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Offering the ultimate in general treatment cover, Premium Extras gives you and your family our highest benefits and annual limits. Premium Extras can be taken as a standalone product or combined with any of the hospital covers.
Extras
Category | Annual Limit | |||||||||||
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General Dental 2 month waiting period |
unlimited | |||||||||||
Covers dental items listed by the Australian Dental Association (ADA) up to a set rebate. |
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Major Dental 12 month waiting period |
$2,000 | |||||||||||
^For dentures a rolling three year minimum replacement period applies from the first date of service. Set benefits are payable for individual dental services and may not attract the fully major dental annual sub-limit. |
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Orthodontic 12 month waiting period |
$2,500 | |||||||||||
Maximum of $2,500 per course of treatment; 80% of provider fee per rolling 3 year period (a treatment plan is required). |
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Optical 6 month waiting period |
$350 | |||||||||||
100% of the fee up to the annual limit |
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Eye Therapy 2 month waiting period |
$500 | |||||||||||
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Laser Eye Surgery 12 month waiting period |
$1,500 | |||||||||||
100% of the fee up to the annual limit |
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Occupational Therapy 2 month waiting period |
$500 | |||||||||||
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Physiotherapy 2 month waiting period |
$850 | |||||||||||
Includes Telehealth Services.
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Chiropractic and Osteopathy 2 month waiting period |
$750 | |||||||||||
$1,500 per family limit
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Podiatry and Chiropody 2 month waiting period |
$500 | |||||||||||
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Dietitian 2 month waiting period |
$500 | |||||||||||
Includes Telehealth Services.
This is a consultation benefit only and does not cover any prescribed medications, herbal or dietary preparations or organised weight reduction programs. |
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Non-PBS Pharmacy 2 month waiting period |
$600 | |||||||||||
Per Prescription up to $120 |
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Natural Therapies 2 month waiting period |
$550 | |||||||||||
$1,100 per family limit From 1 April 2019, all health insurers will no longer be able to pay a benefit on the following Natural Therapies; Alexander technique, aromatherapy, Bowen therapy, Buteyko, Feldenkrais, herbalism, Western herbalism, homeopathy, iridology, kinesiology, naturopathy, reflexology, Rolfing, shiatsu, tai chi, and yoga. |
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Psychology 2 month waiting period |
$600 | |||||||||||
Includes Telehealth Services.
Hypnotherapy is payable if the provider is a fully registered member of the Psychology Board in their State/Territory or if they are a clinical member of an approved association. |
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Speech Therapy 2 month waiting period |
$500 | |||||||||||
Includes Telehealth Services.
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Medically Prescribed Appliances (MPAs) 6 month waiting period |
$700 | |||||||||||
85% of the fee up to the annual limit |
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CPAP Devices 12 month waiting period |
$1,000 | |||||||||||
100% of the fee up to the annual limit |
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Orthotics and Orthopaedic Appliances 2 month waiting period |
$300 | |||||||||||
85% of the fee up to the annual limit |
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Hearing Aids 12 month waiting period |
$1,300 | |||||||||||
100% of the fee up to the annual limit |
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Audiology 2 month waiting period |
$500 | |||||||||||
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Home Nursing 2 month waiting period |
$1,000 | |||||||||||
Per Service $60 |
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School Accidents 2 month waiting period |
$800 | |||||||||||
Benefits include costs that result from a school accident to a member’s dependent child. Claims must be accompanied by notification of the accident on school letterhead. |
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Ambulance Services 2 month waiting period |
unlimited | |||||||||||
100% of the cost of ambulance services within Australia provided that the service is from a State/Territory registered ambulance service and deemed medically necessary. |
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© Navy Health Ltd All Rights Reserved 2023
© Navy Health Ltd All Rights Reserved 2023