healthslips.com.au Policy Information

Medibank Private Limited

Basic Plus MyOptions

$426.90 / month

(Before Rebate, Discount & Loading)

Available in TAS

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: Two adults (and no-one else).

Policy ID: MBP/J4/TBVV20

Source: Private Health Information Statement (PHIS)

Hospital Cover

  • This policy exempts you from the Medicare Levy Surcharge.
  • This policy provides accident cover - check with insurer for details.
  • This policy provides benefits for travel or accommodation outside of hospital - check with insurer for details.
Covered
Restricted Cover
Not Covered
This policy includes cover for
Dental surgery
Hernia and appendix
Hospital psychiatric services
Joint reconstructions
Palliative care
Rehabilitation
Tonsils, adenoids and grommets

This policy does not include cover for

Assisted reproductive services
Back, neck and spine
Blood
Bone, joint and muscle
Brain and nervous system
Breast surgery (medically necessary)
Cataracts
Chemotherapy, radiotherapy and immunotherapy for cancer
Diabetes management (excluding insulin pumps)
Dialysis for chronic kidney failure
Digestive system
Ear, nose and throat
Eye (not cataracts)
Gastrointestinal endoscopy
Gynaecology
Heart and vascular system
Implantation of hearing devices
Insulin pumps
Joint replacements
Kidney and bladder
Lung and chest
Male reproductive system
Miscarriage and termination of pregnancy
Pain management
Pain management with device
Plastic and reconstructive surgery (medically necessary)
Podiatric surgery (provided by a registered podiatric surgeon)
Pregnancy and birth
Skin
Sleep studies
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: No co-payments

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.

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

$350 per person

combined limit for acupuncture, chiropractic, major dental, non pbs pharmaceuticals, orthodontic, osteopathy, physiotherapy & remedial massage

  • Initial visit: $30.8
  • Subsequent visit: $21.5
Chiropractic 2

$350 per person

combined limit for acupuncture, chiropractic, major dental, non pbs pharmaceuticals, orthodontic, osteopathy, physiotherapy & remedial massage

sub-limits apply

  • Initial visit: $33.5
  • Subsequent visit: $22.9
Endodontic 12

No annual limit

combined limit for endodontic & general dental

  • Filling of one root canal: $73.2
General dental* 2

No annual limit

combined limit for endodontic & general dental

sub-limits apply

  • Fluoride treatment: $15
  • Scale & clean: $37
  • Surgical tooth extraction: $53.9
  • Periodic oral examination: $20.7
Major dental 12

$350 per person

combined limit for acupuncture, chiropractic, major dental, non pbs pharmaceuticals, orthodontic, osteopathy, physiotherapy & remedial massage

  • Full crown veneered: $480
Non PBS pharmaceuticals 2

$350 per person

combined limit for acupuncture, chiropractic, major dental, non pbs pharmaceuticals, orthodontic, osteopathy, physiotherapy & remedial massage

sub-limits apply

  • Per eligible prescription: $35.6
Optical 6

$200 per person

sub-limits apply

  • Multi-focal lenses & frames: $180
  • Single vision lenses & frames: $120
Orthodontic 12

$350 per person

$2,400 lifetime limit

combined limit for acupuncture, chiropractic, major dental, non pbs pharmaceuticals, orthodontic, osteopathy, physiotherapy & remedial massage

  • Braces for upper & lower teeth, including removal plus fitting of retainer: $350
Osteopathy 2

$350 per person

combined limit for acupuncture, chiropractic, major dental, non pbs pharmaceuticals, orthodontic, osteopathy, physiotherapy & remedial massage

  • Initial visit: $33.5
  • Subsequent visit: $22.9
Physiotherapy 2

$350 per person

combined limit for acupuncture, chiropractic, major dental, non pbs pharmaceuticals, orthodontic, osteopathy, physiotherapy & remedial massage

