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 2009.
Your Local Professionals
Dental
A schedule of benefits apply 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
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
- You pay only $16.65 or $33.30 for an extensive range of prescriptions - limit $600 (includes your local Pharmacy prescriptions). Your payment is indexed to the Federal Government PBS and reviewed each year. Prices effective 1 January 2010.
- You receive a 20% saving on all non-prescription items and the convenience of ordering by email, phone or fax
- For further information contact Member Services on 1300 113 113.
Your Local Pharmacy
- You pay $33.30 for each prescription not listed on the PBS - Limit $600 (includes Pharmacy Connect prescriptions). Prices effective 1 January 2010.
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 apply for orthotics provided by approved orthotists, podiatrists and medical practitioners
- Limit $300.
Dietary
Benefit:
- 60% per consultation with a registered dietitian
- Limit $250.
Psychology/Hypnotherapy
Benefit:
- 50% per consultation
- Limit $350.
Massage
Benefit:
- $20 per consultation for remedial or therapeutic massage
- Limit $100.
Speech Therapy
Benefit:
- $75 initial consultation
- $45 subsequent consultation
- $60 long consultation
- $15 group consultation
- Limit $400
- Limit $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
- Limit $500 after 3 years of continuous membership.
Royal District Nursing Service
Apparatus
You receive 85% of fee charged for the following apparatus:
- Asthmatic Spray Appliance — limit $100 every 3 years. Alternatively, 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.
All apparatus benefits need a letter from your Medical Practitioner.
Please refer to waiting periods for more information.
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.
Full Ambulance Cover
As a Health Partners Extras member you receive full ambulance cover including:
- All 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.
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
For a list of rates click here. |