healthslips.com.au Policy Information

Medibank Private Limited

Top Extras 90

$319.10 / month

(Before Rebate, Discount & Loading)

Available in VIC

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: One adult & dependants (2 or more people, only one of whom is an adult).

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/I99/VLXM1D

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, chinese medicine, exercise physiology & remedial massage

  • Initial visit: $49.3
  • Subsequent visit: $36.5
Blood glucose monitors 24

$250 per person

  • Per monitor: 100% of charge
Chinese medicine 2

$400 per person

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

  • Initial visit: $27
  • Subsequent visit: $27
Chiropractic 2

$500 per person

combined limit for chiropractic & osteopathy

  • Initial visit: $58.9
  • Subsequent visit: $41.4
Dietetics/dietary advice 2

$500 per person

  • Initial visit: $63.4
  • Subsequent visit: $39.8
Endodontic 12

$1,200 per person

combined limit for endodontic & major dental

  • Filling of one root canal: $178.2
Exercise physiology* 2

$400 per person

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

  • Initial visit: $27
  • Subsequent visit: $15
Eye therapy (orthoptics) 2

$500 per person

  • Initial visit: $52.5
  • Subsequent visit: $42.5
General dental* 2

No annual limit

  • Fluoride treatment: $20
  • Scale & clean: $67.6
  • Surgical tooth extraction: $144.1
  • Periodic oral examination: $34.9
Hearing aids 36

$1,200 per person

  • Hearing aid: 100% of charge
Major dental 12

$1,200 per person

combined limit for endodontic & major dental

  • Full crown veneered: $985
Non PBS pharmaceuticals 2

$600 per person

  • Per eligible prescription: $41
Occupational therapy 2

$500 per person

  • Initial visit: $59.3
  • Subsequent visit: $43.3
Optical 6

$250 per person

  • Multi-focal lenses & frames: 100% of charge
  • Single vision lenses & frames: 100% of charge
Orthodontic* 12

$1,000 per person

$3,000 lifetime limit

  • Braces for upper & lower teeth, including removal plus fitting of retainer: 100% of charge
Orthotics (podiatric orthoses) 2

$500 per person

combined limit for orthotics (podiatric orthoses) & podiatry

  • Orthotics supply & fit: 90% of charge
Osteopathy 2

$500 per person

combined limit for chiropractic & osteopathy

  • Initial visit: $58.9
  • Subsequent visit: $41.4
Physiotherapy 2

$700 per person

  • Initial visit: $58.9
  • Subsequent visit: $46.9
Podiatry 2

$500 per person

combined limit for orthotics (podiatric orthoses) & podiatry

  • Initial visit: $51.8
  • Subsequent visit: $40.4
Psychology 0

$500 per person

  • Initial visit: $158.67
  • Subsequent visit: $137.97
Remedial massage 2

$400 per person

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

  • Initial visit: $58.4
  • Subsequent visit: $39.4
Speech therapy 2

$500 per person

  • Initial visit: $91.4
  • Subsequent visit: $52.4

Acupuncture

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

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

Examples of maximum benefits

{Initial visit: $49.3}

{Subsequent visit: $36.5}

Blood glucose monitors

Waiting period:  24 months

Benefit limits per 12 months unless otherwise stated

{$250 per person}

Examples of maximum benefits

{Per monitor: 100% of charge}

Chinese medicine

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

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

Examples of maximum benefits

{Initial visit: $27}

{Subsequent visit: $27}

Chiropractic

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per person}

{combined limit for chiropractic & osteopathy}

Examples of maximum benefits

{Initial visit: $58.9}

{Subsequent visit: $41.4}

Dietetics/dietary advice

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per person}

Examples of maximum benefits

{Initial visit: $63.4}

{Subsequent visit: $39.8}

Endodontic

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,200 per person}

{combined limit for endodontic & major dental}

Examples of maximum benefits

{Filling of one root canal: $178.2}

Exercise physiology*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

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

Examples of maximum benefits

{Initial visit: $27}

{Subsequent visit: $15}

Eye therapy (orthoptics)

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per person}

Examples of maximum benefits

{Initial visit: $52.5}

{Subsequent visit: $42.5}

General dental*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{No annual limit}

Examples of maximum benefits

{Fluoride treatment: $20}

{Scale & clean: $67.6}

{Surgical tooth extraction: $144.1}

{Periodic oral examination: $34.9}

Hearing aids

Waiting period:  36 months

Benefit limits per 12 months unless otherwise stated

{$1,200 per person}

Examples of maximum benefits

{Hearing aid: 100% of charge}

Major dental

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,200 per person}

{combined limit for endodontic & major dental}

Examples of maximum benefits

{Full crown veneered: $985}

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: $41}

Occupational therapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per person}

Examples of maximum benefits

{Initial visit: $59.3}

{Subsequent visit: $43.3}

Optical

Waiting period:  6 months

Benefit limits per 12 months unless otherwise stated

{$250 per person}

Examples of maximum benefits

{Multi-focal lenses & frames: 100% of charge}

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

Orthodontic*

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per person}

{$3,000 lifetime limit}

Examples of maximum benefits

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

Orthotics (podiatric orthoses)

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per person}

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

Examples of maximum benefits

{Orthotics supply & fit: 90% of charge}

Osteopathy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per person}

{combined limit for chiropractic & osteopathy}

Examples of maximum benefits

{Initial visit: $58.9}

{Subsequent visit: $41.4}

Physiotherapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$700 per person}

Examples of maximum benefits

{Initial visit: $58.9}

{Subsequent visit: $46.9}

Podiatry

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per person}

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

Examples of maximum benefits

{Initial visit: $51.8}

{Subsequent visit: $40.4}

Psychology

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$500 per person}

Examples of maximum benefits

{Initial visit: $158.67}

{Subsequent visit: $137.97}

Remedial massage

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

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

Examples of maximum benefits

{Initial visit: $58.4}

{Subsequent visit: $39.4}

Speech therapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per person}

Examples of maximum benefits

{Initial visit: $91.4}

{Subsequent visit: $52.4}

Health appliances and external prostheses 2 mth waiting period. Fixed benefits and various benefits replacement periods apply. $500 annual limit. Breathing appliances (12mth waiting period) and Blood pressure monitors (24mth waiting period) 1 appliance every 36 months, shared annual limit with Blood glucose monitors. 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
Health management / Healthy lifestyle
Home nursing
Vaccinations

Other features of this general treatment cover: One of Medibank's top extras covers with generous annual limits that apply to each person covered on the membership. Easy online and electronic claiming.

Ambulance cover

In VIC 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

Top Extras 90

$319.10 / month

(Before Rebate, Discount & Loading)

Available in VIC

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/I99/VLXM1D

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