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Basic Extras
Basic Extras is an ideal health insurance cover for young singles and couples. There's cover for extras services such as physiotherapy, routine dental, and optical, at an affordable price. Plus we'll throw in some health improvement benefits to support your good health. The table below shows the benefits payable under Basic Extras effective 1 July 2008.
For more information, download the Basic Extras policy document. You can also call us on 134 246.
General Benefits
| Therapies | ||
|
Physiotherapy and osteopathy |
Initial consultation†
|
$30 |
| Subsequent consultation | $22 | |
| Per class - Group Hydrotherapy, Pilates, Antenatal exercises and Rehabiliation* | $11 | |
| Chiropractic | Initial consultation† | $30 |
| Subsequent consultation | $22 | |
| Complementary and alternative therapies | Naturopathy, homeopathy, acupuncture, herbalism and remedial massage | $17 |
| Financial Year Limits | ||
| Per person | $200 per therapy | |
| Combined per person | $400 | |
| Combined family limit | $800 | |
| * Benefits only paid where service is performed by an ahm registered physiotherapist † 1 Initial consultation per person per therapy per financial year |
||
| Health improvement | ||
|
Dietitian and nutritionist |
Initial consultation†
|
$28 |
| Subsequent consultation | $20 | |
| Weight loss |
Per class (approved providers only)
|
$6 |
| 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) | $60 | |
|
Quit smoking |
Per Course
|
$50 |
| Nicotine Replacement Therapy (patches, gum, lozenges, inhalers) | $30 per item | |
| Disease management association fees |
Per association - Asthma, Diabetes, Heart, Arthritis and Coeliac
|
$30 |
| Cancer Council UV products (your receipt must identify the item and be Cancer Council approved) |
Per item - 30+ sunscreen, rash vests and suits, hats, wrap sunglasses (does not include cosmetics and lip sticks / glosses /balms) | $30 |
| Stress management | Per course (recognised psychologist or ahm approved provider) |
$50 |
| Preventive tests | Per test - Mammograms, skin cancer screenings, bowel cancer tests and scans (where not claimable through Medicare) | $30 |
| Health Checks | Per check† - Doctor health checks and Healthy Heart checks (where not claimable through Medicare, an employer or another party) | $30 |
| Exercise classes Gym, yoga, pilates and exercise physiology |
Per class* | $10 |
| Per course* | $100 | |
| * 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 | $100 per person |
$200 per family |
| Combined Limit | $200 per person |
$400 per family
|
| Disease Prevention | ||
| ahm Health Risk Assessment ahm Health Coaching Program |
100% | |
| Financial Year Limits | Limit | Combined |
| ahm Health Risk Assessment | 1 per 12 months | No Limit |
| ahm Health Coaching Program | 1 per 6 months | |
| Optical | ||
| Frames (Prescription sight correcting products only) | $150 | |
| Single lenses (pair), Bi-focal (pair), Multi-focal (pair), Contact lenses (Prescription sight correcting products only) |
$150 | |
| Repair to frames or lenses (Prescription sight correcting products only) | $25 | |
| Financial Year Limits | ||
| Combined Limit | $150 per person | $300 per family |
| Pharmacy | ||
| General items* Hormonal implants Contraceptives** Preventive/travel vaccines |
up to $40 per item above the general patient PBS amount |
|
| Financial Year Limits | ||
| Combined Limit | $250 per person | $500 per family |
| Ambulance | ||
| Emergency only | No limit | |
| Financial Year Limits | No limit | |
|
* Excludes PBS scripts, over the counter medicines, vitamins and herbal medicines |
||
Dental Benefits
These are examples of the most common dental services we pay benefits for. There are more services covered by this policy 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 | $28.20 |
| Periodic examination | item 012 | $25.50* |
| Emergency examination | item 013 | $23.80** |
| X-ray (one film) | item 022 | $20.00 |
| Preventive | ||
|
Clean and polish
|
item 111 | $27.50# |
|
Scale and clean
|
item 114 | $50.00# |
|
Topical fluoride application
|
item 121 | $18.10** |
|
Mouthguard – custom made
|
item 151 | $73.60** |
| Extractions | ||
|
Non-surgical extraction
|
item 311 | $53.65 |
|
Surgical extraction
|
item 324 | $150.05 |
| Direct Restorations | ||
|
Metallic restoration of 1 surface
|
item 511 | $45.65 |
|
Metallic restoration of 3 surfaces
|
item 513 | $66.25 |
|
Adhesive filling of 1 surface (front)
|
item 521 | $48.65 |
|
Adhesive filling of 3 surfaces (front)
|
item 523 | $68.45 |
|
Adhesive filling of 1 surface (back)
|
item 531 | $51.00 |
|
Adhesive filling of 3 surfaces (back)
|
item 533 | $78.60 |
| Financial Year Limits | ||
| Combined Limit | $500 per person | $1000 per family |
| *Combined limit of two per year **Two per year #Combined limit of three per year | ||
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.
