healthslips.com.au Policy Information

GMHBA Limited

GMHBA SmartCare Everyday Boost Extras

$165.82 / month

(Before Rebate, Discount & Loading)

Available in SA

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), non-classified* dependant (18 - 20) and students (21 - 24), as well as persons with a disability who qualify as a child, non-classified* dependant and student in these age ranges. *Non-classified dependant: Dependant from the age of 18 to 20

Policy ID: GMH/I48/SMGY2D

Source: Private Health Information Statement (PHIS)

Extras Cover

This policy can only be purchased with certain hospital policies.

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 person

combined limit for acupuncture, chiropractic, endodontic, general dental, major dental, osteopathy, physiotherapy, podiatry & remedial massage

  • Initial visit: 60% of charge
  • Subsequent visit: 60% of charge
Chiropractic 2

$1,000 per person

combined limit for acupuncture, chiropractic, endodontic, general dental, major dental, osteopathy, physiotherapy, podiatry & remedial massage

  • Initial visit: 60% of charge
  • Subsequent visit: 60% of charge
Endodontic 12

$1,000 per person

combined limit for acupuncture, chiropractic, endodontic, general dental, major dental, osteopathy, physiotherapy, podiatry & remedial massage

  • Filling of one root canal: 60% of charge
General dental 2

$1,000 per person

combined limit for acupuncture, chiropractic, endodontic, general dental, major dental, osteopathy, physiotherapy, podiatry & remedial massage

  • Fluoride treatment: 100% of charge
  • Scale & clean: 100% of charge
  • Periodic oral examination: 100% of charge
Major dental 12

$1,000 per person

combined limit for acupuncture, chiropractic, endodontic, general dental, major dental, osteopathy, physiotherapy, podiatry & remedial massage

  • Surgical tooth extraction: 60% of charge
  • Full crown veneered: 60% of charge
Optical 6

$200 per person

  • Single vision lenses & frames: 100% of charge
Orthotics (podiatric orthoses) 12

No annual limit

  • Orthotics supply & fit: 60% of charge
Osteopathy 2

$1,000 per person

combined limit for acupuncture, chiropractic, endodontic, general dental, major dental, osteopathy, physiotherapy, podiatry & remedial massage

  • Initial visit: 60% of charge
  • Subsequent visit: 60% of charge
Physiotherapy 2

$1,000 per person

combined limit for acupuncture, chiropractic, endodontic, general dental, major dental, osteopathy, physiotherapy, podiatry & remedial massage

  • Initial visit: 60% of charge
  • Subsequent visit: 60% of charge
Podiatry 2

$1,000 per person

combined limit for acupuncture, chiropractic, endodontic, general dental, major dental, osteopathy, physiotherapy, podiatry & remedial massage

  • Initial visit: 60% of charge
  • Subsequent visit: 60% of charge
Psychology 2

No annual limit

  • Initial visit: 60% of charge
Remedial massage 2

$1,000 per person

combined limit for acupuncture, chiropractic, endodontic, general dental, major dental, osteopathy, physiotherapy, podiatry & remedial massage

  • Initial visit: 60% of charge
  • Subsequent visit: 60% of charge

Acupuncture

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per person}

{combined limit for acupuncture, chiropractic, endodontic, general dental, major dental, osteopathy, physiotherapy, podiatry & remedial massage}

Examples of maximum benefits

{Initial visit: 60% of charge}

{Subsequent visit: 60% of charge}

Chiropractic

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per person}

{combined limit for acupuncture, chiropractic, endodontic, general dental, major dental, osteopathy, physiotherapy, podiatry & remedial massage}

Examples of maximum benefits

{Initial visit: 60% of charge}

{Subsequent visit: 60% of charge}

Endodontic

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per person}

{combined limit for acupuncture, chiropractic, endodontic, general dental, major dental, osteopathy, physiotherapy, podiatry & remedial massage}

Examples of maximum benefits

{Filling of one root canal: 60% of charge}

General dental

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per person}

{combined limit for acupuncture, chiropractic, endodontic, general dental, major dental, osteopathy, physiotherapy, podiatry & remedial massage}

Examples of maximum benefits

{Fluoride treatment: 100% of charge}

{Scale & clean: 100% of charge}

{Periodic oral examination: 100% of charge}

Major dental

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per person}

{combined limit for acupuncture, chiropractic, endodontic, general dental, major dental, osteopathy, physiotherapy, podiatry & remedial massage}

Examples of maximum benefits

{Surgical tooth extraction: 60% of charge}

{Full crown veneered: 60% of charge}

Optical

Waiting period:  6 months

Benefit limits per 12 months unless otherwise stated

{$200 per person}

Examples of maximum benefits

{Single vision lenses & frames: 100% of charge}

Orthotics (podiatric orthoses)

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{No annual limit}

Examples of maximum benefits

{Orthotics supply & fit: 60% of charge}

Osteopathy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per person}

{combined limit for acupuncture, chiropractic, endodontic, general dental, major dental, osteopathy, physiotherapy, podiatry & remedial massage}

Examples of maximum benefits

{Initial visit: 60% of charge}

{Subsequent visit: 60% of charge}

Physiotherapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per person}

{combined limit for acupuncture, chiropractic, endodontic, general dental, major dental, osteopathy, physiotherapy, podiatry & remedial massage}

Examples of maximum benefits

{Initial visit: 60% of charge}

{Subsequent visit: 60% of charge}

Podiatry

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per person}

{combined limit for acupuncture, chiropractic, endodontic, general dental, major dental, osteopathy, physiotherapy, podiatry & remedial massage}

Examples of maximum benefits

{Initial visit: 60% of charge}

{Subsequent visit: 60% of charge}

Psychology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{No annual limit}

Examples of maximum benefits

{Initial visit: 60% of charge}

Remedial massage

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per person}

{combined limit for acupuncture, chiropractic, endodontic, general dental, major dental, osteopathy, physiotherapy, podiatry & remedial massage}

Examples of maximum benefits

{Initial visit: 60% of charge}

{Subsequent visit: 60% of charge}

This product includes limit rollover on 1st January after 12-month tenure (excludes Optical).

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

Ante-natal/Post-natal classes
Audiology
Blood glucose monitors
Chinese medicine
Dietetics/dietary advice
Exercise physiology
Eye therapy (orthoptics)
Health management / Healthy lifestyle
Hearing aids
Home nursing
Non PBS pharmaceuticals
Occupational therapy
Orthodontic
Speech therapy
Vaccinations

Other features of this general treatment cover: Preventative dental pays at 100% of provider fee up to product limit. General dental pays at 60% of provider fee up to product limit. Psychology also includes Counselling, Mental Health Social Workers and Mental Health Nurses.

Ambulance cover

South Australia has a subscription service to cover ambulance within the state, with an additional fee to cover interstate travel (http://www.saambulance.com.au/ProductsServices/AmbulanceCover.aspx).

Insurer Details

GMHBA Limited

GMHBA SmartCare Everyday Boost Extras

$165.82 / month

(Before Rebate, Discount & Loading)

Available in SA

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/I48/SMGY2D

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