healthslips.com.au Policy Information

Health Partners

Top Extras

$279.02 / month

(Before Rebate, Discount & Loading)

Available in All States

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, including non-student dependants (3 or more people, only 2 of whom are adults).

Children (0 - 17), non-classified* dependant (18 - 20), students (21 - 31) and non-students (21 to 31), as well as persons with a disability who qualify as a child, non-classified* dependant, student and non-student in these age ranges. *Non-classified dependant: Non-classified dependant means a person who is aged between 18 and 20 (inclusive), is not married or living in a de facto relationship, and is a child of the policyholder or child of the policyholder's partner. References to Child Dependant include Non-Classified Dependant.

Policy ID: SPS/I1/AFJB2Y

Source: Private Health Information Statement (PHIS)

Extras Cover

At our providers: 85% dental benefit, major dental $1500 limit, 70% optical benefit, $350 limit for prescription glasses, $210 for contacts. Only Pay $18 for eligible Physio consults, $1000 limit. T&Cs apply. See https://www.healthpartners.com.au/members/providers/.

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

  • Initial visit: $29
  • Subsequent visit: $21
Blood glucose monitors 12

$250 per person

sub-limits apply

  • Per monitor: 85% of charge
Chiropractic 2

$400 per person

combined limit for chiropractic, exercise physiology & osteopathy

  • Initial visit: $42
  • Subsequent visit: $25
Dietetics/dietary advice 2

$450 per person

  • Initial visit: $60
  • Subsequent visit: $35
Endodontic* 12

$1,000 per person

  • Filling of one root canal: $135
Exercise physiology 2

$400 per person

combined limit for chiropractic, exercise physiology & osteopathy

  • Initial visit: $28
  • Subsequent visit: $21
Eye therapy (orthoptics) 2

$250 per person

  • Initial visit: $25
  • Subsequent visit: $25
General dental* 2

No annual limit

  • Fluoride treatment: $20
  • Scale & clean: $65
  • Surgical tooth extraction: $140
  • Periodic oral examination: $32
Health management / Healthy lifestyle* 2

$200 per person

  • Health management: 100% of charge
Hearing aids 12

$800 per person

  • Hearing aid: 85% of charge
Major dental* 12

$1,500 per person

  • Full crown veneered: $800
Non PBS pharmaceuticals* 2

$600 per person

combined limit for non pbs pharmaceuticals & vaccinations

  • Per eligible prescription: $0
Occupational therapy 2

$350 per person

  • Initial visit: $50
  • Subsequent visit: $40
Optical* 2

$250 per person

sub-limits apply

  • Multi-focal lenses & frames: 50% of charge
  • Single vision lenses & frames: 50% of charge
Orthodontic 12

$2,500 lifetime limit

sub-limits apply

  • Braces for upper & lower teeth, including removal plus fitting of retainer: 70% of charge
Orthotics (podiatric orthoses) 2

$300 per person

  • Orthotics supply & fit: 70% of charge
Osteopathy 2

$400 per person

combined limit for chiropractic, exercise physiology & osteopathy

  • Initial visit: $42
  • Subsequent visit: $25
Physiotherapy* 2

$500 per person

  • Initial visit: $30
  • Subsequent visit: $24
Podiatry 2

$350 per person

  • Initial visit: $33
  • Subsequent visit: $24
Psychology 2

$400 per person

  • Initial visit: $75
  • Subsequent visit: $70
Remedial massage 2

$100 per person

  • Initial visit: $20
  • Subsequent visit: $20
Speech therapy 2

$400 per person

  • Initial visit: $75
  • Subsequent visit: $45
Vaccinations* 2

$600 per person

combined limit for non pbs pharmaceuticals & vaccinations

  • Per service: $0

Acupuncture

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per person}

Examples of maximum benefits

{Initial visit: $29}

{Subsequent visit: $21}

Blood glucose monitors

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$250 per person}

{sub-limits apply}

Examples of maximum benefits

{Per monitor: 85% of charge}

Chiropractic

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for chiropractic, exercise physiology & osteopathy}

Examples of maximum benefits

{Initial visit: $42}

{Subsequent visit: $25}

Dietetics/dietary advice

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$450 per person}

Examples of maximum benefits

{Initial visit: $60}

{Subsequent visit: $35}

Endodontic*

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per person}

Examples of maximum benefits

{Filling of one root canal: $135}

Exercise physiology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for chiropractic, exercise physiology & osteopathy}

