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Westfund Limited

Ultimate Pro Extras

$468.22 / 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 an insurer discount. Check with your insurer for details.

This policy covers: Two adults & dependants (3 or more people, only 2 of whom are adults).

Children (0 - 17) and non-classified* dependant (18 - 24), as well as persons with a disability who qualify as a child and non-classified* dependant in these age ranges. *Non-classified dependant: Non-Classified Dependant means a person who is between the age of 18 and 24 (inclusive), is not in a relationship on a bona fide domestic basis or dependant student as outlined in the PHI Act

Policy ID: WFD/I10/TDCX2D

Source: Private Health Information Statement (PHIS)

Extras Cover

This health insurer does not operate a preferred provider scheme.

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

  • 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 person

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

$100 per person

  • Per monitor: $100
Chinese medicine 2

$1,000 per policy

combined limit for acupuncture & chinese medicine

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

$1,100 per person up to $2,200 per policy

combined limit for chiropractic & osteopathy

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

$1,000 per policy

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

$1,800 per person

combined limit for endodontic & major dental

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

$1,100 per person up to $2,200 per policy

combined limit for exercise physiology & physiotherapy

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

$1,000 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

$600 per policy

  • Health management: 100% of charge
Hearing aids 36

$2,000 per person

  • Hearing aid: $2000
Home nursing 2

$1,000 per policy

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

$1,800 per person

combined limit for endodontic & major dental

  • Full crown veneered: $1200
Non PBS pharmaceuticals 2

$800 per person

combined limit for non pbs pharmaceuticals, vaccinations & other services

  • Per eligible prescription: $100
Occupational therapy 2

$1,200 per policy

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

$400 per person

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

$650 per person

$3,250 lifetime limit

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

$300 per person

  • Orthotics supply & fit: $300
Osteopathy 2

$1,100 per person up to $2,200 per policy

combined limit for chiropractic & osteopathy

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

$1,100 per person up to $2,200 per policy

combined limit for exercise physiology & physiotherapy

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

$1,200 per policy

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

$1,440 per policy

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

$1,000 per policy

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

$1,200 per policy

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

$800 per person

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

{$1,000 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 person}

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 person}

Examples of maximum benefits

{Per monitor: $100}

Chinese medicine

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,000 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 person up to $2,200 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

{$1,000 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 person}

{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 person up to $2,200 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

{$1,000 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

{$600 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 person}

Examples of maximum benefits

{Hearing aid: $2000}

Home nursing

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,000 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 person}

{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 person}

{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

{$1,200 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 person}

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 person}

{$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 person}

Examples of maximum benefits

{Orthotics supply & fit: $300}

Osteopathy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,100 per person up to $2,200 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 person up to $2,200 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

{$1,200 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

{$1,440 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

{$1,000 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

{$1,200 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 person}

{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

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: Permanent Tasmania residents are covered for emergency pre-hospital ambulance treatment and transport in Tasmania, residents must purchase cover for non-emergency ambulance transport or emergency transport in another state. This product provides coverage for emergency and non-emergency 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

$468.22 / 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/WFD/I10/TDCX2D

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