  • Initial visit: $33.5
  • Subsequent visit: $23
Remedial massage 2

$350 per person

combined limit for acupuncture, chiropractic, major dental, non pbs pharmaceuticals, orthodontic, osteopathy, physiotherapy & remedial massage

sub-limits apply

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

Acupuncture

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per person}

{combined limit for acupuncture, chiropractic, major dental, non pbs pharmaceuticals, orthodontic, osteopathy, physiotherapy & remedial massage}

Examples of maximum benefits

{Initial visit: $30.8}

{Subsequent visit: $21.5}

Chiropractic

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per person}

{combined limit for acupuncture, chiropractic, major dental, non pbs pharmaceuticals, orthodontic, osteopathy, physiotherapy & remedial massage}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $33.5}

{Subsequent visit: $22.9}

Endodontic

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{No annual limit}

{combined limit for endodontic & general dental}

Examples of maximum benefits

{Filling of one root canal: $73.2}

General dental*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{No annual limit}

{combined limit for endodontic & general dental}

{sub-limits apply}

Examples of maximum benefits

{Fluoride treatment: $15}

{Scale & clean: $37}

{Surgical tooth extraction: $53.9}

{Periodic oral examination: $20.7}

Major dental

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$350 per person}

{combined limit for acupuncture, chiropractic, major dental, non pbs pharmaceuticals, orthodontic, osteopathy, physiotherapy & remedial massage}

Examples of maximum benefits

{Full crown veneered: $480}

Non PBS pharmaceuticals

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per person}

{combined limit for acupuncture, chiropractic, major dental, non pbs pharmaceuticals, orthodontic, osteopathy, physiotherapy & remedial massage}

{sub-limits apply}

Examples of maximum benefits

{Per eligible prescription: $35.6}

Optical

Waiting period:  6 months

Benefit limits per 12 months unless otherwise stated

{$200 per person}

{sub-limits apply}

Examples of maximum benefits

{Multi-focal lenses & frames: $180}

{Single vision lenses & frames: $120}

Orthodontic

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$350 per person}

{$2,400 lifetime limit}

{combined limit for acupuncture, chiropractic, major dental, non pbs pharmaceuticals, orthodontic, osteopathy, physiotherapy & remedial massage}

Examples of maximum benefits

{Braces for upper & lower teeth, including removal plus fitting of retainer: $350}

Osteopathy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per person}

{combined limit for acupuncture, chiropractic, major dental, non pbs pharmaceuticals, orthodontic, osteopathy, physiotherapy & remedial massage}

Examples of maximum benefits

{Initial visit: $33.5}

{Subsequent visit: $22.9}

Physiotherapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per person}

{combined limit for acupuncture, chiropractic, major dental, non pbs pharmaceuticals, orthodontic, osteopathy, physiotherapy & remedial massage}

Examples of maximum benefits

{Initial visit: $33.5}

{Subsequent visit: $23}

Remedial massage

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per person}

{combined limit for acupuncture, chiropractic, major dental, non pbs pharmaceuticals, orthodontic, osteopathy, physiotherapy & remedial massage}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $20}

{Subsequent visit: $20}

This product includes a Flexi-bonus which starts at $100 per member and increases by $25 per calendar year to a maximum of $200. The Flexi-Bonus can be used to top up your benefits on the extras services listed above or pay towards consultations for exercise physiology and Chinese medicine. Benefits are subject to available Flexi-Bonus limit. Contact Medibank or check cover summary for details.

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
Occupational therapy
Orthotics (podiatric orthoses)
Podiatry
Psychology
Speech therapy
Vaccinations

Other features of this general treatment cover: Hospital and extras package for young singles and couples. Top up your annual limits with Flexi-Bonus.

Ambulance cover

Ambulance cover is provided by the State government for residents of Tasmania. This may include cover whilst interstate, except for South Australia and Queensland where no cover applies. In other states please check with Ambulance Tasmania - https://www.health.tas.gov.au/ambulance/fees_and_accounts.

Insurer Details

Medibank Private Limited

Basic Plus MyOptions

$426.90 / month

(Before Rebate, Discount & Loading)

Available in TAS

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/J4/TBVV20

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