healthslips.com.au Policy Information

Phoenix Health Fund Limited

Everyday Extras 60

$103.43 / 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: Only one person.

Policy ID: PWA/E60/SGXO10

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

$800 per policy

combined limit for acupuncture, chiropractic, exercise physiology, osteopathy, physiotherapy & remedial massage

  • Initial visit: 60% of charge
  • Subsequent visit: 60% of charge
Blood glucose monitors 12

$600 per policy

sub-limits apply

  • Per monitor: 60% of charge
Chiropractic 2

$800 per policy

combined limit for acupuncture, chiropractic, exercise physiology, osteopathy, physiotherapy & remedial massage

sub-limits apply

  • Initial visit: 60% of charge
  • Subsequent visit: 60% of charge
Dietetics/dietary advice 2

$200 per policy

combined limit for dietetics/dietary advice, health management / healthy lifestyle & other services

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

$800 per policy

combined limit for endodontic & major dental

  • Filling of one root canal: 60% of charge
Exercise physiology 2

$800 per policy

combined limit for acupuncture, chiropractic, exercise physiology, osteopathy, physiotherapy & remedial massage

sub-limits apply

  • Initial visit: 60% of charge
  • Subsequent visit: 60% of charge
Eye therapy (orthoptics) 2

$600 per policy

combined limit for eye therapy (orthoptics), occupational therapy, psychology & speech therapy

sub-limits apply

  • Initial visit: 60% of charge
  • Subsequent visit: 60% of charge
General dental* 2

No annual limit

  • Fluoride treatment: 100% of charge
  • Scale & clean: 100% of charge
  • Periodic oral examination: 100% of charge
Health management / Healthy lifestyle 2

$200 per policy

combined limit for dietetics/dietary advice, health management / healthy lifestyle & other services

  • Health management: 60% of charge
Major dental 12

$800 per policy

combined limit for endodontic & major dental

  • Surgical tooth extraction: 60% of charge
  • Full crown veneered: 60% of charge
Non PBS pharmaceuticals 2

$250 per policy

combined limit for non pbs pharmaceuticals & vaccinations

  • Per eligible prescription: 60% of charge
Occupational therapy 2

$600 per policy

combined limit for eye therapy (orthoptics), occupational therapy, psychology & speech therapy

sub-limits apply

  • Initial visit: 60% of charge
  • Subsequent visit: 60% of charge
Optical 6

$260 per policy

  • Multi-focal lenses & frames: 60% of charge
  • Single vision lenses & frames: 60% of charge
Orthodontic 12

$800 per policy

$2,100 lifetime limit

  • Braces for upper & lower teeth, including removal plus fitting of retainer: 60% of charge
Orthotics (podiatric orthoses) 2

$300 per policy

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

$800 per policy

combined limit for acupuncture, chiropractic, exercise physiology, osteopathy, physiotherapy & remedial massage

sub-limits apply

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

$800 per policy

combined limit for acupuncture, chiropractic, exercise physiology, osteopathy, physiotherapy & remedial massage

sub-limits apply

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

$300 per policy

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

$600 per policy

combined limit for eye therapy (orthoptics), occupational therapy, psychology & speech therapy

sub-limits apply

  • Initial visit: 60% of charge
  • Subsequent visit: 60% of charge
Remedial massage 2

$800 per policy

combined limit for acupuncture, chiropractic, exercise physiology, osteopathy, physiotherapy & remedial massage

sub-limits apply

  • Initial visit: 60% of charge
  • Subsequent visit: 60% of charge
Speech therapy 2

$600 per policy

combined limit for eye therapy (orthoptics), occupational therapy, psychology & speech therapy

sub-limits apply

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

$250 per policy

combined limit for non pbs pharmaceuticals & vaccinations

  • Per service: 60% of charge

Acupuncture

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$800 per policy}

{combined limit for acupuncture, chiropractic, exercise physiology, osteopathy, physiotherapy & remedial massage}

Examples of maximum benefits

{Initial visit: 60% of charge}

{Subsequent visit: 60% of charge}

Blood glucose monitors

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$600 per policy}

{sub-limits apply}

Examples of maximum benefits

{Per monitor: 60% of charge}

Chiropractic

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$800 per policy}

{combined limit for acupuncture, chiropractic, exercise physiology, osteopathy, physiotherapy & remedial massage}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: 60% of charge}

