healthslips.com.au Policy Information

GMHBA Limited

GMHBA Mid Extras Interstate

$46.40 / 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: GMH/I3/DLGG10

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

$350 per policy

combined limit for acupuncture, chiropractic, osteopathy & other services

sub-limits apply

  • Initial visit: $19
  • Subsequent visit: $17
Audiology 2

$400 per policy

combined limit for audiology, eye therapy (orthoptics) & speech therapy

  • Initial visit: $25
  • Subsequent visit: $20
Blood glucose monitors 12

$150 per policy

  • Per monitor: 100% of charge
Chiropractic 2

$350 per policy

combined limit for acupuncture, chiropractic, osteopathy & other services

sub-limits apply

  • Initial visit: $25
  • Subsequent visit: $17
Dietetics/dietary advice 2

$350 per policy

  • Initial visit: $56
  • Subsequent visit: $41
Endodontic 12

$1,500 per policy

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

  • Filling of one root canal: $86.19
Eye therapy (orthoptics) 2

$400 per policy

combined limit for audiology, eye therapy (orthoptics) & speech therapy

  • Initial visit: $27
  • Subsequent visit: $21
General dental 2

$1,500 per policy

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

sub-limits apply

  • Fluoride treatment: $21.45
  • Scale & clean: $68.25
  • Periodic oral examination: $36.65
Hearing aids 12

$400 per policy

sub-limits apply

  • Hearing aid: 80% of charge
Major dental 12

$1,500 per policy

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

sub-limits apply

  • Surgical tooth extraction: $118.6
  • Full crown veneered: $520
Non PBS pharmaceuticals* 2

$250 per policy

combined limit for non pbs pharmaceuticals & vaccinations

sub-limits apply

  • Per eligible prescription: $40
Occupational therapy 2

$350 per policy

combined limit for occupational therapy, physiotherapy & other services

  • Initial visit: $31
  • Subsequent visit: $21
Optical 6

$170 per policy

  • Multi-focal lenses & frames: 80% of charge
  • Single vision lenses & frames: 80% of charge
Orthodontic 12

$1,500 per policy

$1,900 lifetime limit

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

sub-limits apply

  • Braces for upper & lower teeth, including removal plus fitting of retainer: $320
Orthotics (podiatric orthoses) 12

$400 overall limit for Podiatry, Orthotics (podiatric orthoses) and surgical podiatric items. Sub-limit applies per item for Orthotics.

combined limit for orthotics (podiatric orthoses) & podiatry

  • Orthotics supply & fit: 80% of charge
Osteopathy 2

$350 per policy

combined limit for acupuncture, chiropractic, osteopathy & other services

  • Initial visit: $25
  • Subsequent visit: $17
Physiotherapy 2

$350 per policy

combined limit for occupational therapy, physiotherapy & other services

sub-limits apply

  • Initial visit: $31
  • Subsequent visit: $21
Podiatry 2

$400 overall limit for Podiatry, Orthotics (podiatric orthoses) and surgical podiatric items. Sub-limit applies per item for Orthotics.

combined limit for orthotics (podiatric orthoses) & podiatry

  • Initial visit: $35
  • Subsequent visit: $35
Psychology 2

$350 per policy

sub-limits apply

  • Initial visit: $40
  • Subsequent visit: $25
Speech therapy 2

$400 per policy

combined limit for audiology, eye therapy (orthoptics) & speech therapy

  • Initial visit: $27
  • Subsequent visit: $21
Vaccinations 2

$250 per policy

combined limit for non pbs pharmaceuticals & vaccinations

  • Per service: $40

Acupuncture

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per policy}

{combined limit for acupuncture, chiropractic, osteopathy & other services}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $19}

{Subsequent visit: $17}

Audiology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per policy}

{combined limit for audiology, eye therapy (orthoptics) & speech therapy}

Examples of maximum benefits

{Initial visit: $25}

{Subsequent visit: $20}

Blood glucose monitors

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$150 per policy}

Examples of maximum benefits

{Per monitor: 100% of charge}

Chiropractic

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per policy}

{combined limit for acupuncture, chiropractic, osteopathy & other services}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $25}

