What's not covered - Extras

What's not covered - Extras

 

There are a few things that aren’t covered by your extras cover. They are:

 

  • Treatment & services received within your waiting periods
  • Treatments & services that Medicare doesn’t cover (like cosmetic surgery)
  • Treatment & services received outside Australia
  • Treatment & services covered by compensation or another type of insurance (like third party or sports club insurance)
  • Treatment & services received more than 2 years ago
  • Pharmaceutical Benefits Scheme (PBS) prescriptions, contraceptives or over-the-counter medicines
  • Naturopathic & herbal medicines
  • First aid kits & courses
  • Non-prescription glasses, contacts & sunglasses
  • Treatment & services received from providers that aren’t registered or recognised by Peoplecare
  • Treatment & services received from a family member, relative, business partner or yourself
  • Treatment & services you weren’t charged for
  • Services for sport, recreation or entertainment
  • Ambulance subscriptions or state-based levies
  • Ambulance services paid for by the Government, compensation or another type of insurance
  • Ambulance services that aren’t medically necessary
  • Receipts issued by a third party, like group buying website or group deals
  • If you’re using a gift voucher, we can’t pay the difference between the cost of the service and the value of the voucher. For example, if you use a $60 voucher to pay for a $40 service, you can only claim back the $40 as the official fee for that service
  • Benefits higher than the amount you paid for the service. For example, if you receive treatment that’s discounted from $65 to $30, we only pay a benefit towards the fee you paid (e.g. $30)