healthslips.com.au Policy Information

Phoenix Health Fund Limited

Mid Extras Cover

$142.78 / 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: 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: Dependants can stay on your family policy at no extra cost until their 21st birthday.

Policy ID: PWA/MA/VCYE2D

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

$400 per person

combined limit for acupuncture, chiropractic, osteopathy & other services

  • Initial visit: $22.5
  • Subsequent visit: $22.5
Blood glucose monitors 2

$150 per person

  • Per monitor: 80% of charge
Chiropractic 2

$400 per person

combined limit for acupuncture, chiropractic, osteopathy & other services

  • Initial visit: $36
  • Subsequent visit: $27
Endodontic* 2

$1,500 per person

combined limit for endodontic, general dental, major dental & orthodontic

sub-limits apply

  • Filling of one root canal: $153
Exercise physiology 2

$400 per person

combined limit for exercise physiology, physiotherapy, remedial massage & other services

sub-limits apply

  • Initial visit: $35
  • Subsequent visit: $27
Eye therapy (orthoptics) 2

$300 per person

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

sub-limits apply

  • Initial visit: $40.5
  • Subsequent visit: $39.6
General dental* 2

$1,500 per person

combined limit for endodontic, general dental, major dental & orthodontic

sub-limits apply

  • Fluoride treatment: $21.6
  • Scale & clean: $62.1
  • Periodic oral examination: $32.85
Health management / Healthy lifestyle 2

$100 per person

  • Health management: 80% of charge
Major dental* 12

$1,500 per person

combined limit for endodontic, general dental, major dental & orthodontic

sub-limits apply

  • Surgical tooth extraction: $144
  • Full crown veneered: $787
Non PBS pharmaceuticals* 2

$250 per person

combined limit for non pbs pharmaceuticals & vaccinations

  • Per eligible prescription: $45
Occupational therapy 2

$300 per person

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

sub-limits apply

  • Initial visit: $54
  • Subsequent visit: $36
Optical 6

$200 per person

  • Multi-focal lenses & frames: 80% of charge
  • Single vision lenses & frames: 80% of charge
Orthodontic* 12

$1,500 per person

combined limit for endodontic, general dental, major dental & orthodontic

sub-limits apply

  • Braces for upper & lower teeth, including removal plus fitting of retainer: 80% of charge
Orthotics (podiatric orthoses) 2

$200 per person

combined limit for orthotics (podiatric orthoses) & podiatry

  • Orthotics supply & fit: 80% of charge
Osteopathy 2

$400 per person

combined limit for acupuncture, chiropractic, osteopathy & other services

  • Initial visit: $36
  • Subsequent visit: $27
Physiotherapy 2

$400 per person

combined limit for exercise physiology, physiotherapy, remedial massage & other services

  • Initial visit: $45
  • Subsequent visit: $33.3
Podiatry 2

$200 per person

combined limit for orthotics (podiatric orthoses) & podiatry

  • Initial visit: $39.6
  • Subsequent visit: $30.6
Remedial massage 2

$400 per person

combined limit for exercise physiology, physiotherapy, remedial massage & other services

sub-limits apply

  • Initial visit: $25
  • Subsequent visit: $22.5
Speech therapy 2

$300 per person

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

sub-limits apply

  • Initial visit: $76.5
  • Subsequent visit: $40.5
Vaccinations 2

$250 per person

combined limit for non pbs pharmaceuticals & vaccinations

  • Per service: $45

Acupuncture

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for acupuncture, chiropractic, osteopathy & other services}

Examples of maximum benefits

{Initial visit: $22.5}

{Subsequent visit: $22.5}

Blood glucose monitors

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$150 per person}

Examples of maximum benefits

{Per monitor: 80% of charge}

Chiropractic

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for acupuncture, chiropractic, osteopathy & other services}

Examples of maximum benefits

{Initial visit: $36}

{Subsequent visit: $27}

Endodontic*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,500 per person}

{combined limit for endodontic, general dental, major dental & orthodontic}

{sub-limits apply}

Examples of maximum benefits

{Filling of one root canal: $153}

Exercise physiology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for exercise physiology, physiotherapy, remedial massage & other services}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $35}

{Subsequent visit: $27}

Eye therapy (orthoptics)

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per person}

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

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $40.5}

{Subsequent visit: $39.6}

General dental*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,500 per person}

{combined limit for endodontic, general dental, major dental & orthodontic}

{sub-limits apply}

Examples of maximum benefits

{Fluoride treatment: $21.6}

{Scale & clean: $62.1}

{Periodic oral examination: $32.85}

Health management / Healthy lifestyle

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$100 per person}

Examples of maximum benefits

{Health management: 80% of charge}

Major dental*

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,500 per person}

{combined limit for endodontic, general dental, major dental & orthodontic}

{sub-limits apply}

Examples of maximum benefits

{Surgical tooth extraction: $144}

{Full crown veneered: $787}

Non PBS pharmaceuticals*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$250 per person}

{combined limit for non pbs pharmaceuticals & vaccinations}

Examples of maximum benefits

{Per eligible prescription: $45}

Occupational therapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per person}

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

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $54}

{Subsequent visit: $36}

Optical

Waiting period:  6 months

Benefit limits per 12 months unless otherwise stated

{$200 per person}

Examples of maximum benefits

{Multi-focal lenses & frames: 80% of charge}

{Single vision lenses & frames: 80% of charge}

Orthodontic*

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,500 per person}

{combined limit for endodontic, general dental, major dental & orthodontic}

{sub-limits apply}

Examples of maximum benefits

{Braces for upper & lower teeth, including removal plus fitting of retainer: 80% of charge}

Orthotics (podiatric orthoses)

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$200 per person}

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

Examples of maximum benefits

{Orthotics supply & fit: 80% of charge}

Osteopathy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for acupuncture, chiropractic, osteopathy & other services}

Examples of maximum benefits

{Initial visit: $36}

{Subsequent visit: $27}

Physiotherapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for exercise physiology, physiotherapy, remedial massage & other services}

Examples of maximum benefits

{Initial visit: $45}

{Subsequent visit: $33.3}

Podiatry

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$200 per person}

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

Examples of maximum benefits

{Initial visit: $39.6}

{Subsequent visit: $30.6}

Remedial massage

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for exercise physiology, physiotherapy, remedial massage & other services}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $25}

{Subsequent visit: $22.5}

Speech therapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per person}

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

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $76.5}

{Subsequent visit: $40.5}

Vaccinations

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$250 per person}

{combined limit for non pbs pharmaceuticals & vaccinations}

Examples of maximum benefits

{Per service: $45}

**Overall Dental limit $1500 with Sub Limits of $1000 each on: Crowns & Bridges; Implants; Inlays, Onlays & Veneers. Lifetime Limit of $1000 on Orthodontics

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

Ante-natal/Post-natal classes
Audiology
Chinese medicine
Dietetics/dietary advice
Hearing aids
Home nursing
Psychology

Ambulance cover

In VIC this policy provides:

Emergency: Unlimited with a waiting period of 1 day.

Non-emergency: Unlimited transport with a waiting period of 1 day, or 1 day for pre-existing conditions.

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

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

Insurer Details

Phoenix Health Fund Limited

Mid Extras Cover

$142.78 / 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/PWA/MA/VCYE2D

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