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Latrobe Health Services

Partner Balance 85% Extras

Corporate Policy

$414.40 / month

(Before Rebate, Discount & Loading)

Available in NT

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: A person who is between the ages of 18 & 20 who does not have a spouse or partner.

Corporate policy: This is a corporate policy which is only available to employees/members of organisations with arrangements with this health insurer.

Policy ID: LHS/CI2/DDMQ2Y

Source: Private Health Information Statement (PHIS)

Extras Cover

This policy can only be purchased with certain hospital policies.

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

$350 per person up to $700 per policy

combined limit for acupuncture, remedial massage & other services

  • Initial visit: 85% of charge
Audiology 2

$350 per person up to $700 per policy

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

  • Initial visit: 85% of charge
  • Subsequent visit: 85% of charge
Blood glucose monitors 12

$500 per person up to $1,000 per policy

  • Per monitor: 85% of charge
Chiropractic 2

$700 per person up to $1,400 per policy

combined limit for chiropractic, exercise physiology, osteopathy & physiotherapy

  • Initial visit: 85% of charge
  • Subsequent visit: 85% of charge
Dietetics/dietary advice 2

$350 per person up to $700 per policy

  • Initial visit: 85% of charge
  • Subsequent visit: 85% of charge
Endodontic 12

$1,600 per person

combined limit for endodontic, general dental & major dental

  • Filling of one root canal: 85% of charge
Exercise physiology 0

$700 per person up to $1,400 per policy

combined limit for chiropractic, exercise physiology, osteopathy & physiotherapy

  • Initial visit: 85% of charge
  • Subsequent visit: 85% of charge
Eye therapy (orthoptics) 2

$350 per person up to $700 per policy

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

  • Initial visit: 85% of charge
  • Subsequent visit: 85% of charge
General dental 2

$1,600 per person

combined limit for endodontic, general dental & major dental

  • Fluoride treatment: 85% of charge
  • Scale & clean: 85% of charge
  • Surgical tooth extraction: 85% of charge
  • Periodic oral examination: 85% of charge
Health management / Healthy lifestyle 12

$250 per person up to $600 per policy

  • Health management: 85% of charge
Hearing aids 12

$700 per person

  • Hearing aid: 85% of charge
Major dental 12

$1,600 per person

combined limit for endodontic, general dental & major dental

  • Full crown veneered: 85% of charge
Non PBS pharmaceuticals 2

$350 per person up to $700 per policy

combined limit for non pbs pharmaceuticals & vaccinations

  • Per eligible prescription: 85% of charge
Occupational therapy 2

$350 per person up to $700 per policy

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

  • Initial visit: 85% of charge
  • Subsequent visit: 85% of charge
Optical 2

$300 per person

  • Multi-focal lenses & frames: 100% of charge
  • Single vision lenses & frames: 100% of charge
Orthodontic 12

$850 per person

$3,000 lifetime limit

  • Braces for upper & lower teeth, including removal plus fitting of retainer: 100% of charge
Orthotics (podiatric orthoses) 2

$500 per person up to $1,000 per policy

combined limit for orthotics (podiatric orthoses) & podiatry

  • Orthotics supply & fit: 85% of charge
Osteopathy 2

$700 per person up to $1,400 per policy

combined limit for chiropractic, exercise physiology, osteopathy & physiotherapy

  • Initial visit: 85% of charge
Physiotherapy 2

$700 per person up to $1,400 per policy

combined limit for chiropractic, exercise physiology, osteopathy & physiotherapy

  • Initial visit: 85% of charge
Podiatry 2

$500 per person up to $1,000 per policy

combined limit for orthotics (podiatric orthoses) & podiatry

  • Initial visit: 85% of charge
  • Subsequent visit: 85% of charge
Psychology 2

$500 per person

  • Initial visit: 85% of charge
  • Subsequent visit: 85% of charge
Remedial massage 2

$350 per person up to $700 per policy

combined limit for acupuncture, remedial massage & other services

  • Initial visit: 85% of charge
  • Subsequent visit: 85% of charge
Speech therapy 2

$350 per person up to $700 per policy

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

  • Initial visit: 85% of charge
  • Subsequent visit: 85% of charge
Vaccinations 2

$350 per person up to $700 per policy

combined limit for non pbs pharmaceuticals & vaccinations

  • Per service: 85% of charge
Acupuncture

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per person up to $700 per policy}

{combined limit for acupuncture, remedial massage & other services}

Examples of maximum benefits

{Initial visit: 85% of charge}

Audiology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per person up to $700 per policy}

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

Examples of maximum benefits

{Initial visit: 85% of charge}

{Subsequent visit: 85% of charge}

Blood glucose monitors

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$500 per person up to $1,000 per policy}

Examples of maximum benefits

{Per monitor: 85% of charge}

Chiropractic

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$700 per person up to $1,400 per policy}

{combined limit for chiropractic, exercise physiology, osteopathy & physiotherapy}

Examples of maximum benefits

{Initial visit: 85% of charge}

{Subsequent visit: 85% of charge}

Dietetics/dietary advice

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per person up to $700 per policy}

