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 when you're in Adelaide for even higher benefits. When accessing services within the Adelaide metropolitan areas, you receive the same benefits and limits as Gold Extras. Click here for Gold Extras details.
All benefits and rates listed are effective 1 April 2010.
Your Local Professionals
Dental
A schedule of benefits applies for general, major and specialist services. Please call our member services for a quote.
- General Dental — no limit
- Major dental — limit $1000
- Specialist treatment — limit is the same as general and major dental.
Orthodontic
A 70% benefit is available for all orthodontic treatment:
- Includes appliances such as plates, guards and spacers
- 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
55% benefit for prescription glasses and contact lenses.
- Overall limit of $300 (this includes a limit for frames of $75).
Pharmacy
Pharmacy Connect
Exclusive benefits and discounts are available through Pharmacy Connect.
For an extensive range of prescriptions:
- You pay only $16.65 or $33.30.
Your payment is indexed to the Federal Government PBS and reviewed each year. Prices effective 1 January 2010.
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.
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:
- $28.50 initial consultation
- $22.50 subsequent consultation
- $30 long consultation
- $34 prolonged consultation
- $57 lymphoedema treatment
- $6.50 hydrotherapy
- $24 home or hospital visit
- Up to $10 group treatment
Limit $600.
Naturopathy/Homeopathy
Benefit:
- $35.40 initial consultation
- $26.40 subsequent consultation
- $37.80 long consultation
- $37.80 after-hours consultation
Combined limit $500 for Naturopathy/Acupuncture.
Acupuncture
Benefit:
- $37.20 initial consultation
- $27.60 subsequent consultation
- $39.60 long consultation
- $39.60 after-hours consultation
Combined limit $500 for Naturopathy/Acupuncture.
Chiropractic/Osteopathic
Benefit:
- $34 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 professional's rooms)
Limit $500.
Podiatry
Benefit:
- $27 initial consultation
- $22 subsequent consultation
- 85% surgery
Limit $500.
Orthotics
Benefit:
- 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
Full Ambulance Cover
As a Health Partners Extras member you receive full ambulance cover including:
- 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 asthmatic spray appliances can be purchased through Health Partners for a minimal cost.
- Blood Glucose Monitoring Machines — limit $250 every 3 years. Health Partners members can purchase certain machines from the Diabetic Association of SA for a minimal cost including 12 months free membership to the Association.
- 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 5 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.
All apparatus benefits need a letter from your Medical Practitioner.
Health Management
- Online Health Profile — limit 4 per year. Access the Online Health Profile through Members Online.
- Quit Smoking — $100 benefit towards the cost of Nicotine Relacement Therapy when purchased through Pharmacy Connect or your local pharmacy. Available on completion of an approved government Quit Smoking program. Lifetime limit $200.
- Weight Watchers — $50 benefit for first month of membership, plus $100 benefit upon achieving goal weight. Lifetime limit $150.
- Bowel Cancer Screening — $22 benefit towards testing fees for a home Bowel Cancer Screening test. Limit 1 per year.
Benefits and Limits
- All extras benefits and limits are per person per calendar year, unless otherwise stated.
- Benefits and limits within the Adelaide metropolitan area are the same as outlined in Gold Extras.
- Benefits and limits for services in the Adelaide metropolitan area, are included in your non-Adelaide metropolitan limits.
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, or for a list of rates click here. |