This table shows the benefits and annual limits for the goods and services payable under Standard Extras. Once the annual limit has been reached, no further benefits are payable for those services until the next financial year (1 July through to 30 June). All services must be provided by an approved health practitioner in private practice. Health funds cannot provide a benefit where Medicare benefits have been paid.
Financial year limit
Waiting period
General dental includes items related to general oral health - check-ups, scale & clean, simple fillings etc. Major dental includes crowns & bridgework, oral surgery, periodontics, endodontics, orthodontics and other specialised dental procedures. Defence Health has set benefits for individual dental services. Some services are not payable in combination with others. Some are limited by the number of times they attract a benefit per year. Others may not attract a benefit at all. If you are planning extensive treatment, ask your dentist for the item numbers and costs, then call us for a quote.
$400 per person
2 months for general dental
12 months for major dental
Unlimited
2 months
Visit one of our Member Priority providers - Blink Optical, The Optical Superstore, Stacey & Stacey or Kevin Paisley Eyewear - to get a discount on your optical purchase.
$150 per person
$450 per person up to $1,000 per family
Per prescription
$250 per person
Defence Health provides a benefit for non-PBS pharmaceuticals. The benefit payable is the difference between the prescription amount and the PBS fee. The PBS fee is set by the Australian Government and is increased annually on 1 January.
Benefits are also payable for vaccinations cot covered by the PBS (such as those recommended by doctors for overseas travel).
No benefit is payable for items not related to a medical condition, products that can be purchased without a script or pharmaceutical items supplied to a hospital inpatient.
This information is current as at 1 April 2011 and effective through to 31 March 2012. It replaces all earlier versions. Please read it carefully.
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