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Bupa HI Pty Ltd

Bronze Plus Young Singles Choice

$158.50 / 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.

This policy exempts you from the Medicare Levy Surcharge.
This policy does not provide accident cover.
This policy provides benefits for travel or accommodation outside of hospital - check with insurer for details.

Policy ID: BUP/J3A/DCAG10 Source: Private Health Information Statement (PHIS)

Hospital Cover

Covered

Restricted Cover

Not Covered

This policy includes cover for

Blood

Bone, joint and muscle

Brain and nervous system

Breast surgery (medically necessary)

Chemotherapy, radiotherapy and immunotherapy for cancer

Dental surgery

Diabetes management (excluding insulin pumps)

Digestive system

Ear, nose and throat

Eye (not cataracts)

Gastrointestinal endoscopy

Gynaecology

Hernia and appendix

Hospital psychiatric services

Implantation of hearing devices

Insulin pumps

Joint reconstructions

Kidney and bladder

Lung and chest

Male reproductive system

Miscarriage and termination of pregnancy

Pain management

Pain management with device

Palliative care

Plastic and reconstructive surgery (medically necessary)

Podiatric surgery (provided by a registered podiatric surgeon)

Rehabilitation

Skin

Sleep studies

Tonsils, adenoids and grommets

This policy does not include cover for

Assisted reproductive services

Back, neck and spine

Cataracts

Dialysis for chronic kidney failure

Heart and vascular system

Joint replacements

Pregnancy and birth

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:

$50 per day for a shared room for overnight admissions - up to $250 per hospital stay
$50 per day for a private room for overnight admissions - up to $250 per hospital stay
$50 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 a limited set of hospital services to help protect you from the unexpected. For more details on the product contact Bupa.

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.

Policy ID: BUP/J3A/DCAG10 Source: Private Health Information Statement (PHIS)

Extras Cover

This policy includes General treatment (Extras) cover for

Note, for treatments marked with * : Step down benefits apply after first 10 total services across Chiropractic and Osteopathy. Podiatry does not include Orthotics. Where applicable, benefits may be payable under Health Aids & Appliances. Dentures payable once every 3 years. Periodic oral examination (012), Scale & Clean (114), Fluoride treatment (121) payable once every 6 months. Orthodontic treatment is only covered if resulting from an accident requiring immediate medical attention sustained after joining this cover. Pharmacy benefit paid after current PBS patient contribution deducted.

Treatment & waiting period (months)

Benefit limits per 12 months unless otherwise stated

Examples of maximum benefits

Acupuncture

$500 per policy

combined limit for acupuncture, chinese medicine, exercise physiology & remedial massage

Initial visit: $22
Subsequent visit: $18

Chinese medicine

$500 per policy

combined limit for acupuncture, chinese medicine, exercise physiology & remedial massage

Initial visit: $17
Subsequent visit: $17

Chiropractic*

$500 per policy

combined limit for chiropractic, osteopathy & physiotherapy

Initial visit: $22
Subsequent visit: $17

Dietetics/dietary advice

$300 per policy

Initial visit: $37
Subsequent visit: $19

Endodontic

$850 per policy

combined limit for endodontic, general dental, major dental & orthodontic

Filling of one root canal: $100

Exercise physiology

$500 per policy

combined limit for acupuncture, chinese medicine, exercise physiology & remedial massage

Initial visit: $17
Subsequent visit: $17

General dental*

$850 per policy

combined limit for endodontic, general dental, major dental & orthodontic

Fluoride treatment: $13.5
Scale & clean: $41
Surgical tooth extraction: $65
Periodic oral examination: $19

Health management / Healthy lifestyle

$75 per policy

Health management: 50% of charge

Major dental*

$850 per policy

combined limit for endodontic, general dental, major dental & orthodontic

Full crown veneered: $460

Non PBS pharmaceuticals*

$200 per policy

Per eligible prescription: $40

Optical

$150 per policy

Multi-focal lenses & frames: $150
Single vision lenses & frames: $145

Orthodontic*

$850 per policy

combined limit for endodontic, general dental, major dental & orthodontic

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

Osteopathy

$500 per policy

combined limit for chiropractic, osteopathy & physiotherapy

Initial visit: $27
Subsequent visit: $21

Physiotherapy

$500 per policy

combined limit for chiropractic, osteopathy & physiotherapy

Initial visit: $27
Subsequent visit: $20.5

Podiatry*

$300 per policy

Initial visit: $23
Subsequent visit: $17

Psychology

$300 per policy

Initial visit: $89
Subsequent visit: $73.5

Remedial massage

$500 per policy

combined limit for acupuncture, chinese medicine, exercise physiology & remedial massage

sub-limits apply

Initial visit: $22
Subsequent visit: $20.5

Mental health includes Psychology, Digital Mental Health, Social Work (psychological therapies), and Counselling (including Indigenous Counselling). Sub-limits apply for Digital 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

Occupational therapy

Orthotics (podiatric orthoses)

Speech therapy

Vaccinations

Other features of this general treatment cover: Enjoy a Top-up Bonus of $75-$150 every year to help pay out-of-pocket extras expenses payable on your cover.

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

Bronze Plus Young Singles Choice

$158.50 / month

(Before Rebate, Discount & Loading)

Available in NT

Call now 134 135 Sponsor link

Bupa HI Pty Ltd

http://www.bupa.com.au

134 135

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/J3A/DCAG10