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Westfund Limited

Ultimate Pro Extras

$195.26 / 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: Only one person.

Policy ID: WFD/I10/DDBX10

Source: Private Health Information Statement (PHIS)

Extras Cover

By using this health insurer's "preferred providers" you will have lower out-of-pocket costs on Dental and have access to more "no gap" services. A list of "preferred providers" is available from the health insurer. See https://www.westfund.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

  • Initial visit: $50
  • Subsequent visit: $50
Ante-natal/Post-natal classes 12

$200 per policy

  • Initial visit: 100% of charge
  • Subsequent visit: 100% of charge
Audiology 2

$200 per policy

  • Initial visit: $100
  • Subsequent visit: $100
Blood glucose monitors 12

$100 per policy

  • Per monitor: $100
Chinese medicine 2

$500 per policy

combined limit for acupuncture & chinese medicine

  • Initial visit: $50
  • Subsequent visit: $50
Chiropractic 2

$1,100 per policy

combined limit for chiropractic & osteopathy

  • Initial visit: $55
  • Subsequent visit: $55
Dietetics/dietary advice 2

$500 per policy

  • Initial visit: $65
  • Subsequent visit: $65
Endodontic 12

$1,800 per policy

combined limit for endodontic & major dental

  • Filling of one root canal: $146.5
Exercise physiology 2

$1,100 per policy

combined limit for exercise physiology & physiotherapy

  • Initial visit: $55
  • Subsequent visit: $55
Eye therapy (orthoptics) 2

$500 per policy

  • Initial visit: $50
  • Subsequent visit: $50
General dental* 2

No annual limit

  • Fluoride treatment: $29
  • Scale & clean: $98
  • Surgical tooth extraction: $150
  • Periodic oral examination: $45
Health management / Healthy lifestyle 2

$300 per policy

  • Health management: 100% of charge
Hearing aids 36

$2,000 per policy

  • Hearing aid: $2000
Home nursing 2

$500 per policy

  • Initial visit: $90
  • Subsequent visit: $90
Major dental 12

$1,800 per policy

combined limit for endodontic & major dental

  • Full crown veneered: $1200
Non PBS pharmaceuticals 2

$800 per policy

combined limit for non pbs pharmaceuticals, vaccinations & other services

  • Per eligible prescription: $100
Occupational therapy 2

$600 per policy

  • Initial visit: $85
  • Subsequent visit: $85
Optical 2

$400 per policy

  • Multi-focal lenses & frames: $400
  • Single vision lenses & frames: $400
Orthodontic* 12

$650 per policy

$3,250 lifetime limit

  • Braces for upper & lower teeth, including removal plus fitting of retainer: $3250
Orthotics (podiatric orthoses) 12

$300 per policy

  • Orthotics supply & fit: $300
Osteopathy 2

$1,100 per policy

combined limit for chiropractic & osteopathy

  • Initial visit: $55
  • Subsequent visit: $55
Physiotherapy 2

$1,100 per policy

combined limit for exercise physiology & physiotherapy

  • Initial visit: $60
  • Subsequent visit: $60
Podiatry 2

$600 per policy

  • Initial visit: $60
  • Subsequent visit: $60
Psychology 2

$720 per policy

  • Initial visit: $125
  • Subsequent visit: $125
Remedial massage 2

$500 per policy

  • Initial visit: $50
  • Subsequent visit: $50
Speech therapy 2

$600 per policy

  • Initial visit: $80
  • Subsequent visit: $80
Vaccinations 2

$800 per policy

combined limit for non pbs pharmaceuticals, vaccinations & other services

  • Per service: $100
Acupuncture

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per policy}

{combined limit for acupuncture & chinese medicine}

Examples of maximum benefits

{Initial visit: $50}

{Subsequent visit: $50}

Ante-natal/Post-natal classes

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$200 per policy}

Examples of maximum benefits

{Initial visit: 100% of charge}

{Subsequent visit: 100% of charge}

Audiology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$200 per policy}

Examples of maximum benefits

{Initial visit: $100}

{Subsequent visit: $100}

Blood glucose monitors

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$100 per policy}

Examples of maximum benefits

{Per monitor: $100}

Chinese medicine

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per policy}

{combined limit for acupuncture & chinese medicine}

Examples of maximum benefits

{Initial visit: $50}

{Subsequent visit: $50}

Chiropractic

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,100 per policy}

{combined limit for chiropractic & osteopathy}

Examples of maximum benefits

{Initial visit: $55}

{Subsequent visit: $55}

Dietetics/dietary advice

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per policy}

Examples of maximum benefits

{Initial visit: $65}

{Subsequent visit: $65}

Endodontic

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,800 per policy}

{combined limit for endodontic & major dental}

Examples of maximum benefits

{Filling of one root canal: $146.5}

Exercise physiology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,100 per policy}