Examples of maximum benefits

{Initial visit: 85% of charge}

{Subsequent visit: 85% of charge}

Endodontic

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,600 per person}

{combined limit for endodontic, general dental & major dental}

Examples of maximum benefits

{Filling of one root canal: 85% of charge}

Exercise physiology

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$700 per person up to $1,400 per policy}

{combined limit for chiropractic, exercise physiology, osteopathy & physiotherapy}

Examples of maximum benefits

{Initial visit: 85% of charge}

{Subsequent visit: 85% of charge}

Eye therapy (orthoptics)

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per person up to $700 per policy}

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

Examples of maximum benefits

{Initial visit: 85% of charge}

{Subsequent visit: 85% of charge}

General dental

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,600 per person}

{combined limit for endodontic, general dental & major dental}

Examples of maximum benefits

{Fluoride treatment: 85% of charge}

{Scale & clean: 85% of charge}

{Surgical tooth extraction: 85% of charge}

{Periodic oral examination: 85% of charge}

Health management / Healthy lifestyle

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$250 per person up to $600 per policy}

Examples of maximum benefits

{Health management: 85% of charge}

Hearing aids

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$700 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

{$1,600 per person}

{combined limit for endodontic, general dental & major dental}

Examples of maximum benefits

{Full crown veneered: 85% of charge}

Non PBS pharmaceuticals

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per person up to $700 per policy}

{combined limit for non pbs pharmaceuticals & vaccinations}

Examples of maximum benefits

{Per eligible prescription: 85% of charge}

Occupational therapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per person up to $700 per policy}

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

Examples of maximum benefits

{Initial visit: 85% of charge}

{Subsequent visit: 85% of charge}

Optical

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per person}

Examples of maximum benefits

{Multi-focal lenses & frames: 100% of charge}

{Single vision lenses & frames: 100% of charge}

Orthodontic

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$850 per person}

{$3,000 lifetime limit}

Examples of maximum benefits

{Braces for upper & lower teeth, including removal plus fitting of retainer: 100% of charge}

Orthotics (podiatric orthoses)

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per person up to $1,000 per policy}

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

Examples of maximum benefits

{Orthotics supply & fit: 85% of charge}

Osteopathy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$700 per person up to $1,400 per policy}

{combined limit for chiropractic, exercise physiology, osteopathy & physiotherapy}

Examples of maximum benefits

{Initial visit: 85% of charge}

Physiotherapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$700 per person up to $1,400 per policy}

{combined limit for chiropractic, exercise physiology, osteopathy & physiotherapy}

Examples of maximum benefits

{Initial visit: 85% of charge}

Podiatry

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per person up to $1,000 per policy}

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

Examples of maximum benefits

{Initial visit: 85% of charge}

{Subsequent visit: 85% of charge}

Psychology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per person}

Examples of maximum benefits

{Initial visit: 85% of charge}

{Subsequent visit: 85% of charge}

Remedial massage

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per person up to $700 per policy}

{combined limit for acupuncture, remedial massage & other services}

Examples of maximum benefits

{Initial visit: 85% of charge}

{Subsequent visit: 85% of charge}

Speech therapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per person up to $700 per policy}

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

Examples of maximum benefits

{Initial visit: 85% of charge}

{Subsequent visit: 85% of charge}

Vaccinations

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per person up to $700 per policy}

{combined limit for non pbs pharmaceuticals & vaccinations}

Examples of maximum benefits

{Per service: 85% of charge}

Periodic Oral Examination - 100% for 2 services, 85% for additional services. Scale and clean - 100% for 2 services, 85% for additional services. Fluoride Treatment - 100% for 2 services, limit 2 services per person per year. A benefit is also payable for myotherapy, Health Appliances & Aids, and an 85% rebate on full ambulance subscriptions when paid voluntarily but not as a state tax or levy. Vaccinations are for travel vaccines and must be approved by Latrobe.

This policy does not include General treatment (Extras) cover for
Ante-natal/Post-natal classes
Chinese medicine
Home nursing

Other features of this general treatment cover: Members can also claim benefits for GP telehealth consultations where no Medicare benefit is payable and for medically necessary Health Appliances & Aids. When combined with hospital cover, this benefit includes a Benefit Bonus of $150 per person each year (up to $300 per membership), which can accumulate for up to five years to a maximum of $750 per person (up to $1,500 per membership). For Couple and Family memberships, each person may claim up to 50% of their accrued Benefit Bonus in any one year. Benefit Bonus limits refresh on each join anniversary.

Ambulance cover

In NT this policy provides:

Emergency: Unlimited with a waiting period of 1 day.

Call-out fees: Will not be paid.

For further information about this policy see: https://www.latrobehealth.com.au/health-cover/emergency-ambulance-cover/

Insurer Details

Latrobe Health Services

Partner Balance 85% Extras

Corporate Policy

$414.40 / month

(Before Rebate, Discount & Loading)

Available in NT

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/LHS/CI2/DDMQ2Y

Partner Balance 85% Extras

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