Super Extras

Our top range of extras cover, Super Extras, provides higher health insurance benefits and financial year limits for high cost dentistry, optical, hearing aids and many more services. The table below shows the benefits payable under Super Extras effective 1 July 2008.

For more information download the Super Extras policy document. You can also call us on 134 246.

General Benefits

Therapies
Physiotherapy and osteopathy	Initial consultation†		$40
	Subsequent consultation		$31
Per class - Group hydrotherapy, pilates and antenatal exercises and rehabilitation*			$15
Chiropractic	Initial consultation†		$40
	Subsequent consultation		$31
Financial Year Limits	0 – 4 years	5 – 9 years	10+ years
Per person per therapy	$300	$350	$400
Per family per therapy	$750	$875	$1,000
Combined limit	$900 single $2,250 family	$1,050 single $2,625 family	$1,200 single $3,000 family
† Initial consultation per person per therapy per financial year * Benefits only paid where service is performed by an ahm registered physiotherapist
Other therapies
Psychology and hypnotherapy (provided by an ahm registered psychologist)	Assessment or initial consultation†		$80
	Subsequent consultation		$45
	Group consultation		$22.50
Speech therapy	Initial consultation†		$60
	Subsequent consultation		$30
Occupational therapy	Initial consultation†		$34
	Subsequent consultation		$30
Eye therapy (Orthoptics)	Initial consultation†		$32
	Subsequent consultation		$25
Podiatry	Initial consultation†		$34
	Subsequent consultation		$26
	Casting		$28
	Podiatric surgery		$200
Audiology	Initial consultation†		$32
	Subsequent consultation		$25
Financial Year Limits	0 – 4 years	5 – 9 years	10+ years
Per person per therapy	$300	$350	$400
Per family per therapy	$750	$875	$1,000
Combined limit	$1,200 single $3,000 family	$1,400 single $3,500 family	$1,600 single $4,000 family
† Initial consultation per person per therapy per financial year
Orthotics and orthopaedic shoes
Purchased from an ahm registered podiatrist or orthopaedic supplier only. Excludes benefits for sporthotics and formthotics.			$200
Financial Year Limits
Combined Limit	$200 per person		$400 per family
Optical
Frames, Single lenses (pair), Bi-focal (pair), Multi-focal (pair), Contact lenses (payable for scripted sight correcting products only)			Benefit depends on loyalty years
Repair to frames or lenses (payable for scripted sight correcting products only)			$50
Refractive sight correcting laser eye surgery			$600 per eye
Financial Year Limits	0 – 9 years		10+ years
Per person combined	$250		$300
Family limit	No limit		No limit
Refractive sight correcting laser eye surgery	Lifetime limit $1,200 per person
Health improvement
Dietitian and nutritionist	Initial consultation		$45
	Subsequent consultation		$30
Weight loss	Per class (approved providers only)		$10
	Per course (ahm approved providers only with medical evidence of a BMI of 26 or over for adult claims and an unhealthy BMI for children's claims)		$100
Financial Year Limits
Limit (Dietitian, Nutrition, Weight Loss)	$400 per person		$1,000 per family
Other health improvement benefits
Quit smoking	Courses		$100
	Nicotine replacement therapy (patches, gum, lozenges, inhalers)		$50 per item
Disease management association fees	Asthma, diabetes, heart, arthritis and coeliac		$50 per association
Cancer Council UV products (your receipt must identify the item and be Cancer Council approved)	30+ sunscreen, rash vests and suits, hats, sunglasses (does not include cosmetics and lip sticks/glosses/balms.)		$50 per item
Stress management	(recognised psychologist or ahm approved provider)		$100 per course
Health checks	Per check† - Doctor health checks and Healthy Heart checks (where not claimable through Medicare, an employer or another party)		$50
Preventive tests	Mammograms, skin cancer screenings, bowel cancer tests and scans (where not claimable through Medicare)		$50 per test
Exercise classes	Gym, yoga, pilates and exercise physiology	Per class*	$15
		Per course*	$150
Swimming lessons and training (0-17 years of age by an Austswim® or Swim Australia accredited swim school with evidence of asthma, diabetes, an unhealthy BMI or doctor's recommendation to undertake this activity due to their condition)		Per class*	$8
		Per course*	$80
* when part of an ahm or a recognised health management program and by ahm approved provider. To be eligible for exercise program benefits, please have your GP or provider complete a health improvement approval form. †1 per person per financial year
Financial Year Limits
Limit (Quit smoking, disease management fees & Cancer Council, stress management, preventive tests, exercise classes and swimming lessons)	$200 per person		$500 per family
Combined Limit	$600 per person		$1,500 per family
Disease prevention
ahm Health Risk Assessment ahm Health Coaching Program			100%
Financial Year Limits		Limit	Combined
ahm Health Risk Assessment ahm Health Coaching Program		1 per 12 months 1 per 6 months	No Combined limit
Complementary and alternative therapies
Naturopathy, homeopathy, acupuncture, herbalism, remedial massage, reflexology, feldenkrais, rolfing, bowen therapy, alexander technique, kinesiology, biochemistry and traditional Chinese medicine			$24
Financial Year Limits
Combined Limit	$400 per person		$800 per family
Hearing aids
Hearing aid			$800 per aid
Repair			$50
Cochlear speech processor replacement			$800
Financial Year Limits
Combined Per Person Limit	$1,600 every 3 financial years per person		No limit per family
Pharmacy
General items, hormonal implants, contraceptives, preventive/travel vaccines Excludes PBS scripts, over the counter medicines, vitamins and herbal medicines ** Sub limit of $200 per person and $400 per family			Up to $60 each item above the general patient PBS amount
Financial Year Limits	0 – 4 years	5 – 9 years	10+ years
Per person combined	$500	$550	$600
Family limit	$1,000	$1,100	$1,200
Post operative and medical aids
Post operation aids (eg surgical stockings)			$100
Braces and supports (eg crutches)			$100
Medical aids (including Irlen lens)			$150
Non-surgical prostheses (including wigs)			$150
Financial Year Limits
Combined Limit	$300 per person		$600 per family
Maternity options
Pre and post natal consultation and classes including lactation consultants			$21 per visit
Birthing courses			$100 per course
Financial Year Limits
Combined per person	$210 per rolling year*	Family limit	No limit
* A rolling year begins on the date a service was first provided with the limit applying to that 12 month period
Travel and accommodation
Travel over 200 kms return trip			15 cents per/km
Per night - Accommodation			$30 per night
(For specialist medical appointments and outpatient procedures only)
Financial Year Limits
Combined Limit	$300 per person		$600 per family
Outpatient procedure room fees
Per procedure			$120
Financial Year Limits
Combined Limit	$360 per person		$720 per family
Medical gases
Per unit (such as oxygen)			$100
Financial Year Limits
Combined Limit	$1,200 per person		No limit per family
Joint fluid replacement injections
Per injection (eg. Synvisc, OsteoArtz, Hyalgan)			$320
Financial Year Limits
Combined Limit	$640 per rolling year*		No limit per family
* A rolling year begins on the date a service was first provided with the limit applying to that 12 month period
Ambulance
Emergency only			100% of cost
Financial Year Limits			No limit

