Standard Extras

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

Dental

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

Ambulance treatment

100% cover for all treatment provided by a registered ambulance service in Australia including emergency services, non-emergency services, mobile intensive care, air and sea ambulance services.

Unlimited

2 months

Optical

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.

  • Single vision lenses
up to $80

$150 per person

2 months

  • Ground single vision lenses
up to $95
  • Bi-focal lenses
up to $105
  • Multi-focal lenses
up to $120
  • Frames
up to $95
  • Contact lenses
up to $120
Benefits are paid only where sight-correcting prescriptions accompany the claim. No benefit is claimable for sunglasses, or for the tinting or coating of lenses.

Physiotherapy/Chiropractic/Osteopathic

  • Initial consultation
up to $28

$450 per person
up to
$1,000 per family

2 months

  • Subsequent consultation
up to $22
  • Group therapy session
up to $10
  • Hydrotherapy session
up to $10
  • Ante / post natal class max 10
    (or full day ante-natal class up to $100)
up to $10

Alternative therapies

  • Consultation
up to $18

$150 per person

2 months

Benefits are paid only on consultations for acupuncture, homeopathy, aromatherapy, myotherapy, naturopathy, remedial massage, remedial therapy, Chinese herbal medicine and western herbal medicine where the provider is recognised by the Australian Regional Health Group. Benefits are not payable on any prescribed medications, herbal or dietary preparations.

Pharmacy and vaccinations

  • Per prescription 

up to $50

$250 per person

2 months

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.

Standard Extras

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

Dental

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

Ambulance treatment

100% cover for all treatment provided by a registered ambulance service in Australia including emergency services, non-emergency services, mobile intensive care, air and sea ambulance services.

Unlimited

2 months

Optical

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.

  • Single vision lenses
up to $80

$150 per person

2 months

  • Ground single vision lenses
up to $95
  • Bi-focal lenses
up to $105
  • Multi-focal lenses
up to $120
  • Frames
up to $95
  • Contact lenses
up to $120
Benefits are paid only where sight-correcting prescriptions accompany the claim. No benefit is claimable for sunglasses, or for the tinting or coating of lenses.

Physiotherapy/Chiropractic/Osteopathic

  • Initial consultation
up to $28

$450 per person
up to
$1,000 per family

2 months

  • Subsequent consultation
up to $22
  • Group therapy session
up to $10
  • Hydrotherapy session
up to $10
  • Ante / post natal class max 10
    (or full day ante-natal class up to $100)
up to $10

Alternative therapies

  • Consultation
up to $18

$150 per person

2 months

Benefits are paid only on consultations for acupuncture, homeopathy, aromatherapy, myotherapy, naturopathy, remedial massage, remedial therapy, Chinese herbal medicine and western herbal medicine where the provider is recognised by the Australian Regional Health Group. Benefits are not payable on any prescribed medications, herbal or dietary preparations.

Pharmacy and vaccinations

  • Per prescription 

up to $50

$250 per person

2 months

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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