Peoplecare Corporate Plan

Corporate Extras - benefits

(Only available as part of a Corporate Plan)

Corporate Extras - benefits

Service

Benefit

Annual Limits

General Dental

Diagnostic / Preventative

85% of cost

$550 per person

Extractions

Oral Surgery

Restorations

Endodontics

High Cost Dental

Crowns, Bridgework & Implants

85% of cost

$800 per person

$1,600 per family

Dentures

Orthodontic Treatment

85% of cost

$1,500 Lifetime Limit

Optical

Spectacles / Frames

100% of cost

$200 per person

Contact Lenses

Pharmaceutical

Prescriptions (excluding contraceptives and over the counter

75% of balance in excess of PBS to a maximum of $50 per prescription

$500 per person

$1,000 per family

Physiotherapy

75% of cost

$350 per person

$700 per family

Complementary Therapies

Natural Therapies
(Inc. Remedial Massage)

75% of cost

$350 per person

$700 per family

Chiropractic

Acupuncture

Osteopathic

Podiatry

Ambulance

100% of cost

No annual limit

Health Management

Health Management Programs

80% of cost to $150

$150 per single policy

$300 per family policy

General Conditions: • Annual limits are per person unless specified otherwise. • Optical benefits apply when prescribed by a registered optometrist or opthalmic surgeon. • Benefits will only be paid where sight correction is necessary. • No benefit is payable for sunglasses. • Annual limits apply on a financial year basis, ie. 1 July - 30 June.

Corporate Hospital - benefits

	Corporate Plan A		Corporate Plan B
Corporate Hospital Cover	Private Hospital	Private Hospital	Intermediate Hospital	Intermediate Hospital
Hospital Excess	$250 Excess	$500 Excess	$250 Excess	$500 Excess
Public or Private Hospital Bed - shared or private room
Same Day Patient Fees
Theatre Fees
Intensive Care
In Hospital Pharmacy
Medical Gap (Access Gap)
Obstetrics
Voluntary Sterilization
Cardio Thoracic Surgery			Restricted	Restricted
Assisted Reproductive Services			Restricted	Restricted
Psychiatric			Restricted	Restricted
Rehabilitation			Restricted	Restricted
Eye Surgery			Restricted	Restricted
Joint Replacement			Restricted	Restricted
Reconstructive Surgery			Restricted	Restricted
Dialysis			Restricted	Restricted
Other Medicare eligible services
Cosmetic
Restricted Services	Not applicable		- Full cover for public hospital accommodation as a private patient. - If admitted to a private hospital for a restricted service you will have to pay a large out of pocket expense. The fund will only pay the default (base) public hospital accommodation benefit as set by the Commonwealth Government. - No benefit is paid for private hospital theatre fees or other private hospital charges. - Only Commonwealth Government approved prostheses are covered.
Excess	For the selected hospital product a personal excess applies together with an annual policy maximum each financial year. The policy maximum is twice the per person excess for family policies. No hospital excess for children under the age of 21 and only half the excess applies to day surgery or public hospital stays.

Corporate Premiums

Monthly Premium incl 30% rebate	Corporate Plan A		Corporate Plan B
Hospital Excess	$250 Excess	$500 Excess	$250 Excess	$500 Excess
Single	$112.00	$101.50	$94.50	$84.00
Family	$224.00	$203.00	$189.00	$168.00

The above rates already have the 30% Private Health Insurance Rebate deduction. If a person on the membership is aged 65 to 69 they are entitled to a 35% Private Health Insurance Rebate, and if a person on the membership is aged 70 or over they are entitled to a 40% Private Health Insurance Rebate. For details of these contribution rates or for further information on the Private Health Insurance Rebate scheme please conduct us.