healthslips.com.au Policy Information

Phoenix Health Fund Limited

Top Extras Cover

$255.60 / 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 (and no-one else).

Policy ID: PWA/TA/SEEX20

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

$450 per person

combined limit for acupuncture, chiropractic, osteopathy & other services

  • Initial visit: $25
  • Subsequent visit: $25
Blood glucose monitors 2

$900 per person

  • Per monitor: 80% of charge
Chiropractic 2

$450 per person

combined limit for acupuncture, chiropractic, osteopathy & other services

  • Initial visit: $40
  • Subsequent visit: $30
Dietetics/dietary advice 2

$300 per person

  • Initial visit: $60
  • Subsequent visit: $40
Endodontic 2

$800 per person

  • Filling of one root canal: $170
Exercise physiology 2

$800 per person

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

sub-limits apply

  • Initial visit: $40
  • Subsequent visit: $30
Eye therapy (orthoptics) 2

$500 per person

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

sub-limits apply

  • Initial visit: $45
  • Subsequent visit: $44
General dental* 2

No annual limit

  • Fluoride treatment: $24
  • Scale & clean: $69
  • Periodic oral examination: $36.5
Health management / Healthy lifestyle 2

$150 per person

  • Health management: 80% of charge
Hearing aids 12

$1,700 per person

sub-limits apply

  • Hearing aid: $900
Home nursing 2

$500 per person

sub-limits apply

  • Initial visit: $15
  • Subsequent visit: $15
Major dental 12

$2,000 per person

sub-limits apply

  • Surgical tooth extraction: $160
  • Full crown veneered: $875
Non PBS pharmaceuticals 2

$500 per person

combined limit for non pbs pharmaceuticals & vaccinations

  • Per eligible prescription: $70
Occupational therapy 2

$500 per person

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

sub-limits apply

  • Initial visit: $60
  • Subsequent visit: $40
Optical 6

$310 per person

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

$1,200 per person

$2,400 lifetime limit

sub-limits apply

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

$400 per person

combined limit for orthotics (podiatric orthoses) & podiatry

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

$450 per person

combined limit for acupuncture, chiropractic, osteopathy & other services

  • Initial visit: $40
  • Subsequent visit: $30
Physiotherapy 2

$800 per person

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

  • Initial visit: $50
  • Subsequent visit: $37
Podiatry 2

$400 per person

combined limit for orthotics (podiatric orthoses) & podiatry

  • Initial visit: $44
  • Subsequent visit: $34
Psychology 2

$500 per person

  • Initial visit: $75
  • Subsequent visit: $75
Remedial massage 2

$800 per person

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

sub-limits apply

  • Initial visit: $32
  • Subsequent visit: $25
Speech therapy 2

$500 per person

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

sub-limits apply

  • Initial visit: $85
  • Subsequent visit: $45
Vaccinations 2

$500 per person

combined limit for non pbs pharmaceuticals & vaccinations

sub-limits apply

  • Per service: $70

Acupuncture

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$450 per person}

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

Examples of maximum benefits

{Initial visit: $25}

{Subsequent visit: $25}

Blood glucose monitors

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$900 per person}

Examples of maximum benefits

{Per monitor: 80% of charge}

Chiropractic

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$450 per person}

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

Examples of maximum benefits

{Initial visit: $40}

{Subsequent visit: $30}

Dietetics/dietary advice

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per person}

Examples of maximum benefits

{Initial visit: $60}

{Subsequent visit: $40}

Endodontic

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$800 per person}

Examples of maximum benefits

{Filling of one root canal: $170}

Exercise physiology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$800 per person}

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

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $40}

{Subsequent visit: $30}

Eye therapy (orthoptics)

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per person}

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

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $45}

{Subsequent visit: $44}

General dental*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{No annual limit}

Examples of maximum benefits

{Fluoride treatment: $24}

{Scale & clean: $69}

{Periodic oral examination: $36.5}

Health management / Healthy lifestyle

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$150 per person}

Examples of maximum benefits

{Health management: 80% of charge}

Hearing aids

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,700 per person}

{sub-limits apply}

Examples of maximum benefits

{Hearing aid: $900}

Home nursing

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per person}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $15}

{Subsequent visit: $15}

Major dental

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$2,000 per person}

{sub-limits apply}

Examples of maximum benefits

{Surgical tooth extraction: $160}

{Full crown veneered: $875}

Non PBS pharmaceuticals

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per person}

{combined limit for non pbs pharmaceuticals & vaccinations}

Examples of maximum benefits

{Per eligible prescription: $70}

Occupational therapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per person}

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

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $60}

{Subsequent visit: $40}

Optical

Waiting period:  6 months

Benefit limits per 12 months unless otherwise stated

{$310 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

{$1,200 per person}

{$2,400 lifetime limit}

{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

{$400 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

{$450 per person}

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

Examples of maximum benefits

{Initial visit: $40}

{Subsequent visit: $30}

Physiotherapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$800 per person}

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

Examples of maximum benefits

{Initial visit: $50}

{Subsequent visit: $37}

Podiatry

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

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

Examples of maximum benefits

{Initial visit: $44}

{Subsequent visit: $34}

Psychology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per person}

Examples of maximum benefits

{Initial visit: $75}

{Subsequent visit: $75}

Remedial massage

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$800 per person}

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

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $32}

{Subsequent visit: $25}

Speech therapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per person}

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

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $85}

{Subsequent visit: $45}

Vaccinations

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per person}

{combined limit for non pbs pharmaceuticals & vaccinations}

{sub-limits apply}

Examples of maximum benefits

{Per service: $70}

**Overall Major Dental limit $2000, with Sub Limits of $1000 for Inlays, Onlays & Veneers; $1000 for Crowns & Bridges; $1000 for Implants and $1000 for Dentures. Orthodontics limit of $1200 per person per year, up to Lifetime Limit of $2400.

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

Ante-natal/Post-natal classes
Audiology
Chinese medicine

Ambulance cover

In SA 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

Top Extras Cover

$255.60 / 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/TA/SEEX20

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