Our base extras cover, combined with our dental cover offers lower extras benefits and limits at an affordable price, while still covering a great range of services our members use.
This includes our popular mid-range dental cover.
Effective 1 April 2024
| EXTRAS BENEFIT TABLE | BASE EXTRAS | |||
|---|---|---|---|---|
| SERVICE | BENEFIT | SUB-LIMIT* | CALENDAR YEAR LIMIT | |
| Physiotherapy & Other Therapies |
Physiotherapy | Initial - $27 Standard - $24 Group* - $8 |
$80* | $390 person $780 family |
| Exercise Physiology | ||||
| Occupational Therapy | ||||
| Podiatry | Podiatry | Initial - $30 Standard - $26 |
$390 person $780 family |
|
| Foot Orthotics | Set benefit per item | |||
| Dietician | Dietician | Initial - $27 Standard - $24 |
$390 person $780 family |
|
| Therapies | Remedial Massage | No benefit | No benefit | |
| Acupuncture | ||||
| Myotherapy | ||||
| Nutritionist | ||||
| Chiropractor & Osteopathic |
Chiropractic | Initial - $25 Standard - $21 |
$390 person $780 family |
|
| Osteopathic | Initial - $27 Standard - $24 |
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| Mental Health | Psychology | No benefit | No benefit | |
| Counselling ^ | No benefit | |||
| Optical | Prescription Glasses & Contact Lenses |
$180 Per Person |
$180 Per Person |
|
| Ambulance Subscription |
Ambulance subscription refund | Family - $72 Single - $36 |
Equal to benefit | |
| Eye Therapy | Eye Therapy | Initial - $27 Standard - $24 |
$390 person $780 family |
|
| Speech Pathology | Speech Pathology | Initial - $27 Standard - $24 |
$390 person $780 family |
|
| Home Nursing | Visiting Nurse (Excludes midwifery services) |
$12 | $350 person $700 family |
|
| Pharmacy | Non PBS prescriptions | No benefit | No benefit | |
| Health Aids & Appliances ^^ |
Blood Glucose Monitor | $150 (every 3 years) |
$600 person $1200 family |
|
| Blood Pressure Monitor | $125 (every 3 years) |
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| TENS Machine | $125 (every 3 years) |
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| Nebuliser | $125 (every 3 years) |
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| CPAP (Machine only) | $230 (every 3 years) |
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| Hearing Aid | $500 (every 5 years) |
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| Braces & Splints | 65% up to $300 (every 3 years) |
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| CAM Boot | 65% up to $300 (every 3 years) |
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| Artificial limbs & prosthesis | 65% up to $300 (every 2 years) |
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| Crutches, walking frame & walking stick |
65% up to $25 (every 2 years) |
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| Wigs + | 65% up to $150 (every 2 years) |
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| Compression Garments + | 65% up to $150 (every 2 years) |
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| Five Star Health Management Benefits |
Approved Programs | No benefit | No benefit | |
* Sub-limits apply to these services. Group benefits not payable for Occupational Therapy.
^ Counsellor must accredited with Australian Regional Health Group (ARHG).
^^ Health Aids and Appliances must be medically necessary and for the treatment of specific conditions.
+ Conditions apply, sport related garments are excluded. Contact the Fund for further information.
All benefits subject to waiting periods and benefit limitation periods.
Dental Benefits
Effective 1 January 2024
DENTAL / EXTRAS BENEFIT TABLE
DENTAL
SERVICE
WAITING PERIOD
BENEFIT
SUB-LIMIT
FIRST YEAR MEMBERSHIP
LIFETIME LIMIT
CALENDAR YEAR LIMIT
General & Major Dental
Preventative Dental
2 months
100% *
$350 Maximum benefit payable per person
$1,050 Maximum benefit payable per person once first year is completed
General & Major Dental
2 months
70% **
Inlay/Onlay, Crown & Bridge, Implants and Indirect Restorations.
2 months
As per dental schedule
1st calendar year of membership $350
2nd calendar year of membership $450
3rd calendar year of membership $500
4th calendar year of membership $550
5th calendar year of membership $600
6th calendar year of membership $650
Dentures
12 months
every 3 yrs ***
Orthodontics
24 months
50% up to $600
$600 Per person per calendar year
$1,500 Per person
* Dental 100% benefit available at super dental providers. For more information see Gap Free Preventative Dental.
** Percentage based on MHF dental schedule
*** Full set of dentures claimable every 3 years
All benefits subject to waiting periods and benefit limitation periods.
DENTAL SERVICE BENEFIT TABLE
SERVICE
BENEFIT
Preventative Treatment
Periodical oral examination
$55.75
Emergency consultation
$35.05
X-Ray
$47.20
Scale & Clean
$114.20
Fluoride Treatment
$47.65
General & Major Dental
Surgical Extraction
$189.90
Filling - Adhesive one surface
$102.95
Filling of one root canal
$185.95
Full crown veneer
$650
Full denture
$1,050
All benefits subject to waiting periods and benefit limitation periods.
| DENTAL / EXTRAS BENEFIT TABLE | DENTAL | ||||||
|---|---|---|---|---|---|---|---|
| SERVICE | WAITING PERIOD | BENEFIT | SUB-LIMIT | FIRST YEAR MEMBERSHIP | LIFETIME LIMIT | CALENDAR YEAR LIMIT | |
| General & Major Dental | Preventative Dental | 2 months | 100% * | $350 Maximum benefit payable per person | $1,050 Maximum benefit payable per person once first year is completed | ||
| General & Major Dental | 2 months | 70% ** | |||||
| Inlay/Onlay, Crown & Bridge, Implants and Indirect Restorations. | 2 months | As per dental schedule | 1st calendar year of membership $350 | ||||
| 2nd calendar year of membership $450 | |||||||
| 3rd calendar year of membership $500 | |||||||
| 4th calendar year of membership $550 | |||||||
| 5th calendar year of membership $600 | |||||||
| 6th calendar year of membership $650 | |||||||
| Dentures | 12 months | every 3 yrs *** | |||||
| Orthodontics | 24 months | 50% up to $600 | $600 Per person per calendar year | $1,500 Per person | |||
* Dental 100% benefit available at super dental providers. For more information see Gap Free Preventative Dental.
** Percentage based on MHF dental schedule
*** Full set of dentures claimable every 3 years
All benefits subject to waiting periods and benefit limitation periods.
| DENTAL SERVICE BENEFIT TABLE | ||
|---|---|---|
| SERVICE | BENEFIT | |
| Preventative Treatment | Periodical oral examination | $55.75 |
| Emergency consultation | $35.05 | |
| X-Ray | $47.20 | |
| Scale & Clean | $114.20 | |
| Fluoride Treatment | $47.65 | |
| General & Major Dental | Surgical Extraction | $189.90 |
| Filling - Adhesive one surface | $102.95 | |
| Filling of one root canal | $185.95 | |
| Full crown veneer | $650 | |
| Full denture | $1,050 | |
All benefits subject to waiting periods and benefit limitation periods.