Dental Benefits

These are examples of the most common benefits we pay for dental services and their item numbers. We pay benefits for more than we can include here so make sure you call us before you have any treatment to confirm the benefits you’ll receive.

Routine
Diagnostic
Comprehensive examination		item 011	$32.50*
Periodic examination		item 012	$30.00*
Emergency examination		item 013	$27.50**
X-ray (one film)		item 022	$23.00
Preventive
Clean and polish		item 111	$31.75#
Scale and clean		item 114	$58.00#
Topical fluoride application		item 121	$20.90**
Mouthguard – custom made		item 151	$84.95**
Extractions
Non-surgical extraction		item 311	$64.40
Surgical extraction		item 324	$180.05
Direct Restorations
Metallic restoration of 1 surface		item 511	$54.75
Metallic restoration of 3 surfaces		item 513	$79.55
Adhesive filling of 1 surface (front)		item 521	$58.40
Adhesive filling of 3 surfaces (front)		item 523	$82.15
Adhesive filling of 1 surface (back)		item 531	$61.20
Adhesive filling of 3 surfaces (back)		item 533	$94.35
Financial Year Limits		First 2 years	3+ years
Combined limit per person		$600 per year per person	No limit
Combined limit per family		No limit
Combined limit of two per year *Two per year #Combined limit of three per year
Complex
Periodontics
Root Planing		item 222	$67.25
Endodontics (Root canal therapy)
Preparation of one root canal		item 415	$130.20
Financial Year Limits	1 – 4 years	5 – 9 years	10+ years
Per person combined	$1,000	$1,100	$1,200
Family limit	$2,500	$2,750	$3,000
Major
Indirect Restorations
Tooth coloured filling 1 surface		item 551	$232.80
Crowns/Bridges/Implants
Fully veneered crown		item 615	$506.65
Dentures (one complete set per person each 3 years)
Full upper or lower		item 711/712	$385.25
Financial Year Limits	1 – 4 years	5 – 9 years	10+ years
Per person combined	$1,100	$1,300	$1,500
Family limit	$2,750	$3,250	$3,750
Orthodontics
Specialist services		100% up to your yearly limit
GP services		70% up to your yearly limit
Financial Year Limits	1 – 2 years	3 – 4 years	5+ years
Per person	$800	$1,000	$1,200
Lifetime limit	$2,400

What does it cost?

It's easy to check the cost of your health insurance cover, just use our Quick Quote.

To compare quotes for all our extras covers, check our Premiums at a Glance.

If you have a health insurance query, please contact us.

Please Note: For definitions on the terms used above, please see Important Information.
This is important information about your policy. Please read this in conjunction with your policy document which you can download and save for future reference.