Select Extras

A great choice for those not wishing to pay for what they may not use. Ideally suited to singles and couples or families with very young children, Select Extras provides great value benefits on a selection of only the most popular services.

An overall benefit limit of $2,200 per person per membership year, up to $4,400 per policy per membership year, applies for all services combined (including dental, optical, therapies, pharmaceutical and Healthy Living). Sub-limits apply.

All limits listed are per person, per Membership year. Policy limits apply (equal to double the per person limit).

What you're covered for

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General and major dental

Services covered Sub-limit per person per Membership year
Diagnostic dental
$400 (combined)^

2 month waiting period applies

Includes services like examinations, consultations and x-rays.

Example benefits paid
Periodic oral exam $40

^ A combined sub-limit of $400 per person, per Membership Year applies for diagnostic, preventative, restorative, simple extractions and general services dental items covered under Select Extras (up to $800 per policy per Membership Year).

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

Preventive dental
$400 (combined)^

2 month waiting period applies

Includes cleaning and scaling and fluoride treatments.

Example benefits paid
Scale and clean $63
Fluoride treatment $18

^ A combined sub-limit of $400 per person, per Membership Year applies for diagnostic, preventive, restorative, simple extraction and general services dental items covered under Select Extras (up to $800 per policy per Membership Year).

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

Surgical extractions
$600 (combined)*

12 month waiting period applies

Surgical extractions include wisdom teeth extraction, removal of impacted teeth. Benefits paid on dental item numbers only unless hospital cover is held and all waits have been served for any in-patient services.

Example benefits paid
Surgical tooth extractions $126

A combined sub-limit of $600 per person, per Membership Year applies for extractions, crowns and bridges and endodontic (root canal) dental items covered under Select Extras (up to $1,200 per policy per Membership Year).

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

Fillings
$400 (combined)^

2 month waiting period applies

Restorative dental treatments including composite and amalgam fillings.

Example benefits paid
Filling/restoration $72

^ A combined sub-limit of $400 per person, per Membership Year applies for diagnostic, preventive, restorative, simple extraction and general services dental items covered under Select Extras (up to $800 per policy per Membership Year).

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

Root canal treatment
$600 (combined)*

12 month waiting period appliesEndodontic services such as root canals and root fillings.

Example benefits paid
Root canal $119

* A combined sub-limit of $600 per person, per Membership Year applies for extractions, crowns and bridges and endodontic (root canal) dental items covered under Select Extras (up to $1,200 per policy per Membership Year).

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

General services
$400 (combined)^

2 month waiting period applies

Occlusal splints etc.

Occlusal splints
Occlusal splints $240

^ A combined sub-limit of $400 per person, per Membership Year applies for diagnostic, preventive, restorative, simple extraction and general services dental items covered under Select Extras (up to $800 per policy per Membership Year).

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

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Optical

Services covered Sub-limit per person per Membership year
Glasses and contact lenses
$230

2 month waiting period applies

Glasses including frames, single vision lenses and progressive lenses, contact lenses, prescription sunglasses etc.

Example benefits paid
Optical items or services Up to $230^

^Per person, up to $460 per policy per Membership year.

Through our Premier Provider Network, you can take advantage of discounts at preferred providers across Australia.

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

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Therapies

Services covered Sub-limit per person per Membership year
Chiropractic & massage
$500

2 month waiting period applies

Example benefits paid
Initial chiropractic consultation $44
Subsequent chiropractic consultation $28
Massage (initial and subsequent consultation) $28

A $500 sub-limit per person, per Membership Year applies to chiropractic and massage, up to $1,000 per policy. An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership Year.

Physiotherapy
$500

2 month waiting period applies

Example benefits paid
Inital consultation $44
Subsequent consultation $32
Group therapy $8

A $500 sub-limit per person, per Membership year applies to physiotherapy under Select Extras cover (up to $1,000 per policy). A $120 sub-limit applies to group therapy.

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

Podiatry
$400

2 month waiting period applies

Example benefits paid
Initial and subsequent consultation $32
Approved appliances (orthotics) 85% of cost up to sub-limit
Minor procedures 75% of cost up to sub-limit

A $400 sub-limit per person, per Membership year applies to podiatry under Select Extras (up to $800 per policy).

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

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Other services

Services covered Sub-limit per person per Membership year
Healthy living
$125

2 month waiting period applies

As well as helping you to get well, we want to help you stay well. Our Healthy Living benefit helps you living a healthy lifestyle through:

  • Your choice of weight management programs
  • Participating in other approved health management programs* including gym membership, yoga classes or personal training programs. You must have been referred by your health care professional to participate in a health management or chronic disease management program to address or improve a specific health or medical condition. You must submit a Health Management Program Benefit Approval Form when submitting your claim.
  • Participate in quit smoking programs
  • Have your skin checked for skin cancers through mole mapping
  • Diabetes education
  • Metabolic dieticians and nutritionists when providing assistance with weight management
  • Bowel screening tests and bone density test
  • PSA test
Example benefits paid
Healthy Living benefits $125

A sub-limit of $125 per person, per Membership year, up to $250 per policy, per Membership year applies under Select Extras cover.

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

Pharmaceutical
$400

2 month waiting period applies

The Pharmaceutical Benefits Scheme (PBS) is a national pharmaceutical scheme funded by the Federal Government where patients contribute to the cost of prescribed drugs.

Territory Health doesn't cover pharmaceutical prescriptions covered by the PBS or for contraceptives and items normally available without prescriptions. Prescriptions not covered by the PBS, excluding contraceptives and items normally available without prescription and drugs not approved for sale in Australia. A co-payment applies to each prescription item equal to the current PBS.

We’ll pay benefits as outlined in the Extras table up to the claim limit for this category, with consideration to the maximum individual script benefit limit. The benefit amount per script is calculated by deducting the PBS general patient contribution amount from the purchase price (up to script benefit limit). This is conditional on the pharmaceutical prescription being listed in the MIMs Schedule as S4 or S8 and being dispensed in quantities in accordance with this schedule. We also pay for compound pharmacy scripts, as long as one of the ingredients meet this criteria.

A doctor's letter may be required for some pharmacy items.

The PBS contribution amount is reviewed annually by the Government and changes every year on 1 January. As at 1 January 2018, the PBS contribution is set at $39.50.

Example benefits paid
Pharmaceuticals Up to $55

A sub-limit of $400 applies per person, per Membership year for phamaceuticals under Select Extras (up to $800 per policy).

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.