How $105.48 is worked out
- Premium as filed - $139.00 a month
- Government rebate - 24.1% of the premium (never of the loading): -$33.52
- A month - $105.48
Go to insurer no commission on this policy
Extras: what you get back
| Service | Waiting period | Example benefits, as filed | Limits |
|---|---|---|---|
| General dental | 2 months | Check-up (item 012): $54.35; Scale and clean (item 114): $110.35; Fluoride treatment (item 121): $33.20; Tooth extraction (item 322): $139.75 | $1,250 per person a year (shared with other services) |
| Major dental * | 12 months | Crown (item 615): $720.25 | $1,250 per person a year (shared with other services) |
| Root canal | 12 months | Root canal (item 417): $129.15 | $1,250 per person a year (shared with other services) |
| Braces | 12 months | Braces, upper and lower, with a retainer (item 881): 100% back | $1,250 per person a year (shared with other services) |
| Glasses and contact lenses * | 2 months | Single vision glasses: 100% back; Multifocal glasses: 100% back | $200 per person a year |
| Prescriptions not on the PBS * | 2 months | Prescription: $80.00 | $200 per person a year |
| Physiotherapy | 2 months | First visit: $35.00; Follow-up visit: $35.00 | $400 per person a year (shared with other services) |
| Chiropractic | 2 months | First visit: $28.00; Follow-up visit: $28.00 | $400 per person a year (shared with other services) |
| Podiatry | 2 months | First visit: $28.00; Follow-up visit: $28.00 | $400 per person a year (shared with other services) |
| Acupuncture | 2 months | First visit: $28.00; Follow-up visit: $28.00 | $150 per person a year (shared with other services) |
| Remedial massage | 2 months | First visit: $28.00; Follow-up visit: $28.00 | $150 per person a year (shared with other services) |
| Chinese herbal medicine | 2 months | First visit: $28.00; Follow-up visit: $28.00 | $150 per person a year (shared with other services) |
| Dietitian | 2 months | First visit: $30.00; Follow-up visit: $30.00 | $400 per person a year (shared with other services) |
| Exercise physiology | 2 months | First visit: $25.00; Follow-up visit: $25.00 | $400 per person a year (shared with other services) |
| Health management programs | 2 months | Benefit: 100% back | $75 per person a year |
| Osteopathy | 2 months | First visit: $28.00; Follow-up visit: $28.00 | $400 per person a year (shared with other services) |
Not covered: Psychology, Hearing aids, Blood glucose monitors, Audiology, Antenatal and postnatal, Eye therapy (orthoptics), Home nursing, Occupational therapy, Orthotics, Speech therapy, Vaccinations.
* Pharmacy benefit paid after deduction of the PBS co-payment at 100% up to $80 per script. A $20 benefit (1 per person, per calendar year) will be paid on eligible claims for flu vaccinations from a registered pharmacy only. Optical benefit paid on frames and prescription optical items. Benefits for replacement dentures and partial dentures are not paid within three years of previous supply.
Other services, as filed: Our Complementary Therapies includes: acupuncture, myotherapy, remedial massage and traditional Chinese medicine. Treatment must be provided by a practitioner who is registered with HIF in the speciality for which the charge is raised, benefits are not payable on medicines. The limits detailed above are subject to a combined overall person limit of $400 for physio, exercise physiology, chiro, osteo, podiatry and dietetics consultations.
Essential Extras includes all those essential services like Dental, Physio, Chiro, Podiatry, Complementary Therapies, Ambulance and more.
Ambulance
Emergency and non-emergency ambulance. Call-out fees covered. Waiting period for emergency transport: 1 day. No limit on emergency transport.
This policy's other options
Every state, household and excess the insurer filed for this policy, with the premium before the rebate.
| State | Who is covered | Excess | A month, as filed |
|---|---|---|---|
| NSW | Me and my partner | None | $147.80 |
| NSW | My family | None | $151.50 |
| NSW | Just me | None | $73.90 |
| NSW | Me and my children | None | $147.80 |
| NT | Me and my partner | None | $122.30 |
| NT | My family | None | $125.35 |
| NT | Just me | None | $61.15 |
| NT | Me and my children | None | $122.30 |
| QLD | Me and my partner | None | $140.40 |
| QLD | My family | None | $143.90 |
| QLD | Just me | None | $70.20 |
| QLD | Me and my children | None | $140.40 |
| SA | Me and my partner | None | $139.00 |
| SA | My family | None | $142.50 |
| SA | Just me | None | $69.50 |
| SA | Me and my children | None | $139.00 |
| TAS | Me and my partner | None | $135.60 |
| TAS | My family | None | $139.00 |
| TAS | Just me | None | $67.80 |
| TAS | Me and my children | None | $135.60 |
| VIC | Me and my partner | None | $143.70 |
| VIC | My family | None | $147.30 |
| VIC | Just me | None | $71.85 |
| VIC | Me and my children | None | $143.70 |
| WA | Me and my partner | None | $133.90 |
| WA | My family | None | $137.25 |
| WA | Just me | None | $66.95 |
| WA | Me and my children | None | $133.90 |
Where this comes from
Policy details come from the PrivateHealth.gov.au dataset published by the Private Health Insurance Ombudsman on data.gov.au (release of 1 Oct 2026), licensed under Creative Commons Attribution 3.0 Australia. Statement A9/SBWZ20, filed by Health Insurance Fund of Australia Limited, issued 1 Apr 2026.
† Monthly premium: the premium the insurer filed with the Private Health Insurance Ombudsman for this state, household and excess, before the Australian Government rebate. Answer the income and age questions and every figure becomes the premium after your rebate, with any Lifetime Health Cover loading added to the hospital share (the rebate never applies to the loading) and the age-based discount taken off it where the policy offers one. Insurers may quote a different payment frequency and round each step; check the figure with the insurer before you join.
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