Examples of maximum benefits

{Initial visit: $28}

{Subsequent visit: $21}

Eye therapy (orthoptics)

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$250 per person}

Examples of maximum benefits

{Initial visit: $25}

{Subsequent visit: $25}

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: $65}

{Surgical tooth extraction: $140}

{Periodic oral examination: $32}

Health management / Healthy lifestyle*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$200 per person}

Examples of maximum benefits

{Health management: 100% of charge}

Hearing aids

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$800 per person}

Examples of maximum benefits

{Hearing aid: 85% of charge}

Major dental*

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,500 per person}

Examples of maximum benefits

{Full crown veneered: $800}

Non PBS pharmaceuticals*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$600 per person}

{combined limit for non pbs pharmaceuticals & vaccinations}

Examples of maximum benefits

{Per eligible prescription: $0}

Occupational therapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per person}

Examples of maximum benefits

{Initial visit: $50}

{Subsequent visit: $40}

Optical*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$250 per person}

{sub-limits apply}

Examples of maximum benefits

{Multi-focal lenses & frames: 50% of charge}

{Single vision lenses & frames: 50% of charge}

Orthodontic

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$2,500 lifetime limit}

{sub-limits apply}

Examples of maximum benefits

{Braces for upper & lower teeth, including removal plus fitting of retainer: 70% of charge}

Orthotics (podiatric orthoses)

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per person}

Examples of maximum benefits

{Orthotics supply & fit: 70% of charge}

Osteopathy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for chiropractic, exercise physiology & osteopathy}

Examples of maximum benefits

{Initial visit: $42}

{Subsequent visit: $25}

Physiotherapy*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per person}

Examples of maximum benefits

{Initial visit: $30}

{Subsequent visit: $24}

Podiatry

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per person}

Examples of maximum benefits

{Initial visit: $33}

{Subsequent visit: $24}

Psychology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

Examples of maximum benefits

{Initial visit: $75}

{Subsequent visit: $70}

Remedial massage

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$100 per person}

Examples of maximum benefits

{Initial visit: $20}

{Subsequent visit: $20}

Speech therapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

Examples of maximum benefits

{Initial visit: $75}

{Subsequent visit: $45}

Vaccinations*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$600 per person}

{combined limit for non pbs pharmaceuticals & vaccinations}

Examples of maximum benefits

{Per service: $0}

At Health Partners, we want to help you get the most out of your cover. That's why we have invested in our own Health Partners dental and optical services. When you use these services or our network of participating dentists, pharmacies and physiotherapists, higher benefits and limits may apply. Contact us for more information. Save 20% every day on full-price, non-prescription products at over 50 pharmacies across South Australia, which include participating Priceline and TerryWhite Chemmart stores. T&Cs apply.

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

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

Other features of this general treatment cover: Shared limits for Psychology and Hypnotherapy. Benefits for Asthmatic Spray Appliances, Blood Pressure Machines, Low Vision Optical Magnification Aids, Circulation Boosters and Sleep Apnoea Machines. 40% Optical unlimited benefit once annual limit is reached, plus unlimited 30% discount on non-prescription sunglasses - only at Health Partners Optical centres. 40% unlimited Endodontic benefit once annual limit is reached at Health Partners Dental centres. T&Cs apply.

For further information about this policy see: https://www.healthpartners.com.au/health-insurance/extras-cover

Ambulance cover

In all states this policy provides:

Emergency: With a waiting period of 2 months, limited to $20,000 per policy per year, 1 service per year.

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

State schemes provide ambulance services for residents of Tasmania (https://www.health.tas.gov.au/ambulance/fees_and_accounts) and Queensland (https://www.ambulance.qld.gov.au).

Other features of this ambulance cover: Ambulance is limited to 1 per person, per year up to $20,000; maximum 2 per policy. You will be covered for the cost of service required on medical grounds (excluding clinic-car type transport) that is deemed or classified as 'emergency' only (emergency classification determined by approved ambulance provider). Additionally, you will be covered for treatment where no transport is required. This will count towards your annual limit.

For further information about this policy see: https://www.healthpartners.com.au/health-insurance/understanding-private-health-insurance/

Insurer Details

Health Partners

Top Extras

$279.02 / month

(Before Rebate, Discount & Loading)

Available in All States

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/SPS/I1/AFJB2Y

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