Health Management

Have Peoplecare 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 or risk factors 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)
  • High blood pressure
  • High blood cholesterol
  • High blood glucose
  • Poor diet
  • Overweight
  • Stress
  • Smoking

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)
max $500 (per family)
High Extras 70% of the cost

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

Mid Extras 60% of the cost $150 (per person)
max $300 (per family)
Simple Extras 50% of the cost $100 (per person)
max $200 (per family)
Comprehensive Extras^ 100% of the cost $150 (per person)
max $300 (per family)
Value Extras^ 100% of the cost $125 (per person)
max $250 (per family)
Standard Extras^ 100% of the cost $100 (per person)
max $200 (per family)

^ Please note that Comprehensive, Value and Strandard Extras are closed to new members.

What falls under Health Management?coach-orange.svg

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

 

Fitness equipment & programs

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:

  • Gym membership
  • Pool entry fees
  • Aqua aerobics
  • Personal training
  • Group training
  • Swimming lessons (for asthma sufferers)

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

What you need:

  • Extras cover
  • To have served your 6-month waiting period
  • An approved 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 

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) 

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

What you need:

  • Extras cover 
  • To have served your 6-month waiting period 
  • 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. 

Health screening
  • Blood pressure testing
  • Cholesterol checks
  • Mammograms not covered by Medicare
  • Hearing tests not covered by Medicare
  • 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

Any of the above tests must be requested by a medical professional and not claimable through Medicare. For more info on services that are eligible for benefits, give us a buzz on 1800 808 690.

What you need:

  • 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.

 

* 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. 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).