{Subsequent visit: $17}

Dietetics/dietary advice

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per policy}

Examples of maximum benefits

{Initial visit: $56}

{Subsequent visit: $41}

Endodontic

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,500 per policy}

{combined limit for endodontic, general dental, major dental, orthodontic & other services}

Examples of maximum benefits

{Filling of one root canal: $86.19}

Eye therapy (orthoptics)

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per policy}

{combined limit for audiology, eye therapy (orthoptics) & speech therapy}

Examples of maximum benefits

{Initial visit: $27}

{Subsequent visit: $21}

General dental

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,500 per policy}

{combined limit for endodontic, general dental, major dental, orthodontic & other services}

{sub-limits apply}

Examples of maximum benefits

{Fluoride treatment: $21.45}

{Scale & clean: $68.25}

{Periodic oral examination: $36.65}

Hearing aids

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$400 per policy}

{sub-limits apply}

Examples of maximum benefits

{Hearing aid: 80% of charge}

Major dental

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,500 per policy}

{combined limit for endodontic, general dental, major dental, orthodontic & other services}

{sub-limits apply}

Examples of maximum benefits

{Surgical tooth extraction: $118.6}

{Full crown veneered: $520}

Non PBS pharmaceuticals*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$250 per policy}

{combined limit for non pbs pharmaceuticals & vaccinations}

{sub-limits apply}

Examples of maximum benefits

{Per eligible prescription: $40}

Occupational therapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per policy}

{combined limit for occupational therapy, physiotherapy & other services}

Examples of maximum benefits

{Initial visit: $31}

{Subsequent visit: $21}

Optical

Waiting period:  6 months

Benefit limits per 12 months unless otherwise stated

{$170 per policy}

Examples of maximum benefits

{Multi-focal lenses & frames: 80% of charge}

{Single vision lenses & frames: 80% of charge}

Orthodontic

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,500 per policy}

{$1,900 lifetime limit}

{combined limit for endodontic, general dental, major dental, orthodontic & other services}

{sub-limits apply}

Examples of maximum benefits

{Braces for upper & lower teeth, including removal plus fitting of retainer: $320}

Orthotics (podiatric orthoses)

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$400 overall limit for Podiatry, Orthotics (podiatric orthoses) and surgical podiatric items. Sub-limit applies per item for Orthotics.}

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

Examples of maximum benefits

{Orthotics supply & fit: 80% of charge}

Osteopathy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per policy}

{combined limit for acupuncture, chiropractic, osteopathy & other services}

Examples of maximum benefits

{Initial visit: $25}

{Subsequent visit: $17}

Physiotherapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per policy}

{combined limit for occupational therapy, physiotherapy & other services}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $31}

{Subsequent visit: $21}

Podiatry

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 overall limit for Podiatry, Orthotics (podiatric orthoses) and surgical podiatric items. Sub-limit applies per item for Orthotics.}

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

Examples of maximum benefits

{Initial visit: $35}

{Subsequent visit: $35}

Psychology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per policy}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $40}

{Subsequent visit: $25}

Speech therapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per policy}

{combined limit for audiology, eye therapy (orthoptics) & speech therapy}

Examples of maximum benefits

{Initial visit: $27}

{Subsequent visit: $21}

Vaccinations

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$250 per policy}

{combined limit for non pbs pharmaceuticals & vaccinations}

Examples of maximum benefits

{Per service: $40}

This policy does not include General treatment (Extras) cover for

Ante-natal/Post-natal classes
Chinese medicine
Exercise physiology
Health management / Healthy lifestyle
Home nursing
Remedial massage

Other features of this general treatment cover: An annual sub-limit up to $400 per person per calendar year applies for preventative dental. Rates discounted for premiums paid by direct debit. Sub-limit per item for Orthotics is 80% cost up to a maximum of $115.

Ambulance cover

Pensioner Concession Card and Commonwealth Seniors Health Card holders are entitled to free ambulance transport services. St John's ambulance offers a subscription service for ambulance cover in the Northern Territory (https://www.stjohnnt.org.au/ambulance/ambulance-cover.php). Cover is included whilst interstate for less than 21 days.

Insurer Details

GMHBA Limited

GMHBA Mid Extras Interstate

$46.40 / 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/GMH/I3/DLGG10

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