Flex Essentials Extras Cover

Most Common Rate
$31.16*

per week

*Price is for Single cover in NSW, in combination with Bronze Plus Hospital $750 excess and includes an Australian Government Rebate of 24.288% with a 0% Lifetime Health Cover Loading. 

Designed for those seeking flexibility within their Extras cover, Flex Essentials Extras offers the ability to choose how you allocate your benefits within a set flexible single limit.

Access an $800 combined annual limit to use across General Dental, Physiotherapy and other Therapies, Chiropractic, Osteopathic and Natural Therapies* - allowing you to make claims based on your lifestyle and needs.

Flex Essentials Extras also includes set optical limits of $200 per person.

Additionally, you’ll be covered for unlimited ambulance services nationwide after a one-day waiting period has been served. Read more about our ambulance cover.

*Sub-limit of $200 applies on Natural Therapies.

Flex Essentials Extras is only available in combination with a Hospital product.

Prices quoted have been rounded within 10 cents.

Benefits:

Service Waits Benefit Annual Limit
Ambulance National Ambulance cover 1 day 100%

No limit

Optical Glasses and contact lenses 6 months 100% of cost

$200 per person

Dental General Dental 2 months 60%

$800 per person (combined annual limit)

$200 sub-limit for Natural Therapies

Physiotherapy and Other Therapies Physiotherapy
Exercise Physiology
Chiropractic and Osteopathic Chiropractic
Osteopathic
Natural Therapies Chinese herbal consults
Remedial massage
Acupuncture
Dietetics

What's covered

6 month waiting period.

Preventative, x-rays, basic restorations, basic surgery & extractions.^

2 month waiting period.

^There are some tricky rules about dental item numbers and some sub-limits in all levels of dental cover. Please make sure you contact us for a quote before getting treatment.

2 month waiting period.

  • Physiotherapy
  • Exercise physiology

2 month waiting period.

2 month waiting period.

  • Chinese herbal consults
  • Remedial massage
  • Acupuncture
  • Dietetics

$200 sub-limit applies.

1-day waiting period.

Benefit percentage: 100%.

What's covered 100% nationwide What's not covered
  • Emergency ambulance treatment and transport to hospital via road, air and sea by a state ambulance provider
  • Non-emergency road and air ambulance transport by a state ambulance provider
  • Emergency ambulance treatment without transport
  • Emergency ambulance transport between hospitals
  • Unlimited nationwide
  • General patient transport, e.g. hospital to home, nursing home, medical appointments
  • Ambulance subscriptions, fees and state-based levies
  • Ambulance services that are paid for by the Government, compensation or other kinds of insurance
  • Any transport provided by a non-recognised state ambulance provider

 

mother and daughter doing yoga inside

Need more cover?

Upgrade to Mid Extras to get additional benefits on some services, increased set benefits & annual limits and add on:

  • Major dental including periodontics, endodontics, crowns & bridges, implants & dentures
  • Health management programs to help with the cost of certain health programs, equipment & screening services
  • Podiatry
  • Hydrotherapy

How to make an Extras claim

Option 1. Swipe your card and claim instantly

EFTPOS-style claiming is easy. Swipe your membership card and the claim is paid. On-the-spot claiming, called HICAPS, is available at most health providers like dentists, optometrists, physios, chiros and more. You just pay the difference between their fee and your fund benefit – no claim form needed.

Option 2. Claim with our mobile app

Forgot your membership card or have a more complex claim? Our mobile app is all about making claiming a breeze. Simply take a photo of your receipt on your smart phone or tablet, open our app, submit your pic and your claim will be sent to us in record time. Download the app by searching ‘Peoplecare’ on the Google Play store or App Store.

Extras cover - more information

  • Annual limits are for a financial year (1 July - 30 June) and are usually per person (unless it says otherwise).
  • Optical benefits (glasses & contacts) are paid when glasses or contacts are prescribed by a registered optometrist. They have to be for sight correction and we don't pay on non-prescription sunglasses.
  • Love a healthy smile - We've teamed up with the smile.com.au network of quality dentists. Visit any of the smile.com.au dentists around the country and you’ll receive 15%–40% OFF their usual fee for all treatments – just for having Extras cover with Peoplecare. Receive No-Gap* Preventative Dental, including up to 2 x No Gap* check-up and clean packages at a smile.com.au dentist, plus a no-gap mouthguard once per financial year. *Terms and conditions apply.

Please see Cover Description for full product information.

What's not covered

There are a few things that aren't covered by your extras cover. They are treatments & services

  • received within your waiting periods
  • received outside Australia
  • covered by compensation or another type of insurance (like third party or sports club insurance)
  • received more than 2 years ago
  • received from providers that aren't registered or recognised by Peoplecare
  • received from a family member, relative, business partner or yourself
  • you weren't charged for
  • for sport, recreation or entertainment

and:

  • Pharmaceutical Benefits Scheme (PBS) prescriptions under the standard PBS amount, contraceptives or over-the-counter medicine
  • Naturopathic & herbal medicines
  • First-aid kits & courses
  • Non-prescription glasses, contacts and sunglasses
  • 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 websites 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 a treatment that's discounted from $65 to $30, we only pay a benefit towards the fee you paid (i.e. $30)
  • Surcharges, delivery costs and credit card processing fees