Extras cover can pay benefits towards optical services including glasses, contact lenses and laser eye surgery (depending on your level of cover), and usually has annual limits and waiting periods. Let’s start with waiting periods.
Waiting periods
All health funds have waiting periods. In short, a waiting period is how long you need to wait after taking out your cover before you can receive benefits for services or items covered. You aren’t able to claim on treatments you receive during this waiting period. Your cover description has a full list of all the waiting periods.
If you’ve switched to us within 30 days of leaving another fund, we’ll recognise any waiting periods you served with them once we’ve got your transfer certificate (as long as you were on a similar or higher level of cover).
Call us on 1800 808 690 (Peoplecare members) or 1800 808 700 (non-members) for details.
Following is an outline of our waiting periods.
| Waiting period | Hospital cover |
|---|---|
| No waiting period | Hospitalisation related to an accident |
| No waiting period | Services covered by your old fund (if you transfer straight to a similar level of cover with us and have already served your waiting periods) |
| 1 day | Ambulance |
| 2 months | Health programs |
| 2 months | Hospital substitution programs |
| 2 months | Rehabilitation, psychiatric services and palliative care
(even for pre-existing conditions) |
| 2 months | All other services, except for those listed below |
| 2 months | Assisted reproductive services |
| 12 months | Pregnancy and birth |
| 12 months | Pre-existing conditions (except rehab, psych and palliative) |
Please note that not all items are listed and other waiting periods may apply. Please contact the fund for more information.
| Waiting period | Extras cover |
|---|---|
| No waiting period | Services covered by your old fund (if you transfer within 30 days to a similar level of cover with us) |
| 1 day | Ambulance |
| 2 months | General dental, pharmacy, physiotherapy, chiropractic, podiatry & complementary therapies |
| 2 months | Pre/post-natal services |
| 2 months | All other services, except for those listed below |
| 6 months | Optical |
| 6 months | Health management programs |
| 12 months | Midwifery |
| 12 months | Major dental |
| 12 months | Orthodontics |
| 24 months | Laser eye surgery & hearing aids |
If you're upgrading your extras cover, waiting periods still apply for the services that you weren't previously covered for.
Transferring from another fund? Switching is easy
We can’t speak for other health funds but switching to Peoplecare is simpler than you think. It takes around five minutes and you can switch online or over the phone.
Don’t worry, if you’re transferring from another health fund we’ll make sure we recognise any waiting periods you’ve already served if you switch within 30 days. Plus, if you’ve only served part of a waiting period, say, 2 months of a 6-month waiting period, you’ll only need to serve the remaining 4 months when you transfer to Peoplecare.
If you’re upgrading your cover, waiting periods still apply for the services that you weren’t previously covered for.
Example: You have Mid Extras cover (which only has glasses and contact lenses coverage) for 12 months and you upgrade to High Extras, you’ll still need to wait another 24 months before getting laser eye surgery that you can claim on your cover.
| Optical category | Waiting period |
|---|---|
| Glasses & contact lenses | 6 months |
| Laser eye surgery | 24 months |
What does glasses & contact lenses include?
Peoplecare extras allows you to claim for a huge range of optical purchases including:
| Glasses | Contact lenses |
|---|---|
|
|
Why choose extras cover for your optical needs?
- Access extra discounts
Get exclusive offers only available to health fund members. No one likes missing out on a deal!
- Receive a rebate
Members may be eligible for a rebate (depending on your income) from the government to reduce the cost of Extras and Hospital cover premiums. It’s called the Australian Government Rebate on Private Health Insurance. View the income thresholds here.
- Claim lens extras
Don’t miss out on the latest lens technology and helpful features to keep your eyes comfortable and seeing clearly.
Optical benefits: Peoplecare extras covers
| Glasses & contact lenses | Laser eye surgery | |||
|---|---|---|---|---|
| Benefit | Annual limit | Benefit | Limit (resets every 2 years) |
|
| Premium Extras | 100% | $300 per person |
80% | $600 per eye |
| High Extras | 100% | $250 per person | 70% | $500 per eye |
| Flex Up Extras | 100% | $200 per person | No | No |
| Mid Extras | 100% | $200 per person | No | No |
| Flex Essentials Extras | 100% | $200 per person | No | No |
| Simple Extras | 100% | $150 per person | No | No |
Optical benefits: Closed Peoplecare extras covers
These covers are no longer available for sale. Existing members can remain on these covers and use their benefits as normal.
| Glasses & contact lenses | Laser eye surgery | |||
|---|---|---|---|---|
| Benefit | Annual limit | Benefit | Limit (resets every 2 years) |
|
| Comprehensive Extras | 100% | $300 per person |
100% | $500 per eye |
| Value Extras | 100% | $180 per person | No | No |
| Standard Extras | 100% | $150 per person | No | No |
How does Peoplecare’s annual limit work?
Extras annual limits reset 1 July every year at Peoplecare. Many other health funds reset their annual limits 1 January every year.
Can I get No Gap or Low Gap glasses and sunglasses?
Yes, Peoplecare has a number of offers that reduces the price of your next pair of prescription glasses that are displayed below.
At the time of writing, here are our offers for Peoplecare extras members:
| Company | Special Offer Click the link for full details |
|---|---|
|
(one location in Wollongong NSW) |
|
|
|
|
(various locations across Australia) |
|
|
(various locations across Australia) |
|
Head to the Peoplecare member perks page for the latest offers.
How do No Gap glasses deals work?
Usually optical stores provide a limited range of lower cost frames to choose from with their No Gap range. The lenses you can select depend on the store and their current offers. For instance, more expensive lenses such as bifocals often aren’t included in No Gap deals.
Can I swipe my Peoplecare card to claim optical?
| Yes | No |
|---|---|
|
Glasses & contact lenses |
Laser eye surgery |
How do I claim laser eye surgery?
The easiest way to claim for laser eye surgery is to take a photo of your receipt with our mobile app.
There are some important details that your receipt needs to include, so make sure you read our claiming guide before you get your surgery.
How can I claim for optical?
Use your Peoplecare membership card or take a photo of your receipt with our mobile app.
Did you know about the Peoplecare combined Hospital and Extras cover discount?
Get a 10% discount off any Peoplecare Extras cover when combined with any Peoplecare Hospital cover.
Are you near Peoplecare Optical and Dental in Wollongong?
Peoplecare Optical and Dental is our one stop optical and dental store located in the heart of Wollongong. As a Peoplecare member with Extras cover you'll get:
- 25% OFF our entire range of glasses, contacts and sunglasses, and a range of no gap eyewear to choose from. For more information and T&Cs click here