{Subsequent visit: 60% of charge}

Dietetics/dietary advice

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$200 per policy}

{combined limit for dietetics/dietary advice, health management / healthy lifestyle & other services}

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

{$800 per policy}

{combined limit for endodontic & major dental}

Examples of maximum benefits

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

Exercise physiology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$800 per policy}

{combined limit for acupuncture, chiropractic, exercise physiology, osteopathy, physiotherapy & remedial massage}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: 60% of charge}

{Subsequent visit: 60% of charge}

Eye therapy (orthoptics)

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$600 per policy}

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

{sub-limits apply}

Examples of maximum benefits

{Initial visit: 60% of charge}

{Subsequent visit: 60% of charge}

General dental*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{No annual limit}

Examples of maximum benefits

{Fluoride treatment: 100% of charge}

{Scale & clean: 100% of charge}

{Periodic oral examination: 100% of charge}

Health management / Healthy lifestyle

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$200 per policy}

{combined limit for dietetics/dietary advice, health management / healthy lifestyle & other services}

Examples of maximum benefits

{Health management: 60% of charge}

Major dental

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$800 per policy}

{combined limit for endodontic & major dental}

Examples of maximum benefits

{Surgical tooth extraction: 60% of charge}

{Full crown veneered: 60% of charge}

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}

Examples of maximum benefits

{Per eligible prescription: 60% of charge}

Occupational therapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$600 per policy}

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

{sub-limits apply}

Examples of maximum benefits

{Initial visit: 60% of charge}

{Subsequent visit: 60% of charge}

Optical

Waiting period:  6 months

Benefit limits per 12 months unless otherwise stated

{$260 per policy}

Examples of maximum benefits

{Multi-focal lenses & frames: 60% of charge}

{Single vision lenses & frames: 60% of charge}

Orthodontic

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$800 per policy}

{$2,100 lifetime limit}

Examples of maximum benefits

{Braces for upper & lower teeth, including removal plus fitting of retainer: 60% of charge}

Orthotics (podiatric orthoses)

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per policy}

Examples of maximum benefits

{Orthotics supply & fit: 60% of charge}

Osteopathy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$800 per policy}

{combined limit for acupuncture, chiropractic, exercise physiology, osteopathy, physiotherapy & remedial massage}

{sub-limits apply}

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

{$800 per policy}

{combined limit for acupuncture, chiropractic, exercise physiology, osteopathy, physiotherapy & remedial massage}

{sub-limits apply}

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

{$300 per policy}

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

{$600 per policy}

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

{sub-limits apply}

Examples of maximum benefits

{Initial visit: 60% of charge}

{Subsequent visit: 60% of charge}

Remedial massage

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$800 per policy}

{combined limit for acupuncture, chiropractic, exercise physiology, osteopathy, physiotherapy & remedial massage}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: 60% of charge}

{Subsequent visit: 60% of charge}

Speech therapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$600 per policy}

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

{sub-limits apply}

Examples of maximum benefits

{Initial visit: 60% of charge}

{Subsequent visit: 60% of charge}

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: 60% of charge}

*$400 sublimit for Physiotherapy/ Myotherapy & Exercise Physiology; $400 sublimit for Chiropractic, Osteopathy, Remedial Massage & Acupuncture; up to overall combined limit of $800. *$200 sublimit per modality for Mental Health (including Psychology & Counselling), Speech Therapy, Eye Therapy, Occupational Therapy; up to overall combined limit of $600. *Aids to Recovery (including Blood Glucose monitors) have a sublimit of $200 per item, up to overall limit of $600 every 2 years. *Non PBS Pharmacy benefit applies after PBS co-payment applied.

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

Ante-natal/Post-natal classes
Audiology
Chinese medicine
Hearing aids
Home nursing

Ambulance cover

In SA this policy provides:

Emergency: With a waiting period of 1 day, limited to $1,000 per person per year.

Non-emergency: Transport with a waiting period of 1 day, or 1 day for pre-existing conditions, limited to $1,000 per person per year.

Call-out fees: Will be paid for each attendance, including emergency treatment without transport to hospital.

Other features of this ambulance cover: 60% benefit for Emergency & Non-emergency Ambulance up to overall limit of $1000 per person per calendar year

For further information about this policy see: https://phoenixhealthfund.com.au/covers-by-life-stage/

Insurer Details

Phoenix Health Fund Limited

Everyday Extras 60

$103.43 / 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/PWA/E60/SGXO10

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