Health management benefits

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Health management benefits

If you’ve got extras cover, we might be able to help with the cost of certain health programs, equipment & screening services*.

What does that mean? It means that if your doctor or other registered healthcare professional diagnoses you with a condition that needs things like gym equipment to treat it, you might be able to claim back some of the costs with us.

Important: to be able to claim health management benefits, you’ll need to fill out a Declaration of condition form to let us know what condition is being treated.

Benefits are available for conditions like:

  • Coronary artery disease
  • Joint health (arthritis & osteoporosis)
  • Diabetes
  • Mental health (stress & anxiety)
  • Lung conditions (asthma, COPD)
  • Weight management (obesity or malnutrition)
  • Chronic pain (back pain)
  • Rehabilitation

These are just some examples, there are plenty of other conditions that you can claim health management benefits for. More examples are below, but if you’d like more info just give us a buzz.

The benefits

Product Benefit Limit (reset every financial year)

Premium Extras

80% of the cost

$250 (per person)
$500 (per family)

High Extras

70% of the cost

$200 (per person)
$400 (per family)

Mid Extras

60% of the cost

$150 (per person)
$300 (per family)

Basic Extras

50% of the cost

$100 (per person)
$200 (per family)

Gold Extras^

100% of the cost

$150 (single)
$300 (family)

Silver Extras^

100% of the cost

$125 (single)
$250 (family)

Bronze Extras^

100% of the cost

$100 (single)
$200 (family)

^Please note that Gold, Silver and Bronze Extras are closed to new members

What falls under Health Management?

There are 3 areas of Health Management: fitness equipment & programs, improvement & weight management programs and health screening.

Fitness equipment & programs
What’s included: Things you’ll need:

We can only pay benefits for fitness programs and equipment if it's part of a health management plan/program from your GP or other healthcare professional.

To claim these benefits, you'll need to fill in a Declaration of condition form.

Things that might be covered:

  • Treadmills, cross trainers & exercise bikes
  • Gym membership
  • Pool entry fees
  • Pilates
  • Aqua aerobics
  • Personal training
  • Group training
  • Yoga
  • Swimming lessons

To find out if a program you’re doing is eligible for benefits, give us a buzz on 1800 808 690.

  • Extras cover
  • To have served your 6 month waiting period
  • A completed Declaration of Condition form
  • A receipt showing the name of the patient, details of the program, date of payment and payment amount.

Please note: pregnancy isn’t considered a medical condition. For more information, download our Having a baby fact sheet.

Improvement & weight management programs
What’s included: Things you’ll need:

Improvement programs:

  • Health education services (e.g. Diabetes or Arthritis Foundations)
  • Quit smoking programs (including nicotine replacement therapy)

Weight loss (membership fees only):

  • Weight Watchers (including Weight Watchers Online)
  • Fernwood Weight Loss program

To find out if a program you’re doing is eligible for benefits, give us a buzz on 1800 808 690.

  • Extras cover
  • To have served your 6 month waiting period
  • Weight management providers must be registered with the Australian Weight Management Council
  • A receipt showing the name of the patient, details of the program, date of payment and payment amount.
Health screening
What’s included: Things you’ll need:
  • Removal of sun spots
  • Mole mapping
  • MRIs & CT scans
  • Retinal photography/optical tomography/OCT/ultra-wide DRS
  • Screen for Life
  • Breathing tests
  • ThinPrep pap smear tests
  • Bowel cancer screening tests
  • Corneal mapping
  • Q fever screening
  • Tests not covered by Medicare

For more info on services that are eligible for benefits, give us a buzz on 1800 808 690.

  • Extras cover
  • To have served your 6 month waiting period
  • A receipt showing the name of the patient, details of the service, date of payment and payment amount.

 If you feel you need to take a positive step forward and would benefit from our programs, give us a buzz or shoot us an email. Better yet why not ask our friendly team of experts who are always super happy to help members.

 

Ask our experts

 

You need to have extras cover & have served your 6 month waits to use these benefits. We pay benefits for approved programs to manage or treat a specific health condition. Health screening services such as blood pressure testing, cholesterol checks, mammograms and hearing tests can be claimed. Under the Private Health Insurance Act, we can’t pay benefits for goods and services that are for the purposes of sport, recreation or entertainment (like gym memberships or sports shoes).”