healthslips.com.au Policy Information

Medibank Private Limited

Priority Optimal Extras

$208.50 / 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 - 30), as well as persons with a disability who qualify as a child, non-classified* dependant and student in these age ranges. *Non-classified dependant: Medibank considers a child dependant to be aged up to 21.

Policy ID: MBP/I42/SBJM2D

Source: Private Health Information Statement (PHIS)

Extras Cover

At Members' Choice extras providers you may get more for your cover. This includes 100% back on a dental check up, scale and clean each year and great optical deals. See https://www.medibank.com.au/health-insurance/find-provider/#/.

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

$400 per person

combined limit for acupuncture, chiropractic & remedial massage

  • Initial visit: $27.1
  • Subsequent visit: $15.8
Blood glucose monitors 24

$800 per person

combined limit for blood glucose monitors, hearing aids & other services

sub-limits apply

  • Per monitor: $150
Chiropractic 2

$400 per person

combined limit for acupuncture, chiropractic & remedial massage

sub-limits apply

  • Initial visit: $32.9
  • Subsequent visit: $19.2
Endodontic 12

$400 per person

  • Filling of one root canal: $85
General dental 2

$1,000 per person

sub-limits apply

  • Fluoride treatment: $16.1
  • Scale & clean: $51.2
  • Periodic oral examination: $29.9
Hearing aids 36

$800 per person

combined limit for blood glucose monitors, hearing aids & other services

sub-limits apply

  • Hearing aid: $400
Major dental 12

$1,400 per person

combined limit for major dental & orthodontic

sub-limits apply

  • Surgical tooth extraction: $50.6
  • Full crown veneered: $510
Non PBS pharmaceuticals 2

$600 per person

  • Per eligible prescription: $30.6
Optical 6

$250 per person

sub-limits apply

  • Multi-focal lenses & frames: $175
  • Single vision lenses & frames: $115
Orthodontic 12

$1,400 per person

$2,400 lifetime limit

combined limit for major dental & orthodontic

  • Braces for upper & lower teeth, including removal plus fitting of retainer: $400
Physiotherapy 2

$700 per person

  • Initial visit: $32.9
  • Subsequent visit: $23
Podiatry 2

$400 per person

sub-limits apply

  • Initial visit: $27.1
  • Subsequent visit: $19.5
Psychology 2

$400 per person

  • Initial visit: $131.96
  • Subsequent visit: $109.28
Remedial massage 2

$400 per person

combined limit for acupuncture, chiropractic & remedial massage

sub-limits apply

  • Initial visit: $20
  • Subsequent visit: $20

Acupuncture

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for acupuncture, chiropractic & remedial massage}

Examples of maximum benefits

{Initial visit: $27.1}

{Subsequent visit: $15.8}

Blood glucose monitors

Waiting period:  24 months

Benefit limits per 12 months unless otherwise stated

{$800 per person}

{combined limit for blood glucose monitors, hearing aids & other services}

{sub-limits apply}

Examples of maximum benefits

{Per monitor: $150}

Chiropractic

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for acupuncture, chiropractic & remedial massage}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $32.9}

{Subsequent visit: $19.2}

Endodontic

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

Examples of maximum benefits

{Filling of one root canal: $85}

General dental

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per person}

{sub-limits apply}

Examples of maximum benefits

{Fluoride treatment: $16.1}

{Scale & clean: $51.2}

{Periodic oral examination: $29.9}

Hearing aids

Waiting period:  36 months

Benefit limits per 12 months unless otherwise stated

{$800 per person}

{combined limit for blood glucose monitors, hearing aids & other services}

{sub-limits apply}

Examples of maximum benefits

{Hearing aid: $400}

Major dental

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,400 per person}

{combined limit for major dental & orthodontic}

{sub-limits apply}

Examples of maximum benefits

{Surgical tooth extraction: $50.6}

{Full crown veneered: $510}

Non PBS pharmaceuticals

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$600 per person}

Examples of maximum benefits

{Per eligible prescription: $30.6}

Optical

Waiting period:  6 months

Benefit limits per 12 months unless otherwise stated

{$250 per person}

{sub-limits apply}

Examples of maximum benefits

{Multi-focal lenses & frames: $175}

{Single vision lenses & frames: $115}

Orthodontic

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,400 per person}

{$2,400 lifetime limit}

{combined limit for major dental & orthodontic}

Examples of maximum benefits

{Braces for upper & lower teeth, including removal plus fitting of retainer: $400}

Physiotherapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$700 per person}

Examples of maximum benefits

{Initial visit: $32.9}

{Subsequent visit: $23}

Podiatry

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $27.1}

{Subsequent visit: $19.5}

Psychology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

Examples of maximum benefits

{Initial visit: $131.96}

{Subsequent visit: $109.28}

Remedial massage

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for acupuncture, chiropractic & remedial massage}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $20}

{Subsequent visit: $20}

Counselling (no waiting period) shares an annual limit with Psychology. Please contact Medibank for more information.

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

Ante-natal/Post-natal classes
Audiology
Chinese medicine
Dietetics/dietary advice
Exercise physiology
Eye therapy (orthoptics)
Health management / Healthy lifestyle
Home nursing
Occupational therapy
Orthotics (podiatric orthoses)
Osteopathy
Speech therapy
Vaccinations

Ambulance cover

In SA 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: Cover for an ambulance when you require immediate professional attention and you need to be transported to hospital or other approved facility and your medical condition is such that you cannot be transported any other way, or where an ambulance is called but transport is not needed. Cover for air ambulance where pre-approval has been obtained from Medibank. In all cases the ambulance provider must be Medibank approved. Please contact Medibank for further details.

Insurer Details

Medibank Private Limited

Priority Optimal Extras

$208.50 / 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/MBP/I42/SBJM2D

Read our Terms of Use and Privacy Policy