National Extras is especially for Health Partners members living in country South Australia and interstate. This cover provides you with the following higher benefits at many of your local health professionals outside the Adelaide metropolitan area.
Plus you can also take advantage of Health Partners professionals anywhere in South Australia for even higher benefits. You can search for participating providers by using the Partner Location Search.
When accessing services within the Adelaide metropolitan area, you receive the same benefits and limits as Gold Extras.
All benefits and rates listed are effective 1 April 2013.
Dental
A schedule of benefits applies for general, major and specialist services. Please call our Member Services for a quote (ensure you have your dentist's provider number, and the item number(s) and fees for your treatment handy).
- General dental – no limit
- Major dental – limit $1,100
- Specialist treatment – limit is the same as general and major dental.
Orthodontic
Benefit:
- 70% for orthodontic treatment provided by an orthodontist
- 50% for orthodontic treatment provided by a general dentist
- Includes appliances such as plates, guards and spacers.
Limit:
- Lifetime limit of $500 is available after 1 year, or
- Lifetime limit of $1,500 is available after 2 years, or
- Lifetime limit of $2,500 is available after 5 years.
Optical
Benefit:
- 55% for prescription glasses and contact lenses.
Overall limit of $300 (this includes a limit for frames of $100).
Pharmacy
Pharmacy Connect
Exclusive benefits and discounts are available through Pharmacy Connect.
For an extensive range of prescriptions:
- Pay a maximum of only $20 for all PBS prescriptions not already subsidised by the Government
- Pay a maximum of only $35 for private and compounding prescriptions
- Plus, save even more on generic brand prescriptions where available.
Limit $600.
Ask your pharmacist about the benefits that apply to your prescription.
Combined limit $600 for Pharmacy Connect and your local pharmacy.
Special Member offer:
- You receive a 20% saving on non–prescription items such as vitamins, cosmetics and more.
Conditions: 20% discount is not available on some pharmacy prescriptions, agency lines and weight loss shakes/supplements (some pharmacies only).
Contact Pharmacy Connect by:
Your Local Pharmacy
For each prescription item not listen on the PBS:
Combined limit $600 for Pharmacy Connect and your local pharmacy.
Physiotherapy
Benefit:
- $30 initial consultation
- $24 subsequent consultation
- $30 long consultation
- $34 prolonged consultation
- $57 lymphoedema treatment
- $6.50 hydrotherapy
- $40 home or hospital visit
- Up to $10 group treatment
Limit $600.
Pilates
Benefit:
- $10 benefit per consultation with an APMA approved provider
Limit $100.
Naturopathy/Homoeopathy
Benefit:
- $35.40 initial consultation
- $26.40 subsequent consultation
Combined limit $500 for Naturopathy/Acupuncture.
Acupuncture
Benefit:
- $37.20 initial consultation
- $27.60 subsequent consultation
Combined limit $500 for Naturopathy/Acupuncture.
Chiropractic/Osteopathic
Benefit:
- $40 initial consultation
- $27 subsequent consultation
- $32 long consultation
- $31 after-hours consultation
- $31.50 home visit
- $40 after-hours home visit
- Radiology 60% of fee charged (in providers' rooms)
Combined limit $500 for Chiropractic/Exercise Physiology.
Exercise Physiology
Benefit:
- $28 initial consultation
- $21 subsequent consultation
- $8 group consultation
Combined limit $500 for Chiropractic/Exercise Physiology.
Podiatry
Benefit:
- $31 initial consultation
- $22 subsequent consultation
- 85% of fee charged for surgery
Limit $500.
Orthotics
A schedule of benefits applies for orthotics provided by approved orthotists, podiatrists and medical practitioners
Limit $300.
Dietary
Benefit:
- $60 initial consultation
- $35 subsequent consultation
- $15 group consultation
Limit $450.
Massage
Benefit:
- $20 per consultation for remedial or therapeutic massage
Limit $100.
Psychology
Benefit:
- $75 initial consultation
- $70 subsequent consultation
- $70 family/couple consultation per family/couple
- $20 group consultation
Combined limit $400 for Psychology/Hypnotherapy.
Hypnotherapy
Benefit:
- $60 per consultation
Combined limit $400 for Psychology/Hypnotherapy
Speech Therapy
Benefit:
- $75 initial consultation
- $45 subsequent consultation
- $60 long consultation
- $15 group consultation
Limit $400, $600 after 5 years of continuous membership.
Eye Therapy
Benefit:
- $25 per consultation
Limit $250.
Occupational Therapy
Benefit:
- $50 initial consultation
- $40 subsequent consultation
- $15 group consultation
Limit $350, $500 after 3 years of continuous membership.
RDNS
You receive 100% for already subsidised RDNS services.
Limit $150
Full Ambulance Cover
With our Ambulance Cover, you get real peace of mind because you are covered in full for ambulance costs, whether it's an emergency or not. Full cover includes:
- Emergency and non-emergency services
- Australia-wide coverage
- Road and air ambulance services
- Every service required on medical grounds (excludes clinic-car type transport)
Limit $20,000.
Apparatus
You receive 85% of fee charged for the following apparatus:
- Asthmatic Spray Appliance – limit $130 every 3 years. Certain appliances can be purchased through Health Partners.
- Blood Glucose Monitoring Machines – limit $250 every 3 years. Members can purchase certain machines from Diabetes SA including 12-month membership of the association.
- Blood Pressure Machines – limit $100 every 3 years. Your limit is combined with Blood Glucose Monitoring Machines.
- Hearing Aids – limits based on years of continuous membership: 1–4 years – $800; 5–9 years – $900; 10+ years – $1,150. Maximum benefit limited to once every 3 years.
- Sleep Apnoea Machines – limit $1,500 every 5 years.
- CPAP Apparatus Support – limit $150 every 5 years when using a Health Partners participating provider.
A letter from your medical practitioner will be required for Asthmatic Spray Appliances, Blood Glucose Monitoring Machines and Blood Pressure Machines. We may request a supporting letter from your medical practitioner for all other apparatus benefits.
Health Management
- Online Health Profile – access the Online Health Profile through Members Online.
- Quit Smoking – $100 benefit towards the cost of Nicotine Replacement Therapy when purchased through Pharmacy Connect or your local pharmacy. Available on completion of a Health Partners approved government Quit Smoking program. Lifetime limit $200.
- Weight Management – $50 benefit for first month of membership, plus $100 benefit upon achieving goal weight. Lifetime limit $150.
Approved providers include Weight Watchers, Jenny Craig, SureSlim and Ultra Lite.
- Bowel Cancer Screening – $22 benefit towards testing fees for a home Bowel Cancer Screening test. Limit 1 per year.
- Diabetes Membership – 50% up to $50 per membership per year to membership of state or territory Diabetes Association.
Benefits and Limits
- Except where otherwise stated, benefits and limits are per person per calendar year.
- Within the Adelaide metropolitan area, benefits and limits are the same as Gold Extras.
- Benefits for services in the Adelaide metropolitan area are included in your non-Adelaide metropolitan limits.
Natural Plus
If you would like additional cover for a range of natural therapies, you can add Natural Plus to your membership and receive benefits for 14 different therapies. For more information, click here.
Standard Information Statements
To view a Standard Information Statement (SIS) for National Extras please visit privatehealth.gov.au. For more information on the SIS please click here.
Rates
To get a quote click here.
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