{combined limit for exercise physiology & physiotherapy}

Examples of maximum benefits

{Initial visit: $55}

{Subsequent visit: $55}

Eye therapy (orthoptics)

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per policy}

Examples of maximum benefits

{Initial visit: $50}

{Subsequent visit: $50}

General dental*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{No annual limit}

Examples of maximum benefits

{Fluoride treatment: $29}

{Scale & clean: $98}

{Surgical tooth extraction: $150}

{Periodic oral examination: $45}

Health management / Healthy lifestyle

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per policy}

Examples of maximum benefits

{Health management: 100% of charge}

Hearing aids

Waiting period:  36 months

Benefit limits per 12 months unless otherwise stated

{$2,000 per policy}

Examples of maximum benefits

{Hearing aid: $2000}

Home nursing

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per policy}

Examples of maximum benefits

{Initial visit: $90}

{Subsequent visit: $90}

Major dental

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,800 per policy}

{combined limit for endodontic & major dental}

Examples of maximum benefits

{Full crown veneered: $1200}

Non PBS pharmaceuticals

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$800 per policy}

{combined limit for non pbs pharmaceuticals, vaccinations & other services}

Examples of maximum benefits

{Per eligible prescription: $100}

Occupational therapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$600 per policy}

Examples of maximum benefits

{Initial visit: $85}

{Subsequent visit: $85}

Optical

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per policy}

Examples of maximum benefits

{Multi-focal lenses & frames: $400}

{Single vision lenses & frames: $400}

Orthodontic*

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$650 per policy}

{$3,250 lifetime limit}

Examples of maximum benefits

{Braces for upper & lower teeth, including removal plus fitting of retainer: $3250}

Orthotics (podiatric orthoses)

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$300 per policy}

Examples of maximum benefits

{Orthotics supply & fit: $300}

Osteopathy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,100 per policy}

{combined limit for chiropractic & osteopathy}

Examples of maximum benefits

{Initial visit: $55}

{Subsequent visit: $55}

Physiotherapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,100 per policy}

{combined limit for exercise physiology & physiotherapy}

Examples of maximum benefits

{Initial visit: $60}

{Subsequent visit: $60}

Podiatry

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$600 per policy}

Examples of maximum benefits

{Initial visit: $60}

{Subsequent visit: $60}

Psychology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$720 per policy}

Examples of maximum benefits

{Initial visit: $125}

{Subsequent visit: $125}

Remedial massage

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per policy}

Examples of maximum benefits

{Initial visit: $50}

{Subsequent visit: $50}

Speech therapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$600 per policy}

Examples of maximum benefits

{Initial visit: $80}

{Subsequent visit: $80}

Vaccinations

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$800 per policy}

{combined limit for non pbs pharmaceuticals, vaccinations & other services}

Examples of maximum benefits

{Per service: $100}

Other features of this general treatment cover: Additional benefits included in this policy are Dental Top Up benefit on General Dental and Major Dental items, $2000 lifetime limit for Laser Eye Surgery per member, Counselling, Health Aids & Appliances (e.g. Devices for Sleep Apnoea and Diagnosed Snoring, Respiratory Aids, Blood Pressure Monitors), Outpatient Travel, and Sunglasses purchased through a Westfund Care Centre or through Westfund’s online sunglasses store, The Collection. Please contact Westfund for details or visit www.westfund.com.au/help/ for additional claiming information.

For further information about this policy see: https://www.westfund.com.au/dl/summaries/ultimate-pro-extras.pdf

Ambulance cover

In NT this policy provides:

Emergency: Unlimited with a waiting period of 1 day.

Non-emergency: Transport with a waiting period of 2 months, limited to $5,000 per person per year.

Call-out fees: Will be paid for each attendance, including emergency treatment without transport to hospital.

Other features of this ambulance cover: Cover for the unexpected. Feel assured with Australia-wide ambulance cover for emergency and non-emergency transportation (up to available limits). This product provides coverage for transport by a Westfund recognised Ambulance service provider in Australia either by covering the cost of state government levies or by covering the ambulance account. Recognised Ambulance service providers include: NSW Ambulance, Ambulance Victoria, Queensland Ambulance Service, ACT Ambulance Service, SA Ambulance Service, Ambulance Tasmania, St John Ambulance NT, St John Ambulance WA, St John Ambulance Norfolk Island and NSW Government local service providers.

For further information about this policy see: https://www.westfund.com.au/dl/summaries/ultimate-pro-extras.pdf

Insurer Details

Westfund Limited

Ultimate Pro Extras

$195.26 / 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/WFD/I10/DDBX10

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