: 60% of charge

Non PBS pharmaceuticals 2

$250 per policy

Per eligible prescription: 60% of charge

Optical 6

$250 per policy

Multi-focal lenses & frames: 60% of charge
Single vision lenses & frames: 60% of charge

Orthotics (podiatric orthoses) 2

$250 per policy

combined limit for orthotics (podiatric orthoses) & podiatry

Orthotics supply & fit: 60% of charge

Osteopathy 2

$300 per policy

combined limit for chiropractic & osteopathy

Initial visit: 60% of charge
Subsequent visit: 60% of charge

Physiotherapy 2

$350 per policy

Initial visit: 60% of charge
Subsequent visit: 60% of charge

Podiatry 2

$250 per policy

combined limit for orthotics (podiatric orthoses) & podiatry

Initial visit: 60% of charge
Subsequent visit: 60% of charge

Chiropractic

Waiting period: 2 months

Benefit limits per 12 months unless otherwise stated

{$300 per policy}

{combined limit for chiropractic & osteopathy}

Examples of maximum benefits

{Initial visit: 60% of charge}

{Subsequent visit: 60% of charge}

Endodontic

Waiting period: 12 months

Benefit limits per 12 months unless otherwise stated

{$600 per policy}

{combined limit for endodontic & major dental}

Examples of maximum benefits

{Filling of one root canal: 60% of charge}

Eye therapy (orthoptics)

Waiting period: 2 months

Benefit limits per 12 months unless otherwise stated

{$200 per policy}

Examples of maximum benefits

{Initial visit: 60% of charge}

{Subsequent visit: 60% of charge}

General dental

Waiting period: 2 months

Benefit limits per 12 months unless otherwise stated

{$600 per policy}

Examples of maximum benefits

{Fluoride treatment: 60% of charge}

{Scale & clean: 60% of charge}

{Periodic oral examination: 60% of charge}

Health management / Healthy lifestyle

Waiting period: 6 months

Benefit limits per 12 months unless otherwise stated

{$250 per policy}

Examples of maximum benefits

{Health management: 60% of charge}

Hearing aids

Waiting period: 36 months

Benefit limits per 12 months unless otherwise stated

{$800 per policy}

Examples of maximum benefits

{Hearing aid: 60% of charge}

Major dental

Waiting period: 12 months

Benefit limits per 12 months unless otherwise stated

{$600 per policy}

{combined limit for endodontic & major dental}

Examples of maximum benefits

{Surgical tooth extraction: 60% of charge}

{Full crown veneered: 60% of charge}

Non PBS pharmaceuticals

Waiting period: 2 months

Benefit limits per 12 months unless otherwise stated

{$250 per policy}

Examples of maximum benefits

{Per eligible prescription: 60% of charge}

Optical

Waiting period: 6 months

Benefit limits per 12 months unless otherwise stated

{$250 per policy}

Examples of maximum benefits

{Multi-focal lenses & frames: 60% of charge}

{Single vision lenses & frames: 60% of charge}

Orthotics (podiatric orthoses)

Waiting period: 2 months

Benefit limits per 12 months unless otherwise stated

{$250 per policy}

{combined limit for orthotics (podiatric orthoses) & podiatry}

Examples of maximum benefits

{Orthotics supply & fit: 60% of charge}

Osteopathy

Waiting period: 2 months

Benefit limits per 12 months unless otherwise stated

{$300 per policy}

{combined limit for chiropractic & osteopathy}

Examples of maximum benefits

{Initial visit: 60% of charge}

{Subsequent visit: 60% of charge}

Physiotherapy

Waiting period: 2 months

Benefit limits per 12 months unless otherwise stated

{$350 per policy}

Examples of maximum benefits

{Initial visit: 60% of charge}

{Subsequent visit: 60% of charge}

Podiatry

Waiting period: 2 months

Benefit limits per 12 months unless otherwise stated

{$250 per policy}

{combined limit for orthotics (podiatric orthoses) & podiatry}

Examples of maximum benefits

{Initial visit: 60% of charge}

{Subsequent visit: 60% of charge}

Preventative Tests - $200 limit per person per calendar year (waiting period 6 months): 60% back on preventative health test e.g. thin prep, bone density testing, bowel screening (service limits apply). Advanced Health Aids - $300 limit per person per calendar year (waiting period 12 months): 60% back on health aids e.g. walking frame, compression garments, hip protector (service limits apply). Healthy Lifestyle includes approved weight management, quit smoking and health management programs (gym, personal trainer) and more. For Preventative dental service limits apply.

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

Exercise physiology

Home nursing

Occupational therapy

Orthodontic

Psychology

Remedial massage

Speech therapy

Vaccinations

Other features of this general treatment cover: Of course, you can see your choice of provider, but by choosing a FirstChoice provider, you may have less to pay towards the cost of your treatment. We’ve created the FirstChoice network to help you access quality healthcare and a better deal for you and your family. We’ve locked in lower costs with our FirstChoice providers, so you can enjoy competitive treatment fees when you visit the dentist or a discount the next time you claim for glasses.

For further information about this policy see: https://my.nib.com.au/product-collateral/89

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: Emergency ambulance costs are covered by the state government for residents of Tasmania.

For further information about this policy see: https://my.nib.com.au/product-collateral/89

Insurer Details

Apia Health Insurance

Apia Essential and Advanced Extras

$84.64 / month

(Before Rebate, Discount & Loading)

Available in TAS

13 50 50 Sponsor link

Go to site Sponsor link

Apia Health Insurance

https://www.apia.com.au/health

13 50 50

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/NIB/I39/TEAU10

Apia Essential and Advanced Extras

Policy ID: NIB/I39/TEAU10

Extras Cover

Ambulance cover

Insurer Details

Apia Health Insurance

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